Alzheimer's disease — what to watch for and what to do next
More than 55 million people live with dementia worldwide, and Alzheimer's is the most common form. That number sounds huge because early signs are easy to miss. Memory lapses, repeating questions, trouble finding words, or getting lost on familiar routes are early red flags—especially when they disrupt daily life.
Symptoms & diagnosis
Alzheimer's usually starts slowly with forgetfulness that gets worse over months. Besides memory loss, look for changes in planning, problem solving, mood, and personality. Doctors use simple office tests (like memory and thinking checks), blood work to rule out other causes, and brain scans such as MRI to spot patterns linked to Alzheimer's. In some cases, specialists will order PET scans or biomarker blood tests to measure amyloid or tau proteins, but those are used selectively.
If you or a family member notice a steady decline, ask the doctor for a cognitive screen and a medication review. Some vitamin deficiencies, sleep disorders, depression, and certain drugs can mimic dementia—so a careful check can catch treatable problems early.
Treatment, daily care and safety
There’s no simple cure yet, but approved medicines—donepezil, rivastigmine, galantamine and memantine—can help symptoms for months to years in many people. Newer options that target amyloid build-up are available in specific cases and come with trade-offs; discuss benefits and risks with a neurologist. Never start experimental therapies without expert guidance.
Daily life improves with structure. Use calendars, alarms, pill organizers and clear labels. Keep a routine for meals and sleep. Remove trip hazards and install night lights if wandering or balance problems appear. For finances and medical care, set up durable power of attorney and advance directives early, while the person can still decide.
Caregiver safety matters. Short breaks, a trusted support network, and local respite services keep caregivers healthy and reduce burnout. Ask your clinic or local Alzheimer's association about support groups and practical training for bathing, dressing, and medication management.
Prevention focuses on heart and brain health: control blood pressure, manage diabetes, stay active, sleep well, eat a Mediterranean-style diet, and keep socially and mentally engaged. These steps lower risk and help overall health even if they can't guarantee prevention.
Want to learn more or join research? Look for accredited memory clinics, talk to a neurologist, and search clinicaltrials.gov for local studies. Be cautious with online treatments and pharmacies; verify credentials and avoid unproven 'miracle' cures.
If you’re worried now, write down recent changes, bring a family member to appointments, and ask for a clear plan. Early diagnosis lets you control key decisions, try treatments, and build support before needs grow. That planning changes life for the better—practically and emotionally.