Diabète de type 2 et troubles cognitifs : une revue de littérature

Diabetes is associated with an increased risk of Alzheimer's disease and vascular dementia. The association with mild cognitive impairments remains controversial, although dysexecutive disorders are frequently seen in diabetics. Diabetes and Alzheimer's disease seem to have a common physiopathology through insulin resistance, amyloidogenesis and microvascular damage. The Montreal Cognitive Assessment remains more suitable for the first evaluation of cognitive disorders associated with diabetes than the Mini-Mental State Examination. Further investigations are similar to those proposed in non-diabetic patients, as well as therapeutics, with the exception of screening and the treatment of hypoglycaemia.