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The Application of an AI-driven Multimodal Predictive Model for Cognitive Impairment in Patients With Type 2 Diabetes Mellitus

About this study

The objective of this observational study is to evaluate the accuracy and feasibility of an artificial intelligence-based multimodal cognitive screening system in early identification of diabetes-related mild cognitive impairment (MCI) among type 2 diabetes mellitus (T2DM) patients through a 3-5 year follow-up. It also aims to analyze the correlation between diabetic metabolic indicators (such as glycemic variability and HbA1c levels) and cognitive function changes, thereby determining the value of this intelligent screening system in early detection and intervention of cognitive impairment in T2DM patients, which constitutes the key focus of this research.

Condition
Cognitive Dysfunction
Tested
follow-up observation
Sponsor
Tongji Hospital

Who can join

Age
40 to 75 years
Sex
All sexes
Healthy volunteers
Accepted

Inclusion 10

  • Minimum age: 40 years
  • Maximum age: 75 years
  • Study condition: Cognitive Dysfunction
  • Diagnosed with type 2 diabetes mellitus (T2DM).
  • Aged 40-75 years, with self-reported or informant-reported memory complaints.
  • Cognitive assessment scores consistent with either:
  • Cognitive Normal (CN) or
  • Mild Cognitive Impairment (MCI).
  • Preserved ability to perform basic activities of daily living (ADLs).
  • Memory-specific deficits only (e.g., partial forgetfulness), with intact other cognitive domains (e.g., reasoning, judgment, attention, and executive function).

Exclusion 13

  • Other types of diabetes (e.g., type 1 diabetes, gestational diabetes).
  • Education level \<6 years.
  • Metabolic disorders that may affect cognition, including:
  • Acute carbohydrate metabolism events within 3 months (e.g., severe hypoglycemia, diabetic ketoacidosis, hyperglycemic hyperosmolar state).
  • Hypothyroidism or other endocrine disorders.
  • Neurological/psychiatric conditions that may impair cognition:
  • History of head trauma, depression, anxiety, delirium, severe pulmonary/renal disease, heart failure, or malignancy.
  • Substance abuse (past 2 years), including nicotine/alcohol dependence.
  • Recent medication use (within 1 month):
  • Anti-Parkinsonian drugs, antiepileptics, sedatives/hypnotics.
  • Cognitive-enhancing drugs (e.g., donepezil, memantine).
  • Inability to complete AI screening or follow-up due to:
  • Speech/hearing/visual impairments or other disabilities

Where

21 sites, 21 recruiting

Minda Hospital Affiliated to Hubei Minzu University

Enshi, Hubei, China

Recruiting

Huanggang Central Hospital

Huanggang, Hubei, China

Recruiting

Huangshi Central Hospital

Huangshi, Hubei, China

Recruiting

Jingzhou Central Hospital

Jingzhou, Hubei, China

Recruiting

Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology

Wuhan, Hubei, China

Recruiting

China Resources & WISCO General Hospital

Wuhan, Hubei, China

Recruiting

and 15 more sites on ClinicalTrials.gov

Contact

Potential match only. Final eligibility is determined by the study team.