Consultant Adult Psychiatrist, Sussex Partnership NHS Foundation Trust, UK.
This session explores the causal links and associations between diabetes and mental health disorders such as depression and cognitive decline in older adults. It builds on earlier discussions on atherosclerosis and cardiovascular complications in highlighting an increased predisposition towards Alzheimer’s and vascular dementia in patients with poorly controlled type-2 diabetes. It discusses the diabetogenic potential of commonly prescribed antipsychotic medication and corresponding effect of mental illness on drug compliance and treatment. The session goes further to explore the question of mental capacity and informed consent in the treatment of co-existing dementia and diabetes-associated chronic disease.