The most common concordant comorbidity was hypertension while depression was the most common discordant condition .
Adherence to medications was the most frequent diabetes self-care behavior reported and tended to be higher among concordant comorbidities .
The findings showed mixed results concerning the effect of some concordant comorbidities such as hypertension , hyperlipidemia , retinopathy , and heart failure on diabetes self-care behaviors .
But , there is agreement across studies that diabetes-discordant comorbidities have a more detrimental effect on self-care behaviors .
Conclusions : Concordant comorbidities may improve diabetes self-care , but the evidence is inconclusive .
Background : Most patients with Type 2 diabetes ( T2D ) have high number of comorbid chronic conditions that can affect their self-care abilities .
Guidelines for diabetes self-care behaviors are disease specific with little attention given to managing T2D with other comorbidities .
Identifying comorbidities that either improve or potentially diminish the individual 's capacity to perform effective self-care behaviors is essential to enhance clinical outcomes .
One such framework conceptualizes comorbidities as concordant or discordant with diabetes pathophysiological pathways and care goals .
Objective : The purpose of this systematic review was to examine the role of diabetes-concordant and discordant chronic conditions on the performance of self-care behaviors in adults with T2D .
Montreal Cognitive Assessment Is Superior to Standardized Mini-Mental Status Exam in Detecting Mild Cognitive Impairment in the Middle-Aged and Elderly Patients with Type 2 Diabetes Mellitus
Aim . This study compares the usefulness of Montreal Cognitive Assessment ( MoCA ) to St and ardized Mini-Mental Status Exam ( SMMSE ) for diagnosing  mild cognitive impairment  ( MCI ) in Type 2 diabetes mellitus ( DM ) population . Methods . This prospect i ve pilot study enrolled 30 community dwelling adults with Type 2 DM aged 50 years and above . Subjects were assessed using both the SMMSE and MoCA for MCI . In all subjects , depression and dementia were ruled out using the DSM IV criteria , and a functional assessment was done . MCI was diagnosed using the st and ard test , the European consortium criteria . Sensitivity and specificity analysis , positive and negative predictive values , likelihood ratios and Kappa statistic were calculated . Results . In comparison to consortium criteria , the sensitivity and specificity of MoCA were 67 % and 93 % in identifying individuals with MCI , and SMMSE were 13 % and 93 % , respectively . The positive and negative predictive values for MoCA were 84 % and 56 % , and for SMMSE were 66 % and 51 % , respectively . Kappa statistics showed moderate agreement between MoCA and consortium criteria ( kappa = 0.4 ) and a low agreement between SMMSE and consortium criteria ( kappa = 0.07 ) . Conclusion . In this pilot study , MoCA appears to be a better screening tool than SMMSE for MCI in the diabetic population
The most common concordant comorbidity was hypertension while depression was the most common discordant condition .
Adherence to medications was the most frequent diabetes self-care behavior reported and tended to be higher among concordant comorbidities .
The findings showed mixed results concerning the effect of some concordant comorbidities such as hypertension , hyperlipidemia , retinopathy , and heart failure on diabetes self-care behaviors .
But , there is agreement across studies that diabetes-discordant comorbidities have a more detrimental effect on self-care behaviors .
Conclusions : Concordant comorbidities may improve diabetes self-care , but the evidence is inconclusive .
Background : Most patients with Type 2 diabetes ( T2D ) have high number of comorbid chronic conditions that can affect their self-care abilities .
Guidelines for diabetes self-care behaviors are disease specific with little attention given to managing T2D with other comorbidities .
Identifying comorbidities that either improve or potentially diminish the individual 's capacity to perform effective self-care behaviors is essential to enhance clinical outcomes .
One such framework conceptualizes comorbidities as concordant or discordant with diabetes pathophysiological pathways and care goals .
Objective : The purpose of this systematic review was to examine the role of diabetes-concordant and discordant chronic conditions on the performance of self-care behaviors in adults with T2D .