Diabetes, Pre-Diabetes and Memory Loss
People get diabetes when their blood glucose level, sometimes called blood sugar, is too high. Diabetes can lead to dangerous health problems, such as having a heart attack or stroke. The good news is that there are things you can do to take control of diabetes and prevent its problems. And, if you are worried about getting diabetes, there are things you can do to lower your risk.
What Is Diabetes?
Our bodies change the food we eat into glucose. Insulin helps glucose get into our cells where it can be used to make energy. If you have diabetes, your body may not make enough insulin, may not use insulin in the right way, or both. That may cause too much glucose in the blood. Your family doctor may refer you to a doctor who specializes in taking care of people with diabetes, called an endocrinologist.
Types Of Diabetes
There are two kinds of diabetes that can happen at any age. In type 1 diabetes, the body makes little or no insulin. This type of diabetes develops most often in children and young adults.
In type 2 diabetes, the body makes insulin, but doesn’t use it the right way. It is the most common kind of diabetes. You may have heard it called adult-onset diabetes. Your chance of getting type 2 diabetes is higher if you are overweight, inactive, or have a family history of diabetes.
Diabetes can affect many parts of your body. It’s important to keep type 2 diabetes under control. People with type 2 diabetes have a greater risk for Alzheimer’s disease.
Many people have “pre-diabetes”; this means their glucose levels are higher than normal but not high enough to be called diabetes. Pre-diabetes is an important warning signal because people with pre-diabetes are at high risk for developing type 2 diabetes. People who are pre-diabetic are asked to watch their sugar intake and how they eat, but not necessarily take any medications.
Tests For Diabetes
There are several blood tests doctors can use to help diagnosis of diabetes:
- Random glucose tests – given at any time during the day
- Fasting glucose test – taken after you have gone without food for at least 8 hours
- Oral glucose tolerance test – taken after fasting overnight and then again 2 hours after having a sugary drink
- A1C blood test – gives an indication of your average glucose level for the past 2-3 months
Your doctor may want you to be tested for diabetes twice before making a diagnosis.
How Does Diabetes Affect Memory Loss?
Uncontrolled diabetes may increase the risk of experiencing cognitive problems, such as memory loss. Higher than normal blood glucose levels can damage nerve cells, supportive glial cells, and blood vessels in both peripheral nerves of the body and the brain.
Research has shown that having Type 2 diabetes may double the risk of developing a slowly progressive dementia. There are many causes of dementia, including Alzheimer disease and stroke. It is also possible that diabetes may cause memory loss through silent damage to the capillaries (tiny blood vessels that form the network for glucose and oxygen exchange between blood vessels and tissue cells). While it is relatively easy to measure glucose and insulin in the blood, we hardly ever measure glucose and insulin in the brain. Also, while it is relatively easy to measure brain shrinkage (atrophy), MRI and CT scans cannot show plaques and tangles, which are the microscopic hallmarks of Alzheimer disease, or damage to capillaries that can result from diabetes. The risk of dementia is higher when diabetes is poorly controlled, so good management of diabetes and blood sugar is important, and may help prevent serious memory loss.
The USC Healthier Vessels, Healthier Brain Study: Research to Understand How Early Diabetes Affects Capillaries, Brain Cells, and Memory Function
Dr. Helena Chui and the research team at the USC ADRCare conducting a study to determine how early diabetes affects capillaries, brain cells and cognitive abilities. USC is the home to the Stevens Institute of Neuroimaging and Informatics. We perform state of the art, high resolution MRI images of the brain and blood vessels. We have developed a new method of assessing capillary integrity using contrast MRI. We can measure hundreds of proteins, including insulin, insulin growth factor, beta-amyloid, tau proteins, omega-3-fatty acids from samples of cerebrospinal fluid. If you are interested in more information, please click here: http://adrc.usc.edu/Healthier-Brain-Study/ or call the Research Center for more information and to set up a confidential screening phone interview: Lina D’Orazio, Ph.D. (323) 442-7680 or Maria Hernandez (323) 442-6845.
Healthier Brain Study
Once you have been told you have type 2 diabetes, the doctor may prescribe diabetes medicines to help control blood glucose levels. There are many kinds of medication available. Your doctor will choose the best treatment based on the type of diabetes you have, your everyday routine, and other health problems.
In addition, you can keep control of your diabetes by:
- Tracking your glucose levels. Very high glucose levels or very low glucose levels (called hypoglycemia) can be risky to your health. Talk to your doctor about how to check your glucose levels at home.
- Making healthy food choices. Learn how different foods affect glucose levels. For weight loss, check out foods that are low in fat and sugar. Let your doctor know if you want help with meal planning.
- Getting exercise. Daily exercise can help improve glucose levels in older people with diabetes. Ask your doctor to help you plan an exercise program.
- Keeping track of how you are doing. Talk to your doctor about how well your diabetes care plan is working. Make sure you know how often to check your glucose levels.
Your doctor may want you to see other healthcare providers who can help manage some of the extra problems caused by diabetes. He or she can also give you a schedule for other tests that may be needed. Talk to your doctor about how to stay healthy.
Here are some things to keep in mind:
- Have yearly eye exams. Finding and treating eye problems early may keep your eyes healthy.
- Check your kidneys yearly. Diabetes can affect your kidneys. A urine and blood test will show if your kidneys are okay.
- Get flu shots every year and the pneumonia vaccine. A yearly flu shot will help keep you healthy. If you’re over 65, make sure you have had the pneumonia vaccine. If you were younger than 65 when you had the pneumonia vaccine, you may need another one. Ask your doctor.
- Check your cholesterol. At least once a year, get a blood test to check your cholesterol and triglyceride levels. High levels may increase your risk for heart problems.
- Care for your teeth and gums. Your teeth and gums need to be checked twice a year by a dentist to avoid serious problems.
- Find out how elevated your blood glucose level has been on average during the past several months. At least twice a year, get a blood test called the A1C test. The result will provide an indicator related to your average glucose level for the past 2 to 3 months.
- Protect your skin. Keep your skin clean and use skin softeners for dryness. Take care of minor cuts and bruises to prevent infections.
- Look at your feet. Take time to look at your feet every day for any red patches. Ask someone else to check your feet if you can’t. If you have sores, blisters, breaks in the skin, infections, or build-up of calluses, see a foot doctor, called a podiatrist.
- Watch your blood pressure. Get your blood pressure checked often.
Diabetes Information from this article taken and edited from:
Diabetes Information from this article taken and edited from: https://www.nia.nih.gov/health/publication/diabetes-older-people