Cognitive Impairment in People with Diabetes-Related Foot Ulceration
Aims: To determine whether there is an excess of cognitive impairment in patients with type 2 diabetes and foot ulceration. Methods: 55 patients with type 2 diabetes and foot ulcers attending Multidisciplinary Diabetes Foot Ulcer clinics (MDFU cohort) were compared with 56 patients with type 2 diabe...
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| Format: | Article |
| Language: | English |
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MDPI AG
2021-06-01
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| Series: | Journal of Clinical Medicine |
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| Online Access: | https://www.mdpi.com/2077-0383/10/13/2808 |
| _version_ | 1797528691311378432 |
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| author | Ranita Siru Melanie S. Burkhardt Wendy A. Davis Jonathan Hiew Laurens Manning Jens Carsten Ritter Paul E. Norman Ashley Makepeace Peter Gerry Fegan David G. Bruce Timothy M. E. Davis Emma J. Hamilton |
| author_facet | Ranita Siru Melanie S. Burkhardt Wendy A. Davis Jonathan Hiew Laurens Manning Jens Carsten Ritter Paul E. Norman Ashley Makepeace Peter Gerry Fegan David G. Bruce Timothy M. E. Davis Emma J. Hamilton |
| author_sort | Ranita Siru |
| collection | DOAJ |
| description | Aims: To determine whether there is an excess of cognitive impairment in patients with type 2 diabetes and foot ulceration. Methods: 55 patients with type 2 diabetes and foot ulcers attending Multidisciplinary Diabetes Foot Ulcer clinics (MDFU cohort) were compared with 56 patients with type 2 diabetes attending Complex Diabetes clinics (CDC cohort) using commonly used screening tests for cognitive impairment (Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MOCA)), as well as foot self-care, mood and health literacy. MMSE was also compared between the MDFU cohort and a historical community-based cohort of patients with type 2 diabetes (FDS2 cohort). Results: Median MMSE scores were the same in all three groups (28/30). Median MOCA scores did not differ between the MDFU and CDC cohorts (25/30). There were no significant differences in the percentages of patients with MMSE ≤ 24 or MOCA ≤ 25 between MDFU and CDC cohorts (3.6% versus 10.7%, <i>p</i> = 0.27 and 56.4% versus 51.8%, <i>p</i> = 0.71, respectively), findings that did not change after adjustment for age, sex, education, diabetes duration, and random blood glucose. Conclusions: Using conventionally applied instruments, patients with type 2 diabetes and foot ulceration have similar cognition compared with patients without, from either hospital-based clinic or community settings. |
| first_indexed | 2024-03-10T10:02:56Z |
| format | Article |
| id | doaj.art-ba36e0206d4d4a2ba2b64efb1ee2ecb1 |
| institution | Directory Open Access Journal |
| issn | 2077-0383 |
| language | English |
| last_indexed | 2024-03-10T10:02:56Z |
| publishDate | 2021-06-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Journal of Clinical Medicine |
| spelling | doaj.art-ba36e0206d4d4a2ba2b64efb1ee2ecb12023-11-22T01:49:15ZengMDPI AGJournal of Clinical Medicine2077-03832021-06-011013280810.3390/jcm10132808Cognitive Impairment in People with Diabetes-Related Foot UlcerationRanita Siru0Melanie S. Burkhardt1Wendy A. Davis2Jonathan Hiew3Laurens Manning4Jens Carsten Ritter5Paul E. Norman6Ashley Makepeace7Peter Gerry Fegan8David G. Bruce9Timothy M. E. Davis10Emma J. Hamilton11Department of Endocrinology and Diabetes, Fiona Stanley Hospital, Murdoch 6150, AustraliaDepartment of Endocrinology and Diabetes, Fiona Stanley Hospital, Murdoch 6150, AustraliaMedical School, Fremantle Hospital, University of Western Australia, Fremantle 6160, AustraliaDepartment of Podiatry, Fiona Stanley Hospital, Murdoch 6150, AustraliaMedical School, Fiona Stanley Hospital, University of Western Australia, Murdoch 6150, AustraliaMultidisciplinary Diabetes Foot Unit, Fiona Stanley and Fremantle Hospitals Group, Murdoch 6150, AustraliaMedical School, Fiona Stanley Hospital, University of Western Australia, Murdoch 6150, AustraliaDepartment of Endocrinology and Diabetes, Fiona Stanley Hospital, Murdoch 6150, AustraliaDepartment of Endocrinology and Diabetes, Fiona Stanley Hospital, Murdoch 6150, AustraliaMedical School, Fremantle Hospital, University of Western Australia, Fremantle 6160, AustraliaMedical School, Fremantle Hospital, University of Western Australia, Fremantle 6160, AustraliaDepartment of Endocrinology and Diabetes, Fiona Stanley Hospital, Murdoch 6150, AustraliaAims: To determine whether there is an excess of cognitive impairment in patients with type 2 diabetes and foot ulceration. Methods: 55 patients with type 2 diabetes and foot ulcers attending Multidisciplinary Diabetes Foot Ulcer clinics (MDFU cohort) were compared with 56 patients with type 2 diabetes attending Complex Diabetes clinics (CDC cohort) using commonly used screening tests for cognitive impairment (Mini-Mental State Examination (MMSE) and Montreal Cognitive Assessment (MOCA)), as well as foot self-care, mood and health literacy. MMSE was also compared between the MDFU cohort and a historical community-based cohort of patients with type 2 diabetes (FDS2 cohort). Results: Median MMSE scores were the same in all three groups (28/30). Median MOCA scores did not differ between the MDFU and CDC cohorts (25/30). There were no significant differences in the percentages of patients with MMSE ≤ 24 or MOCA ≤ 25 between MDFU and CDC cohorts (3.6% versus 10.7%, <i>p</i> = 0.27 and 56.4% versus 51.8%, <i>p</i> = 0.71, respectively), findings that did not change after adjustment for age, sex, education, diabetes duration, and random blood glucose. Conclusions: Using conventionally applied instruments, patients with type 2 diabetes and foot ulceration have similar cognition compared with patients without, from either hospital-based clinic or community settings.https://www.mdpi.com/2077-0383/10/13/2808diabetes-related foot ulcertype 2 diabetescognitionself-care |
| spellingShingle | Ranita Siru Melanie S. Burkhardt Wendy A. Davis Jonathan Hiew Laurens Manning Jens Carsten Ritter Paul E. Norman Ashley Makepeace Peter Gerry Fegan David G. Bruce Timothy M. E. Davis Emma J. Hamilton Cognitive Impairment in People with Diabetes-Related Foot Ulceration Journal of Clinical Medicine diabetes-related foot ulcer type 2 diabetes cognition self-care |
| title | Cognitive Impairment in People with Diabetes-Related Foot Ulceration |
| title_full | Cognitive Impairment in People with Diabetes-Related Foot Ulceration |
| title_fullStr | Cognitive Impairment in People with Diabetes-Related Foot Ulceration |
| title_full_unstemmed | Cognitive Impairment in People with Diabetes-Related Foot Ulceration |
| title_short | Cognitive Impairment in People with Diabetes-Related Foot Ulceration |
| title_sort | cognitive impairment in people with diabetes related foot ulceration |
| topic | diabetes-related foot ulcer type 2 diabetes cognition self-care |
| url | https://www.mdpi.com/2077-0383/10/13/2808 |
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