Academic Journal

Cognitive dysfunction in diabetes – the ‘forgotten’ diabetes complication: a narrative review

التفاصيل البيبلوغرافية
العنوان: Cognitive dysfunction in diabetes – the ‘forgotten’ diabetes complication: a narrative review
المؤلفون: Åke Sjöholm, Louise Bennet, Peter M. Nilsson
المصدر: Scandinavian Journal of Primary Health Care, Pp 1-7 (2025)
بيانات النشر: Taylor & Francis Group, 2025.
سنة النشر: 2025
المجموعة: LCC:Public aspects of medicine
مصطلحات موضوعية: Antidiabetic drugs, cognition, dementia, diabetes, epidemiology, Public aspects of medicine, RA1-1270
الوصف: Background In addition to peripheral neuropathy of various kinds, diabetes can also cause central neuropathy, which among other things can manifest itself as premature cognitive dysfunction, often linked to vascular dysfunction. Although the link between diabetes and cognitive dysfunction was discovered more than 100 years ago and has important clinical implications, this diabetes complication remains relatively unknown. Recent years have seen research that has clarified cerebral insulin resistance and defective insulin signaling as examples of pathogenic factors behind this cognitive impairment in diabetes.Method We provide a narrative review of select and contemporary publications with relevance for the interface between diabetes/prediabetes and cognitive function.Results Recently published studies show that physical activity can reverse insulin resistance in the brain as well as cognitive impairment and pathological appetite regulation. Pharmacological interventions with, for example, nasal insulin, GLP-1 receptor agonists, SGLT-2 inhibitors, or PPAR-γ agonists have also shown promising results.Conclusion Optimization of lifestyle factors (e.g. physical activity), as well as several pharmaceutical agents already in clinical use against diabetes, have shown promising results in improving cognitive function in diabetic patients. An important task for primary health care, where most patients with type 2 diabetes are diagnosed, treated, and followed, is to increase awareness and early detection of cognitive dysfunction in these patients for optimizing risk factor control.
نوع الوثيقة: article
وصف الملف: electronic resource
اللغة: English
تدمد: 02813432
1502-7724
0281-3432
Relation: https://doaj.org/toc/0281-3432; https://doaj.org/toc/1502-7724
DOI: 10.1080/02813432.2025.2455136
URL الوصول: https://doaj.org/article/cf1a5ead842d41e1beb52273c4cba7c4
رقم الانضمام: edsdoj.f1a5ead842d41e1beb52273c4cba7c4
قاعدة البيانات: Directory of Open Access Journals
الوصف
تدمد:02813432
15027724
DOI:10.1080/02813432.2025.2455136