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The frequency of cognitive dysfunction in elderly Sri Lankans with type 2 diabetes mellitus

✍ Scribed by N. Rajakumaraswamy; I. H. Rajapakse; D. J. S. Fernando

Publisher
John Wiley and Sons
Year
2008
Tongue
English
Weight
40 KB
Volume
23
Category
Article
ISSN
0885-6230

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✦ Synopsis

Type 2 diabetes mellitus increases risks of dementia (Allen et al., 2004). This association has not been investigated in the developing world. Morbidity and mortality from complications of type 2 diabetes are high in elderly Sri Lankan patients (Fernando et al., 1992). The prevalence of dementia in a semi-urban population was 4% (De Silva et al., 2003). We studied the frequency of cognitive dysfunction among elderly Sri Lankans with type 2 diabetes by recruiting a random sample of 204 persons from a specialist diabetic clinic database. Their demographic, health and diabetes-related data were obtained from medical records on clinical database software (Electronic Medical Record, Endocrine & Metabolic Disease Trust and SS Technologies, Sri Lanka). The data not available on the database were obtained at screening during a study visit. The development of the database received ethical review committee approval for a larger study of diabetes complications and the dementia screening component of this study was the student elective project of the first author.

All participants were screened using a Sri Lankan version of Mini Mental State Examination (de Silva and Gunatilake, 2002). Those with a MMSE score of 25 or less and were examined by a psychiatrist using

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