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Prediabetes: the earlier it starts, the more it increases the risk of dementia

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Do you know what the prediabetes ? Small booster shot. Diabetes consists of an abnormal rise in the level of sugar in the blood – this is called hyperglycaemia. The culprit is the pancreas: this organ indeed produces a hormone, insulin, which is essential for metabolizing sugar so that it can be used as a source of energy by the body. If the pancreas does not produce enough insulin (or if a phenomenon of insulin resistance sets in, which corresponds to a loss of insulin efficiency), sugar accumulates in the body, becoming toxic for organs.

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Prediabetes therefore refers to an intermediate stage, when the blood sugar is no longer completely normalbut not yet high enough for you to be frankly diagnosed with diabetes – i.e. a fasting blood sugar level between 1.10 and 1.25 g/l.

Prediabetes is a risk factor for dementia

According to specialists, 70% of people with prediabetes will progress to type 2 diabetes in their lifetime. However, according to a new study published in Diabetologia magazinepre-diabetics who become type 2 diabetics before the age of 60 are three times more likely to develop a form of dementia (like Alzheimer’s disease) than healthy people.

This risk of dementia increases by 73% for those who develop T2D between the ages of 60 to 69 and it only increases by 23% when you develop T2D between the ages of 70 to 79.

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Although researchers have not determined exactly how diabetes induces dementia, they believe that the insulin resistance and high blood sugar associated with diabetes may cause a buildup of beta-amyloid and tau in the brain. “Buildup of amyloid beta-amyloid and tau can lead to loss of brain cells, which can then lead to dementia,” explained Prof. Michael Fang, co-author of the study.

Source : Prediabetes, intervening diabetes and subsequent risk of dementia: the Atherosclerosis Risk in Communities (ARIC) study, Diabetology, May 2023

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