Cognitive Dysfunction and Poor Glycemic Control in Older Adults
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W.M.McKee wmmc...@cox.net
Hello Friends, To the immense credit of the research branch of the ADA, I awakened this morning to find email from them that pointed the way to this abstract of a new study showing an ***ociation between a history of poor glycemeic control and degraded cognitive function in older adults...
It is worth a look for all of us, especially many of us T2s who are 50s, 60s, and beyond... Remember that old expression "gone 'round the bend?" http://tinyurl.com/jnona Will, T2
W.M.McKee wmmc...@cox.net
Please note with caution... The ADA persists in maintaining that an HbA1c of less than 7.0 is "normal", while other research and the AACE (American ***ociation of Clinical Endocrinologists) strongly support a signigicantly lower target level as in line with "normal". Indeed, as we have noted in recent days, an Hba1c of less than 6.0 is probably closer to normal, and really, one closer to 5.0 is desireable.
Please see recent posts by me, Susan, Jenny, Alan S, and others upon this topic.
Will, T2
"Billie" mynewsacco...@swbell.net
It is important, too, to make sure there are no other physical problems causing these same symptoms, as I encountered last year. My impairment was serious enough that I was increasingly unable to keep up with normal daily tasks, as noted by family, doctors, and self. MRI was done which showed moderate brain atrophy, and multiple lesions. Dr. Neuro is going to be analyzing those studies when I go in next time. They already gave an initial dx as early dementia.... that is *** early *** and *every* area of my cognitive abilities are not affected equally, nor all the time. Fatigue affects me significantly. The things that I could no longer tap into, nor do was very scary for me, as it affected my learning ability, and ability to perform mental tasks that have always been my very strong suits, even commented on by my cl***mates at last year's cl*** reunion about my math skills, and one those by one who became a doctor, and HE talked about admiring ME! Good ego boost for me. As you said, "Just the facts, no brag." The brain lesions really are not so surprising considering the neuromuscular issues I am now facing, and which had been declining for the past couple of years. What does it all total up to??? Only Dr. Neuro is going to be able to sort all of that out, as there is one blood test that is not cooperating, so there is also some leaning toward MS being a part of this neuromuscular problem. I will be glad to go back to see him next week... a week from today. My bg levels do not have any impact on the cognitive. I cannot tell from working my math mental puzzles when it is high, and it has been swinging wildly these past few weeks of infection.
Hang in there guy, and don't push yourself on these issues that push your buttons....... I know you feel it's relaxing, but your tired, worn out body might not agree with you on that. *s* I *know* how hard it is to go into retreat mode, but you really need to consider doing that today..... noted I did not say you "should"...... something else I learned in Co-D therapy....... we are "shoulding" ourselves to death, as there is no absolute *should*.... from ourselves, nor from others. This was a hard one for Jim to learn, as he had a LOT of shoulds for himself that was stressing him to the point of it affecting our relationship, and core family unit (him, Ashley, me.... he and I in our 50's. He's doing much, much better at being able to relax these days, and getting much more enjoyment out of his retirement life. LOL Hugs Billie ...
: On Thu, 17 Aug 2006 07:52:24 -0400, W.M.McKee <wmmc...@cox.net> wrote: : : >Hello Friends, : > : >To the immense credit of the research branch of the ADA, I awakened : >this morning to find email from them that pointed the way to this : >abstract of a new study showing an ***ociation between a history of : >poor glycemeic control and degraded cognitive function in older : >adults...
: > : >It is worth a look for all of us, especially many of us T2s who are : >50s, 60s, and beyond... Remember that old expression "gone 'round the : >bend?" : > : >http://tinyurl.com/jnona : > : >Will, T2 : : Please note with caution... The ADA persists in maintaining that an : HbA1c of less than 7.0 is "normal", while other research and the AACE : (American ***ociation of Clinical Endocrinologists) strongly support a : signigicantly lower target level as in line with "normal". Indeed, as : we have noted in recent days, an Hba1c of less than 6.0 is probably : closer to normal, and really, one closer to 5.0 is desireable.
: : Please see recent posts by me, Susan, Jenny, Alan S, and others upon : this topic.
: : : Will, T2
wmmc ...@cox.net
Hi Billie, You are such a dear... Sorry if I got everyone upset this morning...
By the way, I very much admire you, also.
Will, T2
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g ...@consolidated.neet (guy)
Billie, I post to achieve a result. My self and a couple of others set here and just laugh.
We do have some good posters. Others seem to suffer from diabetes upstairs. They achieve nothing. In fact these posters have no interested diabetes.
We do try to make the point of poor care overpriced medical care and items. No human can live up to the TV ads or the medical shows. It is an illusion.
The public buying into the fluff is one reason for the prices.
Fear of socialization is the only tool we have.
I am an old man that knows what will happen. I resolved that issue years ago. I do know my generation built this country up after WW2 and it is being raped by opportunists. I "GOT" mine. Soon I will be able to get some cheap help. soon.
My purpose here is to try to help the group to function for the few that care. Others are beyond help. The grab at any screwy idea. In the long run they will lose trying to show they know everything. Billie, I do appreciate a clear voice here. Thank you..
Guy The UFO people have a perfect cure for diabetes.
But they will not come near our mess. :-)
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Rone ...@webtv.net (Loretta Eisenberg)
Well, I just got a touch of reality and found out I am an older adult.
How could you do this to me Will. lol but when I went to the site, they were talking about people over seventy, close to eighty and I felt better.
In a previous post I called myself a girl. hahahahahaha Loretta
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In tribute to the United States of America and the State of Israel, two bastions of strength in a world filled with strife and terrorism.
"italiangm" italia...@yahoo.com
I have no doubt there are many neurological insults that can occur in an aging brain, including hypo- and hyperglycemia, hypoxia, medication toxicity, etc.
Since there are so many variables that can lead to cognitive deficits, does anyone have fulltext access to the study to confirm which confounders the researchers adjusted for?
If so, pls advise in a.s.m. Thx. :)
wmmc ...@cox.net
Sorry, Italianigm, this is the best I can do for now... I might suggest, however, that if you are really interested, there may be a medical library in your area that would have it, or if you live in an area served by a complete general library, or near a university, you might be able to simply go there, and read the whole thing. We have several such libraries in our area, and it may be that you have at least one in yours. For instance, most hospitals would have this in their medical library, but they may, or may not grant you access....
Here are a few links that might also help you find what you are looking for: http://www.libraryspot.com/journals.htm http://www.lib.uiowa.edu/hardin/hslibs.html http://www.evms.edu/evmslib/index.html http://www.drsref.com.au/aus_med_libraries.html Also, most comprehensive law libraries would have this journal....
Especially law school libraries, but also many local municipal law libraries. Although I have not checked for this particular article, I know of at least four local law libraries in my area, to which the general public has access, that are likely to have it, as well as at least five (5) college and university libraries, counting Eastern Virginia Medical School (EVMS) Hopefully, you also would have reasonable access to some such resources.
Yes, it is sad that the Diabetes Journal requires a paid membership to access the whole article, but there are bound to be practical ways around that.
You might also call your doctor and see if he/she has it, or knows where to find it.
Will, T2
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"W. Baker" wba...@panix.com
: To the immense credit of the research branch of the ADA, I awakened : this morning to find email from them that pointed the way to this : abstract of a new study showing an ***ociation between a history of : poor glycemeic control and degraded cognitive function in older : adults...
: It is worth a look for all of us, especially many of us T2s who are : 50s, 60s, and beyond... Remember that old expression "gone 'round the : bend?" : http://tinyurl.com/jnona : Will, T2 Read about it on Diabees in Control. there were two articles, one that talked aobu teffect of poor glycemic control on mental functioning and the other was a read "duh" one about poeple with cognitive problems have trouble keepign goo bg levels and glydcemic control. that second one was busy reinventing the obvious.
Wendy
"Billie" mynewsacco...@swbell.net
True, Wendy, and not only glycemic control..... I have trouble remembering daily hygiene... washing face, brushing teeth, etc., along with taking *all* my meds, not just my diabetic needs Pumping is helping with that, but even with that, I have been known to forget in the midst of putting in a new infusion set; at least it is only every three days, and has rarely occurred.... I *did* fall asleep a couple of weeks ago after I had gotten new supplies out. I can have my meds literally before me, reach over to get a drink, and never get the pills into my mouth. Jim has to help me. I will often tell him that I have taken such and such in case I should ask later when I cannot remember if I took them or not. Not uncommon for me to get my Methotrexate and syringe out, but forget to follow on through to draw it up, or to find a full syringe later where I forget during the process. Just looking away for a moment can cause me to totally forget; I do not allow any more variables than absolutely necessary in my daily life. It is taking some repeating, but Jim is beginning to remember not to move things nor to cover anything up. If I cannot see it, I cannot remember it. I sometimes forget to finish eating a meal (I am eating from my chair, not able to be at a table). Sounds impossible, I know, but with the myasthenia, eating is most often a slow process due to the muscles becoming over-tired, and I need to rest a minute here and there.
Before my other computer got sick on me a few weeks ago, I had 60+ drafts where I had begun messages/posts, and totally forgotten to finish them, and in some cases, could not remember what I was trying to say. That's when I'd save it until I could remember, and by the time I did, it seemed irrelevant.
This is sooooo very out of character for me, as I've always had such an excellent memory in all areas, especially details. Is it Priscilla that is a data nut (I put myself into that category)? In fact, that is one of the ways my doctors' were able to notice a considerable change because I was unable to provide them with the details they'd been so accustomed to. A few months ago Dr. Endo said, "What is wrong? I haven't received an email from you in a long time." PCP doesn't have email for me, but he likes to get my printouts with graphs. He says it helps him see at a glance what would take some time to read otherwise. My *mind practice* that I describe back in March seems to really be paying off, too. As in other areas (besides our diabetes), there are ways, here, too, that we can help ourselves. It took MUCH effort to begin; everything I did looked like a 1st grader, even my numbers and letters. Jim and I have looked at when I started doing this in March, and where I am today. It has been both exciting, and encouraging.
Now that I am being able to read better with the new myasthenia med (fixed the blurred and double vision - not *eye* related, rather muscle), I am hoping to get back to doing Logic Puzzles, though the muscles do not adjust with reading movement very well.... so far.... this is just the beginning of this journey. I feel like I've gone from 1 + 1 to subtraction, and now embarking on multiplication.... not literally, figuratively speaking, beginning with the basics, and moving onward. :) It is not going to be long before your *new vision* is going to be taking in the fall foliage. Another new benefit from getting rid of that nasty ole cataract. I think of you often whenever encountering improvements in my own eyes.
Keep looking up!
Billie =========================== and the other was a read "duh" one about : poeple with cognitive problems have trouble keepign goo bg levels and : glydcemic control. that second one was busy reinventing the obvious.
: : Wendy
W.M.McKee wmmc...@cox.net
Hello Billie, If you did not declare it, I would never for a moment think, or even conjecture, that you have cognitive difficulties... You are a very sharp lady, by my estimation.
You are also a great lady, and an inspiration to us all....
Will, T2
"Billie" mynewsacco...@swbell.net
Thank you, Will. My life has taken on a dramatic turn over the last couple of years, actually beginning earlier, but life-changing so these past two or so. It was my diminished capacity that partially fed into Jim's decision to retire. LOL... for one thing, I was breaking myself financially because I had lost my ability to maintain my checking account, and *I* was an accountant! I even quit opening my bank statements because I could no longer understand them.
I am a self-taught (after some basic college courses in the mid-80's) computer techie.... nerd, by some people's standards. I could sit and play around with data management for hours, it never becoming boring. In fact, the more challenging, the longer I keep at it. I installed the first computers in our hospital here before they brought in IT people, and the first one they did use still had a lot to learn. This was way before our networking, back in the days of the dual disk drives; back to the LOTUS 1-2-3 v1 days. I did BASIC programming, in addition to writing spreadsheet programs. No formal instruction; it just all *clicked* so easily with me.
A fav pastime of mine was writing Word Perfect macros, and automating x-ray reports when I worked at the hospital. How I wish I'd had this technology available to me when I was headed to college.
I only say that to show my capabilities. Now one of my biggest complaints has been m*** confusion swirling in my head, especially if there are two *sounds* at one time (e.g. someone talking while the tv is going, or even an audible sound while I'm trying to write.... ADD was even considered at one time due to the concentration difficulty). I have to focus very hard with *tunnel* vision of the mind to keep my thoughts in order. When I am composing a message, I usually have to pause after each sentence, and either consult Jim on words or use a thesaurus. I did medical transcription so that gives you an idea of my vocabulary because there was no time to stop to look up spelling, and I had a stinker of a radiologist who demanded perfection the first time a report crossed his desk. He was known for correcting you in front of the rest of the department rather than let you know privately. *Words* have always been my playground; they seem to have gone off to play without me these days, though I do have to say doing crossword puzzles again has helped in that area. Personal writing has been something else I've enjoyed throughout the years, probably growing because of our living away from home with the Air Force, and sending family reports back to the family. I also had a really good foundation in English that required not thought on my part, and I believe that is what is tiding me over through that area now with introspective thinking. Being disabled does provide me with enough quiet time to allow my thoughts to come, and then the time and patience to formulate them. I work really hard to keep from taking the easy way out by not using the lowest form of expression if possible.
Still, there is much that I used to be able to understand and speak that seems like a foreign language to me now. As words are such an important part of your life, can you imagine losing them? Frustrating! I'm fighting against this tide, though. How much of my computer apps abilities I'll regain is up for grabs, but I'll fight for my words. Self expression is VERY important to me!
I've noticed that when I start getting tired is when I start to feel myself rambling when I'm writing. It generally takes me no less than an hour, usually closer to three hours to compose a post. Why can I just not say a few words and get on with it? Probably because I do not have anyone to talk to, and it is my only outlet.
Wish I was there to take a *walk* with you on the beach today, Will (ahem, read others advice ;), but 'fraid my wheels might get stuck in the sand.
*s* (took 5 min to write that one sentence because all the words were not there, and it took a bit to figure which ones.... it's just a *come and go* thing ;) Hugs, Billie : Hello Billie, : : If you did not declare it, I would never for a moment think, or even : conjecture, that you have cognitive difficulties... You are a very : sharp lady, by my estimation.
: : You are also a great lady, and an inspiration to us all....
: : Will, T2
W.M.McKee wmmc...@cox.net
You are not alone there, Billie ;-) I tend to focus very intently upon one thing at a time, also....
Seriously, I am so very sorry that you feel that you have been having these problems of organizing your thoughts and maintaining your mental acuity, or "sharpness". At the same time, judging from you posts, you remain quite a stong lady in the wits department, and I would suggest that keeping your mind active as much as possible is the key to keeping those good sharp brains of yours intact.
I'll be thinking of you while I walk on the beach.
Will, T2
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