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My husband is in the middle stages of dementia. I don’t know what kind, as he has refused to engage in tests that would help pin it down. In the past year or two, he is cold all the time. It can be in the mid or high 80’s outside and he will set the AC on 82 and sometimes turn on the fireplace. I try to tolerate it, but can only do so much. He is also really lethargic most of the time and will fall asleep in his chair repeatedly, although he seems to be sleeping at night. He does have sleep apnea, but he has a custom dental device for that.
I’m just wondering if these are symptoms of dementia. Has anyone else have experience these things?

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My fil passed at 91 with no cognitive issues. Sharp as a tack, actually. Had to be great genes. He sat all day long in front of his tv, so I believe that contributed to his feeling cold all the time. He wore a beanie (on his bald head) nonstop, even in the summer. He also slept a lot. So long story short, not necessarily dementia related.
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Hi BEL,

My mum was always cold, but her husband couldn't tolerate the heat. So, she always had a cosy blanket over her, even at the height of summer.

It doesn't matter that he doesn't understand the need for it in spring, etc, you shouldn't have to deal with excessive temperatures, or high gas/electricity bills.

Find a way to lock your heating, so that you control the heating, not your husband. But keep him warm with extra clothing blankets.

After years of being cold, Mum's internal thermostat started going the other way and she was getting hot and sweating. Towards the end, she no longer needed the warm clothes and blankets, but loose cotton clothing and a sheet instead of blankets on her bed.
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This is something that I've noticed recently with my father too. He is in a nursing home and temp is always on the warm side but lately he's been complaining he is cold. I bring him his afghan. He sleeps a lot more now also and sleeps through much of my visits. That's fine because there isn't anything to talk about anyway.
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Low potassium can cause us to feel cold all the time too. Worth adding some in his diet to see if it helps.

As funkygrandma says, bundle him up so you don't have to cook in your own home.
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You can put a lock box on the thermostat so he can't change it or convert to a Nest ("smart") thermostat and control it from your mobile phone through an app. We have a gas fireplace and shut it off in the summer months (or you can make the remote disappear or take out the batteries).
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BELyons May 21, 2025
Well, I appreciate that and I have a thermostat I can control from my phone. But I’m really just trying to understand what is going on and find the best way to help him. When I adjust the temp, he just keeps changing it back, opening doors, turning on the fireplace, etc. I encourage him to put on warmer clothes. Ironically, he doesn’t understand why he should put on warmer clothes, when it is late Spring in S. Texas.
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Here is what Google has to say on the subject:

Feeling cold, even in a warm room, can be a symptom of dementia, especially as it progresses. Dementia can impair the body's ability to regulate temperature due to damage to the hypothalamus, a brain region crucial for temperature control. Additionally, reduced perception of temperature changes and ineffective responses to temperature fluctuations can contribute to this coldness. 

Here's why dementia can make someone feel cold and what to do about it:
Impaired Temperature Regulation:
Dementia can damage the hypothalamus, leading to a reduced ability to regulate body temperature. 
Reduced Perception:
Individuals with dementia might not recognize when they are feeling cold, making it difficult to take appropriate action. 
Ineffective Responses:
Shivering, a natural response to cold, may be impaired in individuals with dementia. 
Other Factors:
Age-related changes, such as a slower metabolism and reduced circulation, can also contribute to feeling cold. 
What to do if someone with dementia is feeling cold:
Provide Gentle Warmth: Offer a warm drink, gently warmed rice or bean sock, or encourage them to wrap themselves in a blanket. 
Encourage Activity: Movement and exercise can help boost circulation and keep the body warm. 
Layer Clothing: Wear layers of clothing, including socks, to help insulate the body. 
Maintain a Comfortable Environment: Keep the home warm with proper insulation and heating. 
Monitor for Hypothermia: Be aware of the signs of hypothermia, such as confusion, slurred speech, sleepiness, and shallow breathing. 
Consult a Doctor: If the person is consistently cold, especially if there are other symptoms, consult their doctor to rule out other medical conditions, such as hypothyroidism. 

Lots of sleeping, especially as dementia advances, goes with the territory as well.
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BELyons May 21, 2025
Thank you. That makes sense.
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Does your husband reject any kind of testing? He could be very hypothyroid. He could be very low on red blood cells. In truth there is no way of knowing WHAT could be going on without the intervention of an MD. Sleep apnea is INFAMOUS for causing a person to be sleep deprived and exhausted.

Without decent medical intervention, in all of this your guess would be as good as (and likely better than) ours.
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BELyons May 21, 2025
He is seeing a neurologists and had a brain scan and was diagnosed with dementia, but did not want to do the 4 hour long cognitive test to help determine the type. And, while he has sleep apnea, he has a dental device that opens his airway for him to sleep. I’m pretty good at detecting when his breathing is abnormal, so don’t think that’s it.

I was told by a friend, whose husband is further along with his dementia that he is also cold all the time and that the body forgets how to regulate its temperature.

Just wondering if anyone knows more about either.
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