Cognition and dementia in Type 2 diabetes: brain imaging correlates and metabolic and vascular risk factors
Authors: Tiehuis, Audrey M; van den Berg, Esther; Kappelle, L Jaap; Biessels, Geert Jan
Source: Aging Health, 1 June 2007, vol. 3, no. 3, pp. 361-373(13)
Abstract:This review addresses the impact of Type 2 diabetes mellitus on the brain. We show that there is convincing evidence that Type 2 diabetes mellitus is associated with accelerated cognitive decline and dementia. The structural basis for these cognitive deficits includes both vascular lesions and global cerebral atrophy. Cerebral changes may already develop in prediabetes mellitus stages. Several areas of uncertainty need to be resolved in order to develop effective preventive strategies. Information on the risk factors for accelerated cognitive decline in patients with Type 2 diabetes mellitus is still scarce. Identification of these factors might help to identify individuals who are at risk for clinically relevant impairments and to develop specific interventions. Further studies on the course of development of cognitive decline in Type 2 diabetes mellitus may help to decide at what stage these interventions should be initiated.
Document Type: Research Article
Affiliations: 1University Medical Center, Department of Radiology, Utrecht, The Netherlands
Publication date: June 1, 2007