Fronto-Temporal Dementia, Diabetes Mellitus and Excessive Eating

Autor: R. C. Hamdy MD, A. Kinser PhD, K. Dickerson FNP, T. Kendall-Wilson RN, A. Depelteau PhD, K. Whalen BA
Jazyk: angličtina
Rok vydání: 2018
Předmět:
Zdroj: Gerontology and Geriatric Medicine, Vol 4 (2018)
Druh dokumentu: article
ISSN: 2333-7214
23337214
DOI: 10.1177/2333721418777057
Popis: Diabetes mellitus is common among older people. Hypoglycemia is a sign of poorly controlled diabetes mellitus and may lead to irritability, agitation, anxiety, hunger, and an excessive food intake, which in turn may make the control of diabetes more difficult. Excessive, inappropriate food intake is also a sign of Fronto-Temporal Dementia (behavioral variant: bvFTD). In this case study, we describe the events leading to an altercation that developed between an older diabetic patient with bvFTD and the staff in an Assisted Living Facility. His first dose of insulin was given early that morning while he was still asleep. He, subsequently, woke up feeling hungry, agitated, and irritable. This, in turn, exacerbated the hyperorality associated with bvFTD. We examine what went wrong in the patient/caregiver interaction and how this potentially catastrophic situation could have been avoided or defused.
Databáze: Directory of Open Access Journals