Dementia is a condition of old age and with increasing age, the chances of having additional illnesses, i.e., comorbidities also increase. Some of the most common long-term comorbidities in people with dementia are diabetes, hypertension, cardiovascular disease, and musculoskeletal disorders. The coexistence of these conditions can present unique challenges for people with dementia and also their caregivers. Living with dementia and comorbidities requires careful management, understanding, and support to ensure the best possible quality of life for those affected. In this article, we talk specifically about how to live with dementia and diabetes, the challenges faced, and how to tackle them in the most efficient way.
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One of the most frequent effects of having diabetes is passing more urine and feeling thirsty. If you are forgetful, figuring out where the toilet is and if you recently had a drink while you ask for another can be inconvenient.
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Another challenge can be forgetting to take medications, insulin, or food.
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People with dementia may struggle to express their needs and communicate their symptoms, making it hard to convey their diabetes-related concerns to their caregivers or doctors.
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There is a tendency that dementia might interfere with the ability to maintain an active and healthy lifestyle, which can further worsen diabetes symptoms.
Here are some points to consider as a caregiver for supporting people with dementia and diabetes:
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Consider the person’s cognitive ability when designing medication reminders. If your loved one forgets to take multiple medications throughout the day, consult the doctor to simplify the schedule. Ensure that they take the medications correctly and at appropriate times. If the person finds it difficult to swallow tablets, consult the doctor and see if the medicines can be changed to syrup or powder forms.
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Dementia can impair the recognition of symptoms of low blood sugar increasing the risk of severe hypoglycemia, which can be dangerous. Be observant of any signs of low or high blood glucose. Know how to treat it, and ensure appropriate treatments are always readily available.
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Regular physical activity is recommended for people with diabetes. Exercise has been shown to improve sugar control, reduce the risk of cardiovascular diseases, maintain muscle mass and mobility, and improve overall health.
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Dementia can lead to behavioral changes such as refusal of food. Encourage a nutritious and healthy diet that provides sufficient calories to maintain the ideal weight and takes care of the recommendations from the doctor. Providing easy-to-eat healthy meal options can also be considered.
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Individuals with dementia may become disoriented and wander increasing the risks of accidents and injuries. Ensuring a safe environment is essential to prevent injuries as diabetes can have an impact on the body’s ability to heal such as delayed or impaired wound healing.
Conclusion
Even though living with both dementia and diabetes is undoubtedly challenging, it is possible to face these difficulties with resilience, proper support, and care. Individuals affected by these conditions, along with their caregivers, deserve comprehensive care that considers both physical and cognitive needs. Through a multidisciplinary approach and increased awareness, we can strive to improve the quality of life for those facing the intricate intersection of dementia and diabetes.
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