title: Glycemic control in a 79-year-old female with mild cognitive impairment using a medication reminder device: a case report.
abstract: A 79-year-old female with type 2 diabetes and mild cognitive impairment (Clinical Dementia Rating score of 0.5) was supported with medication with regard to the daily requirements using a medication reminder device. Use of this device not only improved her medication adherence, hemoglobin A1c level, and self-confidence but also reduced caregiver's burden. For elderly patients with such diseases, loading the device with medication, providing advance notice before mechanical reminders for a short period after the device's activation, monitoring unused medication, and adjusting the timing of reminders according to users' daily routine, seemed to facilitate daily use of the device.
authors.affiliation: School of Health Sciences, Shinshu University, 3-1-1 Asahi, Matsumoto, Nagano Pref. 390-8621, Japan.
authors.forename: T
authors.initials: T
authors.lastname: Kamimura
authors.affiliation: Department of Social Psychiatry, National Institute of Mental Health, National Center of Neurology and Psychiatry, 4-1-1 Ogawa-Higashi, Kodaira, Tokyo 187-8553, Japan.
authors.forename: H
authors.initials: H
authors.lastname: Ito
mesh_terms: D000368:Aged; D060825:Cognitive Dysfunction / Q000150:complications* / Q000523:psychology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications* / Q000188:drug therapy / Q000523:psychology; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D055118:Medication Adherence / Q000523:psychology; D017010:Reminder Systems
chemical_list: D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; C517652:hemoglobin A1c protein, human