Type 2 Type 2 With Vascular Cognitive Impairment

SUMMARY – Vascular dementia is caused by progressive atherosclerosis leading to multiple small
strokes and subsequent brain damage. Approximately 10%-20% of all cases of dementia are attributed
to vascular dementia. e 5-year survival rate is 39% for patients with vascular dementia compared
with 75% for age-matched controls. It is a growing public health concern because of the lack of effec-
tive curative treatment options and rising global prevalence. Duration of diabetes mellitus of 10 years
or longer, onset of diabetes before age 65, treatment with insulin and oral antidiabetic medications,
and presence of diabetes complications have an impact on the incidence of vascular dementia. On the
other hand, patients who suffered stroke either had or are later diagnosed with diabetes (16%-24%).
Treatment of vascular dementia in diabetes patients rests on a two-pronged approach: modification

of
the underlying disease and prevention and treatment of dementia symptoms.

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