A study by researchers at Beth Israel Deaconess Medical Center (BIDMC) sheds new light on the often overlooked toll that diabetes can take on brain.
Type 2 diabetes is known to put individuals at risk for numerous health complications.
Highlights and Findings
- Researchers found that over a period of two years, older adults with type 2 diabetes developed complications in blood flow regulation in the brain that led to impaired memory and other cognitive problems.
- Type 2 diabetes affects more than 44 million people worldwide, including 27 percent of adults over age 65.
- The learning and memory test scores showed that diabetes patients – whose scores started out nine points lower than scores of patients who did not have diabetes – decreased by an additional 12 percent during the two year period.
- Subjects with the highest levels of blood flow regulation impairment at the outset of the study had more difficulties performing daily activities - such as cooking and bathing.
Scores of the patients who did not have diabetes remained the same throughout the study.
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The findings appear in the online issue of the journal Neurology.
“In this study, we wanted to determine the associations between inflammation, blood flow in the brain and cognitive performance over a two-year period in older adults with and without type 2 diabetes,” said senior author Vera Novak, MD, PhD, of the Department of Neurology at BIDMC and Associate Professor of Neurology at Harvard Medical School.
“We hypothesized that inflammation and hyperglycemia are associated with impaired vasoregulation in the brain, and that impaired vasoregulation is associated with cognitive decline in cases of type 2 diabetes.” Vasoregulation refers to the brain’s ability to increase blood flow when needed for mental processing or other cognitive tasks.The researchers studied 40 individuals with an average age of 66. Nineteen individuals had type 2 diabetes, and 21 did not have diabetes. The patients with diabetes had been treated for the disease for an average of 13 years and were taking medication to control their conditions.
Study participants underwent a series of MRI scans to examine brain volume and blood flow. They also underwent blood tests to measure inflammation and blood sugar control, and cognitive tests to measure thinking and memory skills.
- Among participants with diabetes, the ability to regulate blood flow in the brain decreased by 65 percent.
- There was no significant change in blood flow regulation among people who did not have diabetes.
“In patients with diabetes, excess glucose appears to increase vascular inflammation and impair the endothelial cells that line blood vessels,” said Novak. “This, in turn, impedes blood flow regulation and disrupts cognitive function.”Novak has been studying the effects of diabetes on cognitive health for nearly 10 years. Her earlier research revealed that diabetes can eventually cause the brain to atrophy.
“There is no cure for diabetes-related cognitive impairment, and our findings showed that even careful glycemic control did not protect brain function in patients with type 2 diabetes,” said Novak.
“This study helps explain the mechanisms underlying long-term effects of diabetes on the brain and has important implications for the growing population of older people with type 2 diabetes. Novel treatment strategies are urgently needed to prevent the impact of diabetes on the brain and its function.”More Sources of Information
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