Dementia is a major concern for all of us. It's one of our worst fears. Diabetes is an established risk factor for dementia. But a new study published in the New England Journal of Medicinesuggests that the influence of sugar levels on dementia begins even sooner.[1]
The study included more than 2000 patients, about 800 men and 1200 women, with a mean age of 76 years at the start. None had dementia but about 200 of them had diabetes. The rest did not. They were followed for 7 years. Blood sugars and hemoglobin A1c levels were closely monitored.
By the end of the study, 524 people had developed dementia, 74 of whom were diabetic. The remainder of those diagnosed with dementia were not.
The study found that patients with higher average blood sugar levels were more likely to develop dementia. For diabetics, risk for dementia was 40% higher in those with sugars averaging around 190, as compared to those with sugars hovering around 160.
Dementia risk was also increased in those with sugars in the prediabetic range. Patients with average sugars of 115 were nearly 20% more likely to develop dementia as compared to those with normal sugar levels of 100.
The researchers say that the underlying mechanisms need further clarification. Insulin resistance and microvascular disease of the central nervous system probably have a role. However, it could be that patients with dementia don't care for themselves as well and thus don't eat properly, which could account for the higher blood sugars.
This study suggests that any increase in glucose above normal increases the risk for dementia. For those with diabetes already, the risk for dementia is even more magnified.
Preventing dementia -- another reason to eat healthy, keep weight under control, and keep blood sugars in the normal range.
For Medicine Matters, I'm Dr. Sandra Fryhofer.
Graham
2 comments:
An interesting read.
More and more I think some Doctors and us are coming round to the idea that if everyone can keep blood sugars low, and not spike them, we can all improve our health. Not only in diabetes but many other illnesses.
James
My father lost his short term memory as a result of untreated T2. I wouldn't wish this condition on anyone.
Once it was diagnosed and he was treated for diabetes {took a few years and a major stroke} there was no further mental deterioration. In fact he remained sharp witty intelligent person for the rest of his life.
There are so many complications of diabetes it really is criminal to see it classified as a result of greed and indolence especially by those who should know better.
Kath
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