Another approach might be to just slowly increase enjoyable risky behavior that's more or less all or nothing in its bad effects: driving fast, base jumping, motorcycle riding, helicopter piloting...
What can we do in the face of this horrible onslaught? Not much, but great journeys start with small steps. Donate to dementia research charities. Become an Alzheimer's friend, if you have such a thing. Volunteer in a care home, perhaps. Talk about dementia with your friends. Write to your local politician. Read about your government's policies.
Just don't do nothing.
Incidentally, I recommend reading Atul Gawande's Being Mortal. Not necessarily for answers, perhaps as an exhortation that we can handle things better.
Of course, living into your 80s is not at all uncommon today.
I know now that it is very likely I will live well into my 80s, perhaps even 90s. My genetic background strongly indicate a long life span, and I have been taking pretty good care of my body for a long time.
So there is an excellent chance that my body will outlast my mind.
And that just sucks. In my remaining decades, I hope that science and technology will address this. There seems like a good chance of real progress in that timeline.