Estudo exploratório sobre o impacto da diabetes na função cognitiva e no bem-estar mental
Palavras-chave:
Diabetes, Função cognitiva, Neuropsicologia, TecnologiaSinopse
Este estudo explora a complexa relação entre a neuropsicologia e a diabetes, aprofundando os diferentes impactos da diabetes na função cognitiva e no bem-estar mental. Com a diabetes a emergir como um desafio de saúde global, consideramos muito importante compreender as suas ramificações para além da saúde física. Neste estudo, procuramos compreender o funcionamento cognitivo em indivíduos com diabetes, em especial o declínio cognitivo relacionado com a diabetes e as potenciais repercussões psicológicas. Analisamos ainda os efeitos agudos da hipoglicemia e o impacto crónico da hiperglicemia na saúde cognitiva. Explorando a hipótese da diabetes ‘tipo 3’, este breve estudo aborda as ligações entre a resistência à insulina no cérebro e o défice cognitivo. As complicações vasculares, microvasculares e macrovasculares, são observadas como fatores que contribuem para as alterações cognitivas associadas à diabetes. O trabalho também considera os aspectos comportamentais da gestão da diabetes, salientando o papel da educação do doente, da autogestão e das modificações do estilo de vida no apoio à saúde cognitiva. Além disso, exploramos, ainda que de forma breve, a relevância das avaliações neuropsicológicas na compreensão do quadro cognitivo dos indivíduos com diabetes. Entendemos que o trabalho pode contribuir para uma compreensão multidimensional das funções cognitivas e psicológicas dos cuidados com a diabetes, salientando o papel das abordagens integradas para a otimização do bem-estar geral dos pacientes.
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Aderinto, N., Olatunji, G., Abdulbasit, M., Ashinze, P., Faturoti, O., Ajagbe, A., Ukoaka, B., & Aboderin, G. (2023). The impact of diabetes in cognitive impairment: A review of current evidence and prospects for future investigations. Medicine, 102(43), e35557. https://doi.org/10.1097/MD.0000000000035557
Ahmad, F., & Joshi, S. H. (2023). Self-Care Practices and Their Role in the Control of Diabetes: A Narrative Review. Cureus. https://doi.org/10.7759/cureus.41409
American Diabetes Association. (2009). Diagnosis and Classification of Diabetes Mellitus. Diabetes Care, 32(Supplement_1), S62–S67. https://doi.org/10.2337/dc09-S062
American Diabetes Association. (2023). Standards of Care in Diabetes — 2023 Abridged for Primary Care Providers. Clinical Diabetes, 41(1), 4–31. https://doi.org/10.2337/cd23-as01
Basiri, R., Seidu, B., & Rudich, M. (2023). Exploring the Interrelationships between Diabetes, Nutrition, Anxiety, and Depression: Implications for Treatment and Prevention Strategies. Nutrients, 15(19), 4226. https://doi.org/10.3390/nu15194226
Caturano, A., D’Angelo, M., Mormone, A., Russo, V., Mollica, M. P., Salvatore, T., Galiero, R., Rinaldi, L., Vetrano, E., Marfella, R., Monda, M., Giordano, A., & Sasso, F. C. (2023). Oxidative Stress in Type 2 Diabetes: Impacts from Pathogenesis to Lifestyle Modifications. Current Issues in Molecular Biology, 45(8), 6651–6666. https://doi.org/10.3390/cimb45080420
Clemente-Suárez, V. J., Martín-Rodríguez, A., Redondo-Flórez, L., López-Mora, C., Yáñez-Sepúlveda, R., & Tornero-Aguilera, J. F. (2023). New Insights and Potential Therapeutic Interventions in Metabolic Diseases. International Journal of Molecular Sciences, 24(13), 10672. https://doi.org/10.3390/ijms241310672
Davies, M. J., Aroda, V. R., Collins, B. S., Gabbay, R. A., Green, J., Maruthur, N. M., Rosas, S. E., Del Prato, S., Mathieu, C., Mingrone, G., Rossing, P., Tankova, T., Tsapas, A., & Buse, J. B. (2022). Management of Hyperglycemia in Type 2 Diabetes, 2022. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetes Care, 45(11), 2753–2786. https://doi.org/10.2337/dci22-0034
de la Monte, S. M., & Wands, J. R. (2008). Alzheimer’s Disease is Type 3 Diabetes—Evidence Reviewed. Journal of Diabetes Science and Technology, 2(6), 1101–1113. https://doi.org/10.1177/193229680800200619
Deshpande, A. D., Harris-Hayes, M., & Schootman, M. (2008). Epidemiology of Diabetes and Diabetes-Related Complications. Physical Therapy, 88(11), 1254–1264. https://doi.org/10.2522/ptj.20080020
Elendu, C., Amaechi, D. C., Elendu, T. C., Ibhiedu, J. O., Egbunu, E. O., Ndam, A. R., Ogala, F., Ologunde, T., Peterson, J. C., Boluwatife, A. I., Okongko, A. O., Fatoye, J. O., Akpovona, O. L., Onyekweli, S. O., Temitope, A. Y., Achimugu, A. O., & Temilade, A. V. (2023). Stroke and cognitive impairment: understanding the connection and managing symptoms. Annals of Medicine & Surgery, 85(12), 6057–6066. https://doi.org/10.1097/MS9.0000000000001441
ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D., Johnson, E. L., Kahan, S., Khunti, K., Leon, J., Lyons, S. K., Perry, M. Lou, Prahalad, P., Pratley, R. E., Seley, J. J., Stanton, R. C., … Gabbay, R. A. (2023). 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes—2023. Diabetes Care, 46(Supplement_1), S68–S96. https://doi.org/10.2337/dc23-S005
ElSayed, N. A., Aleppo, G., Aroda, V. R., Bannuru, R. R., Brown, F. M., Bruemmer, D., Collins, B. S., Hilliard, M. E., Isaacs, D., Johnson, E. L., Kahan, S., Khunti, K., Leon, J., Lyons, S. K., Perry, M. Lou, Prahalad, P., Pratley, R. E., Seley, J. J., Stanton, R. C., & Gabbay, R. A. (2023). 9. Pharmacologic Approaches to Glycemic Treatment: Standards of Care in Diabetes—2023. Diabetes Care, 46(Supplement_1), S140–S157. https://doi.org/10.2337/dc23-S009
Fredrix, M., McSharry, J., Flannery, C., Dinneen, S., & Byrne, M. (2018). Goal-setting in diabetes self-management: A systematic review and meta-analysis examining content and effectiveness of goal-setting interventions. Psychology & Health, 33(8), 955–977. https://doi.org/10.1080/08870446.2018.1432760
Garedow, A. W., Jemaneh, T. M., Hailemariam, A. G., & Tesfaye, G. T. (2023). Lifestyle modification and medication use among diabetes mellitus patients attending Jimma University Medical Center, Jimma zone, south west Ethiopia. Scientific Reports, 13(1), 4956. https://doi.org/10.1038/s41598-023-32145-y
Gruters, A. A., Ramakers, I. H., Verhey, F. R., Kessels, R. P., & de Vugt, M. E. (2022). A Scoping Review of Communicating Neuropsychological Test Results to Patients and Family Members. Neuropsychology Review, 32(2), 294–315. https://doi.org/10.1007/s11065-021-09507-2
Guo, X., Phan, C., Batarseh, S., Wei, M., & Dye, J. (2024). Risk factors and predictive markers of post-stroke cognitive decline–A mini review. Frontiers in Aging Neuroscience, 16. https://doi.org/10.3389/fnagi.2024.1359792
Harvey, P. D. (2012). Clinical applications of neuropsychological assessment. Dialogues in Clinical Neuroscience, 14(1), 91–99. https://doi.org/10.31887/DCNS.2012.14.1/pharvey
Heffer, T., & Willoughby, T. (2017). A count of coping strategies: A longitudinal study investigating an alternative method to understanding coping and adjustment. PLOS ONE, 12(10), e0186057. https://doi.org/10.1371/journal.pone.0186057
Kalra, S., Jena, B., & Yeravdekar, R. (2018). Emotional and psychological needs of people with diabetes. Indian Journal of Endocrinology and Metabolism, 22(5), 696. https://doi.org/10.4103/ijem.IJEM_579_17
Leszek, J., Trypka, E., Tarasov, V., Ashraf, G., & Aliev, G. (2017). Type 3 Diabetes Mellitus: A Novel Implication of Alzheimers Disease. Current Topics in Medicinal Chemistry, 17(12), 1331–1335. https://doi.org/10.2174/1568026617666170103163403
Li, Y., Liu, Y., Liu, S., Gao, M., Wang, W., Chen, K., Huang, L., & Liu, Y. (2023). Diabetic vascular diseases: molecular mechanisms and therapeutic strategies. Signal Transduction and Targeted Therapy, 8(1), 152. https://doi.org/10.1038/s41392-023-01400-z
Liu, R., Li, L., Shao, C., Cai, H., & Wang, Z. (2022). The Impact of Diabetes on Vascular Disease: Progress from the Perspective of Epidemics and Treatments. Journal of Diabetes Research, 2022, 1–17. https://doi.org/10.1155/2022/1531289
London Diabetes Centre. (2021). A Guide To The Different Types Of Diabetes. London Diabetes Centre . https://londondiabetes.com/news-and-events/different-types-of-diabetes/
Lopes, R., & Pereira, B. D. (2018). Delirium and Psychotic Symptoms Associated with Hyperglycemia in a Patient with Poorly controlled Type 2 Diabetes Mellitus. Innovations in Clinical Neuroscience, 15(5–6), 30–33.
Mayo Clinic. (n.d.). Hypoglycemia. Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/hypoglycemia/symptoms-causes/syc-20373685#:~:text=Possible%20causes%2C%20with%20diabetes&text=But%20too%20much%20insulin%20or,more%20than%20you%20typically%20do.
Michailidis, M., Moraitou, D., Tata, D. A., Kalinderi, K., Papamitsou, T., & Papaliagkas, V. (2022). Alzheimer’s Disease as Type 3 Diabetes: Common Pathophysiological Mechanisms between Alzheimer’s Disease and Type 2 Diabetes. International Journal of Molecular Sciences, 23(5), 2687. https://doi.org/10.3390/ijms23052687
Mphasha, M. H., Skaal, L., & Mothibal, T. (2024). Diet and exercise knowledge and practices for diabetes care within families in Senwabarwana. South African Family Practice, 66(1). https://doi.org/10.4102/safp.v66i1.5767
Pálsson, R., & Patel, U. D. (2014). Cardiovascular Complications of Diabetic Kidney Disease. Advances in Chronic Kidney Disease, 21(3), 273–280. https://doi.org/10.1053/j.ackd.2014.03.003
Rahman, M. S., Hossain, K. S., Das, S., Kundu, S., Adegoke, E. O., Rahman, Md. A., Hannan, Md. A., Uddin, M. J., & Pang, M.-G. (2021). Role of Insulin in Health and Disease: An Update. International Journal of Molecular Sciences, 22(12), 6403. https://doi.org/10.3390/ijms22126403
Randväli, M., Toomsoo, T., & Šteinmiller, J. (2024a). The Main Risk Factors in Type 2 Diabetes for Cognitive Dysfunction, Depression, and Psychosocial Problems: A Systematic Review. Diabetology, 5(1), 40–59. https://doi.org/10.3390/diabetology5010004
Randväli, M., Toomsoo, T., & Šteinmiller, J. (2024b). The Main Risk Factors in Type 2 Diabetes for Cognitive Dysfunction, Depression, and Psychosocial Problems: A Systematic Review. Diabetology, 5(1), 40–59. https://doi.org/10.3390/diabetology5010004
Robinson, D. J., Hanson, K., Jain, A. B., Kichler, J. C., Mehta, G., Melamed, O. C., Vallis, M., Bajaj, H. S., Barnes, T., Gilbert, J., Honshorst, K., Houlden, R., Kim, J., Lewis, J., MacDonald, B., MacKay, D., Mansell, K., Rabi, D., Sherifali, D., & Senior, P. (2023). Diabetes and Mental Health. Canadian Journal of Diabetes, 47(4), 308–344. https://doi.org/10.1016/j.jcjd.2023.04.009
Sebastian, M. J., Khan, S. K., Pappachan, J. M., & Jeeyavudeen, M. S. (2023). Diabetes and cognitive function: An evidence-based current perspective. World Journal of Diabetes, 14(2), 92–109. https://doi.org/10.4239/wjd.v14.i2.92
Sheikh, A. Md., Yano, S., Tabassum, S., & Nagai, A. (2024). The Role of the Vascular System in Degenerative Diseases: Mechanisms and Implications. International Journal of Molecular Sciences, 25(4), 2169. https://doi.org/10.3390/ijms25042169
Sugandh, F., Chandio, M., Raveena, F., Kumar, L., Karishma, F., Khuwaja, S., Memon, U. A., Bai, K., Kashif, M., Varrassi, G., Khatri, M., & Kumar, S. (2023). Advances in the Management of Diabetes Mellitus: A Focus on Personalized Medicine. Cureus. https://doi.org/10.7759/cureus.43697
Torregrossa, W., Torrisi, M., De Luca, R., Casella, C., Rifici, C., Bonanno, M., & Calabrò, R. S. (2023). Neuropsychological Assessment in Patients with Traumatic Brain Injury: A Comprehensive Review with Clinical Recommendations. Biomedicines, 11(7), 1991. https://doi.org/10.3390/biomedicines11071991
Wolfsdorf, J. I., & Sperling, M. A. (2012). Diabetes Mellitus. In Textbook of Clinical Pediatrics (pp. 3759–3789). Springer Berlin Heidelberg. https://doi.org/10.1007/978-3-642-02202-9_387
Yachmaneni, A., Jajoo, S., Mahakalkar, C., Kshirsagar, S., & Dhole, S. (2023). A Comprehensive Review of the Vascular Consequences of Diabetes in the Lower Extremities: Current Approaches to Management and Evaluation of Clinical Outcomes. Cureus. https://doi.org/10.7759/cureus.47525
Zakir, M., Ahuja, N., Surksha, M. A., Sachdev, R., Kalariya, Y., Nasir, M., Kashif, M., Shahzeen, F., Tayyab, A., Khan, M. S. moazzam, Junejo, M., Manoj Kumar, F., Varrassi, G., Kumar, S., Khatri, M., & Mohamad, T. (2023). Cardiovascular Complications of Diabetes: From Microvascular to Macrovascular Pathways. Cureus. https://doi.org/10.7759/cureus.45835
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