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Vascular Dementia - How To Avert It In Diabetes?

Dr. Ujjawal Roy 85% (10 ratings)
MBBS, MD- General Medicine, DM - Neurology
Neurologist, Ranchi
Vascular Dementia - How To Avert It In Diabetes?

Diabetes and dementia have more in common than the letter ‘D’. Diabetes is a disorder where the body cannot produce enough insulin. It may also make the patient’s body resistant to insulin. As a result, the body’s glucose levels fluctuate. This, in turn, increases the risk of many other conditions including vascular dementia and Alzheimer’s disease. This risk can be as high as 60%. Dementia caused by diabetes is seen more often in women than in men.

According to research studies, high levels of glucose or sugar in the body can affect the brain cells. This excessive sugar limits the amount of oxygen that can reach the brain cells and leads to the death of these cells. It also prevents brain cells from communicating with each other thus leading to vascular dementia. Vascular dementia can also be caused by a stroke or a number of small strokes. This too is an effect of diabetes as it can cause cardiovascular troubles and narrow the arteries.

Vascular dementia is the second most common form of dementia. Patients suffering from this type of dementia typically complain of memory loss and difficulty thinking. Language may also be an issue. Some of the common symptoms associated with it are:

  • Trouble planning or organizing things
  • Trouble solving simple problems
  • Trouble making decisions
  • Difficulty in following steps or a procedure
  • Reduced speed of thinking
  • Difficulty concentrating
  • Mood swings

The risk of developing vascular dementia doubles every five years after the age of 65. Hence, it is important to keep your diabetes under control and manage your blood sugar levels. If you are on insulin, you must take the prescribed dose regularly. Do not change the dosage on your own or skip a dose. Here are a few other tips that can help you control diabetes and reduce the risk of vascular dementia.

Eat a well-balanced diet
A person suffering from diabetes should have plenty of whole grains, fruits, and vegetables. Avoid processed foods and fatty foods. Instead of frying our food, try grilling, steaming or baking it. Raw salads are great for a diabetes patient.

Exercise Regularly
Exercise can improve your overall health and make your body respond better to insulin. If you lead a sedentary lifestyle; start by adding a walk to your daily routine. You could also try cycling or swimming. Aim for at least half an hour’s exercise each day. If you cannot find the time, incorporate exercises into your daily routine. For example, take the stairs instead of the lift or park your car a little further away from your home and walk back.

1382 people found this helpful

Dementia - Know Initial Signs Of It!

Dr. Divya Chopra 92% (46 ratings)
MD - Psychiatry, MBBS
Psychiatrist, Dehradun
Dementia - Know Initial Signs Of It!

Dementia refers to the progressive loss of memory in a human being. It does not refer to any particular disease. It is rather a cumulative representation of symptoms which signify that the person is losing his or her memory. Dementia occurs in seven stages. Read on to read more about them:

  1. In the first stage, there is no cognitive decline and the person is mentally sound. There is no memory loss as well.
  2. In the second stage, there is a very mild cognitive decline leading to normal forgetfulness that is often associated with progressing age.
  3. In the third stage, there is a mild cognitive decline. The person has an increased forgetfulness and may find it difficult to concentrate on things.
  4. In the fourth stage, there is moderate cognitive decline and the person starts forgetting even the most recent events. They cannot even travel alone or manage their own finances.
  5. In the fifth stage, there is a moderately severe cognitive decline. The person going through this stage often requires help even with their daily activities. People tend to forget even the most common things like phone and email passwords.
  6. In the sixth stage, there is a severe cognitive decline. This stage is also called middle dementia and there is prominent memory loss. People cannot even count from 1 to 10. Their speech becomes slurry. They also start having delusions.
  7. In the seventh stage, there is a very severe cognitive decline. This stage is also called late dementia. The psychomotor skills are also lost at this stage and the person may not even be able to walk properly.

Some of the early signs of dementia are listed below:

  1. In the initial days of dementia, the person usually tends to get confused when it comes to choosing the right words. This makes them take much longer time to conclude their speech.
  2. There might also be a change in the mood of the person.

Depression is also one of the early signs.

  1. The person will have a tendency to forget even the most recent events that took place in his or her life. This means that they might remember what happened ten years before but they might not remember what they did in the morning.
  2. Early signs also include failure to sense directions. People often tend to forget their addresses and the landmarks and thus become lost when they travel alone.
  3. Confusion is also one of the common signs and this is directly correlated to the loss of memory because when a person cannot remember familiar faces, it leads to a lot of confusion within his own mind.

So, if you suspect that someone in your house is suffering from dementia, then you must look out for these early signs and seek medical help immediately. Early treatment can keep the condition from worsening.

Dementia - How To Administer It?

MBBS, MD - Psychiatry, Residency in Surgery
Psychiatrist, Jaipur
Dementia - How To Administer It?

Ageing is a natural process, and as much as we don’t like it, it is inevitable. The effect of ageing is different from different organs, and with regard to the brain, dementia is one of the main effects. Dementia is not an isolated condition, but a set of symptoms that include decreased memory and reduced thinking ability, making it difficult for the person to perform daily activities efficiently. Ageing is one of the main causes of dementia. Dementia is usually progressive, with a person beginning to forget his/her purse, taking pills, etc., and then progressing to forget more important things like close family members’ names or finding one’s way back home.

Though dementia is not reversible, it is possible to control the rate of progression and arrest symptoms if detected in the early stages. There are various reasons for dementia, with senility or ageing being one of the main reasons. Alzheimer’s, vascular dementia, hypothyroidism, depression, etc., are some of the other reasons and treating these can help control the symptoms of dementia. Treatment for dementia would include a combination of medications aimed at treating the underlying reason for dementia and supportive palliative care, which forms a huge component of the treatment, which includes the following:

  1. Vitamin B12 replacement in people with vitamin deficiency
  2. Treat hypothyroidism with thyroid replacement
  3. Manage depression with antidepressants
  4. Change or substitute medications leading to memory loss
  5. Mild to moderate Alzheimer’s disease can be controlled with acetylcholine esterase inhibitors like rivastigmine and galantamine; more severe forms with memantine hydrochloride.
  6. Manage behavioural changes with antipsychotics
  7. Recommend surgical removal if there are brain tumours that cause increased pressure
  8. Treat brain infections like encephalitis, if present.
  9. Manage risk factors by managing high blood pressure, cholesterol, diabetes, and quitting smoking

In addition to the above, supportive palliative care is also very essential. The intention is not to cure, but to improve patient care by including the following:

  1. Help the affected person become independent and manage daily activities on their own.
  2. Include cognitive stimulation with activities and games to improve memory and cognitive functioning.
  3. Validation therapy and behaviour therapy are also used, depending on the symptoms.
  4. The affected person would usually feel mixed feelings of anger, fear, anxiety, and sadness. To address this, use medications that improve the mood, control the behaviour and improve cognitive functions. Support and counselling from friends and family are very helpful.
  5. As much as it might be uncomfortable, decisions such as caretaker, type of care, financial planning, etc., should be discussed and decided.

As dementia is irreversible, the key is to detect the symptoms in their early stages. This will help in effective management by arresting the symptoms from progressing, thereby improving the quality of life.

3157 people found this helpful

Dementia - Getting It Treated With Siddha!

Siddha Specialist, Chennai
Dementia - Getting It Treated With Siddha!

Dementia is a dreaded psychological disorder in which the brain cells begin to deteriorate. It is different from regular senility. When the brain cells stop doing their work, it affects the brain function. This leads to a gradual loss of memory. At the same time, the person may also experience changes in personality as well as declining cognitive abilities, all of which are linked to the faculty of memory. Dementia usually affects senior citizens. However, it may happen to the young as well.

What are the Causes of Dementia?
Dementia may be prompted by -

• Alzheimer’s Disease
• Huntington Disease, a degenerative disorder
• Vascular dementia
• Atherosclerosis
Multiple Sclerosis
• Pick’s Disorder
• Parkinson’s Disease
Encephalitis, both viral and bacterial
• Lewy Body Disease
• Brain Tumour
Progressive supranuclear palsy
• Chronic Subdural haematoma
• Wilson’s Disease
• Neurosyphilis

Dementia in Siddha -
Siddha is an ancient and indigenous branch of medicinal science that was developed in Tamil Nadu. Siddha aims to get to the root of any ailment and eliminate it from the source instead of simply trying to eradicate the symptoms. Siddha believes that the human body primarily consists of three humours- Kapha, pitta and Vata. As long as the right balance is maintained, the human will be healthy. But if the balance goes out of whack or if the quantity of one humour exceeds the others, then that will make a person vulnerable to diseases.
When there is a Vata imbalance in the mind, a person’s memory begins to fail him/her.

According to Siddha, a person who has contracted dementia will exhibit the following symptoms -
• Difficulty with recollection and reasoning
• Confusion and disorientation
• Inability to make plans
• Impaired judgement
• Hostile behaviour
• Losing interest in everything around him/her
• Disturbed sleep
• Restlessness
• Hoarding
Delusion or hallucinations (in advanced stages of dementia)

The approach of Siddha towards neuropsychiatry revolves around the concept of ‘Kayakarpam’ – a mode of treatment that can slow down ageing and deterioration of the brain cells. Treatment of dementia consists of -
• Skinned ginger soaked in honey
• Paddy rice mixed with ghee
Amaranth cooked ghee, salt and pepper
Aloe Vera
• Black nightshade

Treatment of dementia also includes ‘thokkanam’. Medicinal oils are messaged onto certain parts of the body to activate the Varma points. This will release the ‘praana vayu’- the force of rejuvenation. Siddha also recommends regular meditation top slow down the progression of dementia.

Allopathy has not yet come up with a cure for dementia. But, Siddha can help. Moreover, Siddha medicines are safe and can be consumed without fearing side effects.

2478 people found this helpful

Dementia - Know The Causes & Symptoms Of It!

Dr. Aarti Midha 89% (17 ratings)
MBBS, MD - Psychiatry
Psychiatrist, Jaipur
Dementia - Know The Causes & Symptoms Of It!

Dementia cannot be singularly regarded as a specific disease, but rather indicates a group of symptoms associated with your memory, cognitive thinking, and social abilities, up to the point where daily functioning gets affected. In most cases, dementia steadily worsens over time (progressive dementias).

Dementia is not to be confused with memory loss alone; because it is natural with old people to experience memory loss, but that does not necessarily mean they have dementia. If the reason is dementia, then you may require medical treatment.


Dementias are generally caused either by damage to or changes in the nerve cells operating in the brain. The causes can be grouped differently based on the type of dementia experienced and the part of the brain affected. While some causes can be reversed with effective treatment, others, unfortunately, cannot.

The most common causes of dementia which cannot be reversed include:

  1. Alzheimer's disease
  2. Vascular dementia
  3. Parkinson's disease
  4. Frontotemporal dementia
  5. Dementia with Lewy (dementia which is neurodegenerative and progressive in nature) bodies
  6. Severe head injuries

Other irreversible causes which are relatively rarer than usual include:

  1. Huntington's disease (breakage of the brain's nerve cells)
  2. Creutzfeldt-Jakob disease (irreversible and fatal brain disease)
  3. Multiple sclerosis or amyotrophic lateral sclerosis
  4. Infections like syphilis
  5. Leukoencephalopathies (diseases affecting the brain's'white' areas)
  6. Brain injuries
  7. Multiple system atrophy

Causes of dementia which can be treated include:

  1. Hypothyroidism
  2. Heavy metal poisoning
  3. Certain brain tumors
  4. Chronic alcoholism
  6. Vitamin B12 deficiency
  7. Medicinal side effects or abnormal drug reactions
  8. Normal pressure hydrocephalus
  9. Certain cases of encephalitis


Symptoms of dementia include:

  1. Memory loss
  2. Difficulty finding the right words
  3. Difficulty exercising judgments, especially during emergencies
  4. Inability to recall particular events or to recognize people and places
  5. Depression or other mood disorders, in addition to symptoms like uncontrolled aggression or constant agitation.
3242 people found this helpful

Dementia - How To Track It?

Dr. Manjesh Rathi 86% (21 ratings)
DM - Neurology, Fellow in Child Neurology
Neurologist, Moradabad
Dementia - How To Track It?
Trying to recall the past is often a soothing activity for the sufferer. Take this quiz to know more.
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My husband diagnosed dementia 2 years ago he is taking dompan forte can we stop donupmfort.

Dr. Krishna Murthy 93% (510 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry
Psychiatrist, Hyderabad
My husband diagnosed dementia 2 years ago he is taking dompan forte can we stop donupmfort.
donupmforte sems to be a combination.od Donepezil and Memantine These medications have an effect in the milder varieties only.Positive care of tje patient is very essecial.Dementia is a neuro degenerative dis order and medicines do not alter its coirse. A detailed evaluation of the patient is required to give exact answers to your questions
1 person found this helpful
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Dementia - Easy Yet Effective Tips To Help You Overcome It!

Dr. Vishal Sinha 87% (68 ratings)
MBBS Bachelor of Medicine and Bachelor of Surgery, MD - Psychiatry
Psychiatrist, Agra
Dementia - Easy Yet Effective Tips To Help You Overcome It!

A lot of things can be done to cope with the initial stages of dementia. A person goes through a wide range of emotions such as fear, denial, frustration, and anger, post the diagnosis.

Here is a list of tips that will help a patient with dementia to cope better:

  1. Physical health: For a dementia patient, it is very important to take care of one’s health. A good diet along with regular exercise and adequate rest is a prerequisite to manage this disorder.
  2. Regular check-ups: Regular medical check-ups with the doctor are necessary in this condition. Depression and other mental health problems should be discussed with a professional.
  3. Quit alcohol: Alcohol might give momentary pleasure from the misery, but it has long-standing implications. It reacts with the medicine and creates additional health and memory-related complications.
  4. Allocate time for difficult tasks: With time, it can become difficult to perform even the simplest of tasks. The patient should accordingly schedule the time to perform the tasks which may be difficult to carry out. Adequate breaks should be taken while performing a task to avoid getting fatigued.
  5. Redefine work: If a patient is suffering from dementia is still working, it should be ensured that the work is more manageable from a desk. Planning an early retirement may be a good idea in order to cope with dementia.
  6. Be organised: Keeping track of things can get difficult with time. It, therefore, makes sense to organise all belongings systematically. Putting labels on doors and drawers also help.
  7. Continue pursuing your hobbies: Amidst the difficulty and the depression, it is a good idea to continue doing things that are fun. While such activities might require some assistance from the doctor and family members, this helps the patient to be cheerful and healthy.
  8. Maintain notes: Since dementia is involved with forgetfulness, it makes sense to maintain a diary and keep records of phone numbers, people, appointments, etc.
  9. Communication channel: Maintaining a direct communication channel with family, friends, and relatives is a good idea. Sharing feelings will go a long way in maintaining relations with loved ones.
  10. Support group: Joining a dementia support group can be highly beneficial for the patient. It will not only give the patient company but also make sure that the patient gets a lot of useful information about the disorder. It also helps in keeping the morale up.
  11. Getting ready for the future: Things need to be meticulously planned well in advance to ensure that when the disease progresses, the patient has enough people to look after him. Things such as medical arrangements, financial assets, and property details should be carefully handed over as per the patient's wish. This will ensure a smooth run of the patients’ life when they can no longer take care of themselves.
3802 people found this helpful

5 Ways Physiotherapy Helps In Dementia!

Dr. Swati Narang 92% (686 ratings)
Physiotherapist, Surat
5 Ways Physiotherapy Helps In Dementia!

Dementia is a general classification of a brain disease that causes a long haul and frequently steady abatement in the capacity to think and recall that is sufficiently incredible to influence a man's everyday  functioning. Other normal manifestations incorporate passionate issues, issues with dialect, and a lessening in motivation. An individual's awareness is not influenced. The most common example of dementia is the Alzheimer's disease.


A patient with dementia can benefit from physiotherapy regardless of the possibility that the patient can't perceive their own family. Physiotherapy, notwithstanding, can be of good advantage to the individual who has dementia, and also their family and parental figures at different stages. The principle explanation behind this is that recovery administrations can help the dementia patient to be as utilitarian as would be prudent for whatever length of time that is conceivable. Here are 5 ways physiotherapy benefits an Alzheimer's patient:

1. Physiotherapy can keep up the Alzheimer's patient's freedom and mobility as much as one could expect reasonably. A physiotherapist can outline a home activity program and work intimately with relatives to administer to the Alzheimer's patient.

2. Physiotherapists, as independent experts, embrace much detailed, separately custom-made  appraisals of the disorders, action confinements and restrictions imposed upon individuals with dementia.

3. The caretakers of individuals with dementia regularly show weakness when contrasted with their same aged companions. Physiotherapy helps with diminishing the weight of consideration by instructing caregivers to provide encouragement and upliftment to individuals with dementia.

4.  Patients with dementia are always at a risk of falling down, and hurting themselves. Poor balance accounts for the danger of falls. This can be worked upon and improved by physiotherapy-driven exercises. Exercise can have a huge and positive effect on behavioral and mental indications of dementia, enhancing psychological capacity and mindset, which can decrease the doses of strong medicines. Special exercise routines are assigned to the patients which help improve their body balance while walking.    

5. Physiotherapy has crucial influence in advancing and keeping up portability of individuals with dementia. It assumes a basic part in the end of life consideration by overseeing situations, seating and complicated muscle contracture. Individuals with dementia regularly experience issues in communicating pain. Pain influences cognizance, inspiration and reaction to any intervention. Physiotherapists are specialists in recognizing and treating pain in dementia patients and give training to care home staff and caregivers of the patients.

Physiotherapy is very important for dementia patients. Regular physiotherapy sessions are beneficial for patients for improvement in condition.

4549 people found this helpful

Dementia - Know The Symptoms Associated With It!

Dr. Vishal Jogi 85% (234 ratings)
DM - Neurology, MD - General Medicine
Neurologist, Ahmedabad
Dementia - Know The Symptoms Associated With It!
Alzheimer's disease accounts for 60 to 80 percent of dementia cases. True or false? Take this quiz to know more.
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