Metabolic mysteries of the mind: Investigating type 3 diabetes

Open Health Pub Date : 2024-01-01 DOI:10.1515/ohe-2023-0025
Mohd Altaf Dar, Z. Qadrie, Mudasir Maqbool, I. Ara, Afshana Qadir
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Abstract

Type 3 diabetes, though not an officially recognized term in the medical field, pertains to the potential correlation between insulin resistance and Alzheimer’s disease (AD). Insulin, known for its role in regulating glucose levels, also plays a vital part in brain function, supporting cognition and memory consolidation. Emerging studies propose that insulin resistance, a characteristic of type 2 diabetes, may extend to the brain, affecting glucose metabolism and neural activity. Research indicates that individuals with AD demonstrate reduced insulin sensitivity in the brain, contributing to the accumulation of amyloid plaques and tau tangles, which are characteristic features of the disease. This has led some experts to propose the notion of “type 3 diabetes” to describe the association between insulin resistance and Alzheimer’s. Understanding type 3 diabetes carries substantial implications for both research and treatment. Exploring insulin-sensitizing medications and lifestyle interventions to enhance brain insulin sensitivity could offer potential avenues to address the metabolic and cognitive aspects of the condition. However, type 3 diabetes remains a complex and evolving field of study, and the precise mechanisms linking insulin resistance to Alzheimer’s necessitate further investigation. While the concept is captivating, it is crucial to acknowledge that AD is influenced by numerous factors, and type 3 diabetes represents only one aspect of the intricate relationship between these two conditions.
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新陈代谢的心灵奥秘研究 3 型糖尿病
三型糖尿病虽然不是医学领域官方认可的术语,但与胰岛素抵抗和阿尔茨海默病(AD)之间的潜在关联有关。胰岛素以其调节葡萄糖水平的作用而闻名,它在大脑功能、支持认知和记忆巩固方面也发挥着至关重要的作用。新的研究提出,胰岛素抵抗是 2 型糖尿病的特征之一,可能会延伸到大脑,影响葡萄糖代谢和神经活动。研究表明,注意力缺失症患者大脑中的胰岛素敏感性降低,导致淀粉样蛋白斑块和tau缠结的积累,而这正是该疾病的特征。因此,一些专家提出了 "3 型糖尿病 "的概念来描述胰岛素抵抗与阿尔茨海默氏症之间的联系。了解 3 型糖尿病对研究和治疗都有重大意义。探索胰岛素增敏药物和生活方式干预措施,以提高大脑对胰岛素的敏感性,可以为解决代谢和认知方面的问题提供潜在的途径。然而,3 型糖尿病仍然是一个复杂且不断发展的研究领域,胰岛素抵抗与阿尔茨海默氏症之间的确切关联机制还需要进一步研究。虽然这一概念很吸引人,但关键是要认识到阿兹海默症受多种因素的影响,而 3 型糖尿病只是这两种疾病之间错综复杂关系的一个方面。
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