Are cognitive disorders more common in geriatric diabetic patients? What factors contribute to cognitive decline?

Cognitive screening is recommended for all geriatric DM patients. Suggested validated screening tests are the Short Portable Mental Status Questionnaire and the clock drawing test. Screening should be repeated on a twice-yearly basis in those who are borderline and annually in those who are negative. In the case of positive screening, a specialist clinical diagnostic assessment is recommended. In patients with mild cognitive impairment and dementia, evaluating and treating possible modifiable risk factors is recommended, such as sensory and physical functional disorders, obstructive sleep apnea syndrome, etc. Simplification of antidiabetic drug treatment is also recommended in these patients.