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Cognitive function in younger type II diabetes

J Dey1, A Misra, N G Desai

  • 1Department of Neurosurgery, All India Institute of Medical Sciences, New Delhi, India.

Diabetes Care
|January 1, 1997
PubMed
Summary
This summary is machine-generated.

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Type 2 diabetes can impact cognitive function, even in younger adults. This study found that patients with diabetes showed delayed brain responses and impairments in attention, repetition, and memory compared to controls.

Area of Science:

  • Neuroscience
  • Endocrinology
  • Psychology

Background:

  • Diabetes mellitus, particularly non-insulin-dependent diabetes mellitus (NIDDM), is a systemic disease with potential for neurological complications.
  • Central nervous system (CNS) involvement is increasingly recognized but often overlooked in younger NIDDM patients.

Purpose of the Study:

  • To investigate potential CNS complications in relatively young NIDDM patients (<55 years) through a comprehensive neuropsychological evaluation.
  • To compare cognitive function and neurophysiological markers between NIDDM patients and age-matched healthy controls.

Main Methods:

  • A cross-sectional study involving 28 NIDDM patients (diabetes duration 5-18 years) and 28 demographically similar controls.
  • Neuropsychological assessments included the Mini-Mental Status Examination (MMSE), Neurobehavioral Cognitive Status Examination (NCSE), and P300 event-related potentials (ERPs).

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  • Patients were screened for glycemic control and absence of hypoglycemia.
  • Main Results:

    • Diabetic patients exhibited significantly delayed P300 latencies (mean 349.5 ms vs. 312.9 ms in controls, P < 0.001).
    • Compared to controls, NIDDM patients showed higher rates of impairment in NCSE tests of attention (P < 0.01), repetition (P < 0.05), and memory (P < 0.05).
    • No significant differences were found in MMSE scores or specific NCSE domains (comprehension, naming, construction, calculation).

    Conclusions:

    • Central nervous system impairment, characterized by subtle deficits in attention, memory, and processing speed, is a potential complication of long-standing NIDDM.
    • These cognitive impairments can occur even in younger NIDDM individuals and warrant clinical recognition.
    • Delayed P300 latencies may serve as a neurophysiological marker for CNS involvement in diabetes.