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Thursday, April 15, 2010

Blood Glucose Levels Affect Cognitive Functioning


Blood glucose levels
that are higher in type 2 diabetics are associated with lower cognitive functioning, that is worse functioning on three cognitive tasks. These will be any responsibilities that need speed, memory and the ability to do multitasking.

There are two ongoing studies on the relationship between high blood glucose levels and lower cognitive performance. One is called MIND (Memory in Diabetes) while the other is named ACCORD (Action to Control Cardiovascular Risk in Diabetes). What did these two researches find?

They both found that higher A1C levels are closely related to poorer functioning cognitively. As we know A1C is the measure that tells the average of the blood glucose level over a period covering 2-3 months. The higher reading on this also shows a link with lower result on a global cognitive function test.

Before these ongoing studies, it has been found out that the diabetics have a 1.5 times more risk to decline cognitively and experience dementia than people who do not have diabetes. The results of MIND show that diabetes may also be related to cognitive impairment although mild.

Although the cognitive function is only mildly impaired, still it is a concern to those with type 2 diabetes. So said Dr. Tali Cukierman-Yaff who is the leader of the research team. He works at the School of Medicine of Israel's Tel-Aviv University.

It is not known whether the higher blood glucose leads to the cognitive impairment or whether it is the other way around. Does the impairment lower the ability to control the blood sugar level? Here is where the sub study Accord comes in.

That is why we really have to monitor the blood glucose levels closely. The more we follow what we are supposed to do to look after ourselves, the better we will be in. There will be none of this cognitive functioning decline stuff. And no dementia please. Just look at the latest addition to the Supreme Court. If she can do it, we can all do it.

Sorry to digress, but in the research, there will be follow-up on the patients and they will be tested three times. This will let the researchers know whether the lower sugar levels will result in better cognitive functioning. And it looks like there is improvement in cognitive functioning with the lower or near normal blood glucose levels.

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