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Type 2 Diabetes and Cognitive Compromise. Potential Roles of Diabetes-Related Therapies.

机译:2型糖尿病和认知障碍。糖尿病相关疗法的潜在作用。

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Type 2 diabetes, like dementia, disproportionately affects the elderly. Diabetes has consistently been associated with risk of dementia, mild cognitive impairment, and cognitive decline suggesting that cognitive compromise is a deleterious manifestation of diabetes. This review summarizes observational studies and clinical trials of diabetes medications and their respective associations and effects on cognitive outcomes. Despite biological plausibility, results from most human clinical trials have failed to show any efficacy in treating Alzheimer disease symptomatology and pathology. Clinical trials targeting vascular-related outcomes, diabetic patients, or cognitively normal elderly at risk for dementia, may provide greater cognitive benefits.
机译:2型糖尿病(如痴呆)会严重影响老年人。糖尿病一直与痴呆症,轻度认知障碍和认知能力下降有关,这表明认知障碍是糖尿病的有害表现。这篇综述总结了糖尿病药物的观察性研究和临床试验,以及它们各自的关联和对认知结局的影响。尽管有生物学上的合理性,但大多数人类临床试验的结果均未显示出任何治疗阿尔茨海默氏病症状和病理学的功效。针对与血管相关的结局,糖尿病患者或具有痴呆风险的认知正常的老年人的临床试验可能会提供更大的认知益处。

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