@article {7651,
	title = {The relationship between cognitive impairment and diabetes self-management in a population-based community sample of older adults with Type 2 diabetes.},
	journal = {J Behav Med},
	volume = {35},
	year = {2012},
	month = {2012 Apr},
	pages = {190-9},
	abstract = {<p>Although nearly one-third of older diabetics are cognitively impaired, their diabetes management remains poorly understood. To examine the relationship between cognitive impairment and diabetes self-management in a population-based community sample of older adults with Type 2 diabetes. Cross-sectional observational analysis. 1,398 persons with diabetes, aged 60~years or older, who responded to the 2003 Health and Retirement Study Diabetes Survey. We conducted logistic regressions on the effects of cognitive impairment on respondents{\textquoteright} self-management ability after controlling for diabetes comorbidities, demographics, and clinical characteristics. Participants with greater cognitive impairment were less likely to adhere to exercise (Adjusted Odds ratio [AOR]~=~0.725 and 0.712 for moderate and severe cognitive impairment, both P~<~0.05), and to diet (AOR~=~0.906 and 0.618 for moderate and severe cognitive impairment, both P~<~0.01). Cognitive impairment is associated with worse self-care and may pose challenges to diabetic older persons, notably in diet and exercise. Cognitive screening may be indicated in this high risk group.</p>},
	keywords = {Aged, Aged, 80 and over, Blood Glucose, Cognition Disorders, Cross-Sectional Studies, Diabetes Mellitus, Type 2, Exercise, Female, Health Surveys, Humans, Male, Middle Aged, Self Care},
	issn = {1573-3521},
	doi = {10.1007/s10865-011-9344-6},
	author = {Denise G Feil and Carolyn Wei Zhu and David L Sultzer}
}
