The impact of neuropsychological functions on self-care/self-management of type 2 diabetes in middle-aged people: a scoping review and meta-analysis

ABSTRACTIntroduction This study aimed to investigate the impact of neuropsychological functions on self-care/self-management in middle-aged individuals with type 2 diabetes (T2DM).Areas covered A comprehensive literature search was conducted from January 2012 to April 2023 across multiple databases. Ten articles were included in the scoping review, and 3 articles were included in the meta-analysis. The findings consistently indicated an association between reduced neuropsychological functions and poor self-care/self-management in this population. Memory functions, executive functions, and other domains were found to be significantly related to self-care/self-management, including diet management, exercise, blood glucose monitoring, and foot care.Expert opinion This study highlights the importance of considering neuropsychological factors in understanding and improving diabetes management outcomes. The findings underscore the need for comprehensive neuropsychological assessments and the development of targeted interventions to address specific vulnerable domains. Future research should focus on elucidating underlying mechanisms, addressing methodological inconsistencies, and exploring the effectiveness of interventions targeting neuropsychological impairments. Incorporating technology and personalized approaches into diabetes management can enhance self-care/self-management and clinical outcomes in individuals with T2DM.KEYWORDS: Neuropsychological functionself-careself-managementtype 2 diabetesmiddle-aged Article highlights Exploring the impact of neuropsychological impairments on self-care in middle-aged T2DM patients.Conducting a comprehensive scoping review and meta-analysis to analyze the relationship.Identifying associations between reduced neuropsychological functions and poor self-care/self-management outcomes.Emphasizing the critical role of neuropsychological impairments in foot care for diabetes management.Highlighting the relevance of neuropsychological factors in diabetes management strategies.Presenting the potential high prevalence of mild cognitive impairment in middle-aged T2DM patients.Declaration of interestThe authors have no relevant affiliations or financial involvement with any organization or entity with a financial interest in or financial conflict with the subject matter or materials discussed in the manuscript. This includes employment, consultancies, honoraria, stock ownership or options, expert testimony, grants or patents received or pending, or royalties.Reviewer disclosuresPeer reviewers on this manuscript have no relevant financial or other relationships to disclose.Supplemental dataSupplemental data for this article can be accessed online at https://doi.org/10.1080/17446651.2023.2268171.Additional informationFundingThis paper was not funded.