PMID- 32629878 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20200928 IS - 2077-0383 (Print) IS - 2077-0383 (Electronic) IS - 2077-0383 (Linking) VI - 9 IP - 7 DP - 2020 Jun 30 TI - Mild Cognitive Impairment Subtypes and Type 2 Diabetes in Elderly Subjects. LID - 10.3390/jcm9072055 [doi] LID - 2055 AB - BACKGROUND: Type 2 diabetes (T2D) is correlated to amnestic mild cognitive impairment (aMCI) and to non-amnestic mild cognitive impairment (naMCI). This study evaluated whether the T2D variable characterizes a peculiar cognitive profile in elderly patients. Moreover, it explores the association between glycated hemoglobin levels (HbA1c), T2D duration, insulin and oral hypoglycemic agent treatment, and cognition in elderly diabetic patients. METHODS: Detailed neuropsychological battery was used to diagnose MCI subtypes. A total of 39 MCI subjects with T2D (T2D-MCI) and 37 MCI subjects without T2D (ND-MCI), matched for age, educational level, and Mini-Mental State Examination score, were included. RESULTS: ND-MCI performed worse in memory and language domains than T2D-MCI. The amnestic subtype is more frequent among ND-MCI and non-amnestic subtype in T2D-MCI. In T2D-MCI, high HbA1c levels correlate with episodic memory (immediate recall) and T2D duration. Some indexes of episodic memory (immediate recall), attention, and visual-spatial ability correlate with insulin treatment. CONCLUSIONS: An association between T2D and non-amnestic MCI is suggested. In the T2D-MCI group, significant associations between insulin treatment and memory (immediate recall), complex figure copy, and attention were found. FAU - Valenza, Silvia AU - Valenza S AD - Neurology Department, Italian National Research Center on Aging (IRCCS INRCA), 60100 Ancona, Italy. AD - Psychology Department, Azienda Ospedaliera Ospedali Riuniti Marche Nord, 61121 Pesaro-Fano, Italy. FAU - Paciaroni, Lucia AU - Paciaroni L AD - Neurology Department, Italian National Research Center on Aging (IRCCS INRCA), 60100 Ancona, Italy. FAU - Paolini, Susy AU - Paolini S AD - Neurology Department, Italian National Research Center on Aging (IRCCS INRCA), 60100 Ancona, Italy. FAU - Bonfigli, Anna Rita AU - Bonfigli AR AUID- ORCID: 0000-0002-9619-0181 AD - Scientific Direction, Italian National Research Center on Aging (IRCCS INRCA), 60100 Ancona, Italy. FAU - Di Rosa, Mirko AU - Di Rosa M AUID- ORCID: 0000-0002-1862-4159 AD - Unit of Geriatric Pharmacoepidemiology and Biostatistics, Italian National Research Center on Aging (IRCCS INRCA), 60124 Ancona, Italy. FAU - Rabini, Rosa Anna AU - Rabini RA AD - Metabolic Diseases and Diabetology Department, Italian National Research Center on Aging (IRCCS INRCA), 60100 Ancona, Italy. FAU - Tortato, Elena AU - Tortato E AD - Metabolic Diseases and Diabetology Department, Italian National Research Center on Aging (IRCCS INRCA), 60100 Ancona, Italy. FAU - Pelliccioni, Paolo AU - Pelliccioni P AUID- ORCID: 0000-0002-6024-0183 AD - Eye Clinic, Polytechnic University of Marche, 60126 Ancona, Italy. FAU - Pelliccioni, Giuseppe AU - Pelliccioni G AUID- ORCID: 0000-0002-0377-9713 AD - Neurology Department, Italian National Research Center on Aging (IRCCS INRCA), 60100 Ancona, Italy. LA - eng PT - Journal Article DEP - 20200630 PL - Switzerland TA - J Clin Med JT - Journal of clinical medicine JID - 101606588 PMC - PMC7408775 OTO - NOTNLM OT - Alzheimer's disease OT - aging OT - cognitive functions OT - dementia OT - mild cognitive impairment OT - neuropsychological test OT - type 2 diabetes COIS- The authors declare no conflict of interest. EDAT- 2020/07/08 06:00 MHDA- 2020/07/08 06:01 PMCR- 2020/06/30 CRDT- 2020/07/08 06:00 PHST- 2020/05/11 00:00 [received] PHST- 2020/06/09 00:00 [revised] PHST- 2020/06/24 00:00 [accepted] PHST- 2020/07/08 06:00 [entrez] PHST- 2020/07/08 06:00 [pubmed] PHST- 2020/07/08 06:01 [medline] PHST- 2020/06/30 00:00 [pmc-release] AID - jcm9072055 [pii] AID - jcm-09-02055 [pii] AID - 10.3390/jcm9072055 [doi] PST - epublish SO - J Clin Med. 2020 Jun 30;9(7):2055. doi: 10.3390/jcm9072055.