Diabetes mellitus and the central nervous system

The review considers the current views on the central nervous system (CNS) in diabetes mellitus (DM). It discusses an attitude towards the term «diabetic encephalopathy». The data of investigations of cognitive functions in types 1 and 2 DM and the brain structural imaging results obtained using up-...

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Main Author: E V Surkova
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2016-10-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/32649/pdf
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author E V Surkova
author_facet E V Surkova
author_sort E V Surkova
collection DOAJ
description The review considers the current views on the central nervous system (CNS) in diabetes mellitus (DM). It discusses an attitude towards the term «diabetic encephalopathy». The data of investigations of cognitive functions in types 1 and 2 DM and the brain structural imaging results obtained using up-to-date technologies are considered. The results of studies of the factors that induce cerebral changes in DM and their associated cognitive impairments are given. There is evidence that hyperglycemia has a more considerable impact on the above processes than hypoglycemia; other possible factors, apart from blood glucose control, are set out. The current views on the function of insulin in the CNS and the relationship of central insulin resistance to Alzheimer’s disease are outlined. There are current data on intranasal insulin application that is still exploratory, but, as might be judged from the findings, may by a promising method for the treatment and prevention of cognitive decline in both patients with DM and those without this condition.
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spelling doaj.art-20cfe25afa2e4c8b911360c005a00c042022-12-22T00:16:25Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422016-10-018810828610.17116/terarkh201688682-8629438Diabetes mellitus and the central nervous systemE V SurkovaThe review considers the current views on the central nervous system (CNS) in diabetes mellitus (DM). It discusses an attitude towards the term «diabetic encephalopathy». The data of investigations of cognitive functions in types 1 and 2 DM and the brain structural imaging results obtained using up-to-date technologies are considered. The results of studies of the factors that induce cerebral changes in DM and their associated cognitive impairments are given. There is evidence that hyperglycemia has a more considerable impact on the above processes than hypoglycemia; other possible factors, apart from blood glucose control, are set out. The current views on the function of insulin in the CNS and the relationship of central insulin resistance to Alzheimer’s disease are outlined. There are current data on intranasal insulin application that is still exploratory, but, as might be judged from the findings, may by a promising method for the treatment and prevention of cognitive decline in both patients with DM and those without this condition.https://ter-arkhiv.ru/0040-3660/article/viewFile/32649/pdfdiabetes mellitusbraincognitive functionshyperglycemiahypoglycemiainsulininsulin resistancealzheimer’s disease
spellingShingle E V Surkova
Diabetes mellitus and the central nervous system
Терапевтический архив
diabetes mellitus
brain
cognitive functions
hyperglycemia
hypoglycemia
insulin
insulin resistance
alzheimer’s disease
title Diabetes mellitus and the central nervous system
title_full Diabetes mellitus and the central nervous system
title_fullStr Diabetes mellitus and the central nervous system
title_full_unstemmed Diabetes mellitus and the central nervous system
title_short Diabetes mellitus and the central nervous system
title_sort diabetes mellitus and the central nervous system
topic diabetes mellitus
brain
cognitive functions
hyperglycemia
hypoglycemia
insulin
insulin resistance
alzheimer’s disease
url https://ter-arkhiv.ru/0040-3660/article/viewFile/32649/pdf
work_keys_str_mv AT evsurkova diabetesmellitusandthecentralnervoussystem