Utility of Medical Care for Dementia Based on Cooperation among Diabetes and Dementia Specialists

Abstract

Following the revision of medical treatment fees in 2014, the goal of treatment has been to promote proactive participation in providing medical care for dementia among primary care physicians treating diabetics. In 2012, our clinic, which specializes in diabetes, implemented a medical cooperation system specializing in dementia care. Of 963 diabetic patients, the cognitive functions of 273 individuals 70 years of age or older who consented to complete the MMSE (Mini-Mental State Examination) were studied. There were 92 patients with suspected dementia (MMSE score 23 or below), among whom 76 subjects were willing to consult with a dementia specialist. Under medical care provided by the dementia specialist, follow-up was carried out in 28 patients and drugs for dementia were administered in 40 patients. Meanwhile, six patients were found to have vascular dementia and three patients were referred to a cerebral surgery specialist. When providing medical care for dementia, it is important for diabetes and dementia specialists to work together.