title: [A questionnaire survey on current status of anti-diabetic therapy for diabetic patients with dementia].
abstract: OBJECTIVE
  It is important to establish treatment goals and optimal anti-diabetic therapy for diabetic patients with dementia. However, there are currently no established treatment guidelines. Recently, the West Tokyo Diabetes Association has established the Diabetes and Dementia Study Group to investigate the status of anti-diabetic therapy for diabetic patients with dementia. Here, we assessed the current status of such patients by a questionnaire survey.
  
  
  METHODS
  In November 2011, we conducted a mailed survey to the clinics and hospitals affiliated with Kita-Tama, Hachioji and Tachikawa Medical Associations in Tokyo, Japan. The survey evaluated the most suitable anti-diabetic therapy for elderly diabetic patients or diabetic patients with dementia, combined anti-diabetic therapy, insulin therapy for elderly diabetic patients and diabetic patients with dementia, combination therapy of insulin and oral anti-diabetic agents for diabetic patients with dementia, factors that make it difficult for diabetic patients with dementia to continue insulin therapy, and selection of treatment or care for diabetic patients with dementia.
  
  
  RESULTS
  The responses indicated that the anti-diabetic agents appropriate for diabetic patients with dementia are dipeptidyl peptidase-4 inhibitors. Those inappropriate for the same patients are metformin and insulin. Family support was a major factor for insulin therapy continuation for diabetic patients with dementia. Moreover, anti-diabetic agents for these patients are selected according to their ease of use and compatibility with available familial and social resources.
  
  
  CONCLUSIONS
  Our survey results can be utilized for the creation of new guidelines and educational resources for the anti-diabetic therapy of diabetic patients with dementia.
authors: Department of Diabetology, Endocrinology and Metabolism, Tokyo Medical University Hachioji Medical Center.
authors: Takaya
authors: T
authors: Matsushita
authors: Ken
authors: K
authors: Yajima
authors: Hidetaka
authors: H
authors: Sumitomo
authors: Masayuki
authors: M
authors: Shigeta
authors: Kazuhiro
authors: K
authors: Nishimura
authors: Shinichiro
authors: S
authors: Shirabe
authors: Masashi
authors: M
authors: Sakai
authors: Takashi
authors: T
authors: Katayama
authors: Kazuo
authors: K
authors: Kanno
authors: Hirofumi
authors: H
authors: Sakurai
authors: Tadasumi
authors: T
authors: Nakano
authors: Masafumi
authors: M
authors: Kitaoka
authors: Akio
authors: A
authors: Ueki
mesh_terms: D000368:Aged; D003704:Dementia / Q000150:complications*; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D006801:Humans; D011795:Surveys and Questionnaires