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Hypoglycemia may increase the risk of dementia in diabetics: study

Stephen Ryneberg
Health Day Reporter

Monday, June 10 (HealthDay News)- Hypoglycemia In the elderly
Type 2 diabetes May increase the risk of dementia, New research suggests.

Although it is important for diabetics to manage their blood sugar Level, its control “should not be as aggressive as you get Hypoglycemia“. Research author Dr. Christine Jaffe, a professor of psychiatry, neurology, and epidemiology at the University of California, San Francisco, said.

Nearly 800 studies published online on June 10 JAMA Internal Medicine, People with important episodes Hypoglycemia -Low blood pressure sugar -Twice the chance of development dementiaSaid Jaffe. vice versa,” dementia You were also at greater risk to get Hypoglycemia, Diabetes Those who did not have dementia, “She said.

Who has Type 2 diabetes, The most common form of illness to date is either not making hormones or not using them properly Insulin..None InsulinWhen the body needs to convert food into fuel, blood sugar levels rise to dangerously high levels.Over time, this leads to serious health problems, which is why Diabetes treatment The focus is on lowering blood sugar levels. However, blood sugar levels can drop to abnormally low levels. This is known as hypoglycemia.

The exact reason why hypoglycemia can increase the risk of dementia is unknown, Yaffe said.Hypoglycemia can reduce the supply of sugar from the brain and cause some sugar Brain injurySaid Jaffe. “That’s the most likely explanation,” she added.

further, Diabetes She said that people with thought and memory problems are at a particularly high risk of developing hypoglycemia. Probably because they can’t manage the drug well, or because the brain can’t monitor the sugar content.

Whether to prevent Diabetes It’s not clear that it reduces the risk of dementia in the first place, but it’s a “very hot area” of research, Jaffe said.

However, the findings suggest that the patient’s mental state needs to be considered in the management of diabetes, Yaffe said.

Other experts agreed.

Dr. Stuart Weinermann, an endocrinologist at Northwell-LIJ in Great Neck, NY, said:

However, Weinerman is not convinced that the link between hypoglycemia and dementia is causal. “This is not a definitive study. It raises questions, but does not answer them,” he added.

However, hypoglycemia is a serious problem for diabetics, Weinermann said. “Sooner or later everyone will have some kind of hypoglycemia,” he said.

According to the accompanying journal commentary, episodes of hypoglycemia increase with age, probably due to changes in renal function and drug metabolism.

Who is taking Drug Hypoglycemia needs to be aware of the signs of hypoglycemia and be prepared to deal with it, Weinermann said.Symptoms include: confusion,jitter, syncope, heart Palpitations And Blurred vision..

For this study, Yaffe’s team collected data on 783 diabetics aged 70-79 years without dementia at the start of the study in 1997.

With an average of 12 years of follow-up, participants were regularly tested for psychological abilities.

Researchers found that people hospitalized with severe hypoglycemia were twice as likely to develop dementia as those without a hypoglycemic attack.

We also found that patients with dementia are more than twice as likely to develop severe hypoglycemia.

Based on the findings, Dr. Mark Gordon, director of neurology at Zucker Hillside Hospital in Glen Oaks, New York, said he believes it is unwise to try to control blood sugar levels too aggressively. ..

“There are concerns about the link between diabetes and dementia, and we need to be aware that patients are not under- or over-treated and are monitoring their blood glucose levels,” Gordon said.

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Question

______________ is another term for type 2 diabetes.
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References

Source: Kristine Yaffe, MD, Professor, Psychiatry, Neurology and Epidemiology, University of California, San Diego. Mark Gordon, MD, Dean of Neurology, Zucker Hillside Hospital, Glen Oaks, NY; Stuart Weinerman, MD, Endocrinologist, Northwell-LIJ, Great Neck, NY; June 10, 2013, JAMA Internal Medicine,online

Hypoglycemia may increase the risk of dementia in diabetics: study

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