PDF(Pubmed)
Abstract：
Over the past decades, life expectancy of people with type 1 diabetes has increased considerably, which brings potential challenges due to the process of aging. Cognitive aging and dementia, as well as reductions in visual acuity, hearing and dexterity, can influence the frequency and quality of daily self-management activities, including medication taking and insulin dosing, glucose self-monitoring, and healthy eating. This can increase the risk for hypo- and hyperglycemic events, which, in turn, may contribute to cognitive decline. Because there is a gap in understanding the barriers and facilitators of self-management in older adults with type 1 diabetes and the relationship to cognitive functioning, the authors 1) review the available literature on cognitive aging and type 1 diabetes, 2) describe what self-management in later adulthood entails and the cognitive functions required for effective self-management behaviors, 3) analyze the interaction between type 1 diabetes, cognition, aging, and self-management behaviors, and 4) describe the barriers and facilitators for self-management throughout the life span and how they may differ for older people. Potential evidence-based practices that could be developed for older adults with type 1 diabetes are discussed. There is need for further studies that clarify the impact of aging on T1D self-management, ultimately to improve diabetes care and quality of life.
摘要：
在过去的几十年里，1型糖尿病患者的预期寿命大幅增加，这带来了潜在的挑战，由于老化的过程。认知老化和痴呆,以及视力下降，听觉和灵巧，会影响日常自我管理活动的频率和质量，包括服药和胰岛素给药，葡萄糖自我监测，和健康饮食。这会增加低血糖和高血糖事件的风险，which,反过来,可能会导致认知能力下降。因为在理解1型糖尿病老年人自我管理的障碍和促进者以及与认知功能的关系方面存在差距，作者1)回顾有关认知衰老和1型糖尿病的现有文献，2）描述什么自我管理在成年后需要和认知功能需要有效的自我管理行为，3)分析1型糖尿病,认知，老化，和自我管理行为，和4）描述在整个生命周期中自我管理的障碍和促进者，以及它们对老年人的不同。讨论了可以为患有1型糖尿病的老年人开发的潜在的循证实践。需要进一步的研究来阐明衰老对T1D自我管理的影响，最终改善糖尿病护理和生活质量。
