As the population ages, increasing numbers of people are affected by dementia. Individuals living with diabetes are at particular risk of cognitive decline as they age (1). This fact has been well documented with regard to people living with type 2 diabetes but has also been noted in those living with type 1 diabetes (2). Now, in the 21st century, as more people with type 1 diabetes are living longer (3), we should not be surprised when the need for addressing dementia and other late-age cognitive issues becomes more common in our clinical practices.

Certain support strategies have been developed to assist individuals living with type 2 diabetes and dementia, and their caregivers, such as spouses or other loved ones. What has received far less attention, however, is the dilemma confronting individuals living with type 1 diabetes and dementia and, moreover, the sometimes dire...

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