The clinical and nutritional strategy focused on optimizing the availability, transport, and utilization of metabolic fuels, primarily glucose and ketone bodies, for sustained brain function. Effective management ensures the central nervous system has a consistent and stable energy supply to support complex processes like focus, memory, and executive function. This approach directly addresses the metabolic underpinnings of mental performance and neuro-endocrine regulation.
Origin
This term integrates ‘Cognitive’ function, ‘Energy Substrate’ from biochemistry, and ‘Management’ as the applied clinical discipline. It highlights the brain’s unique metabolic demands and its reliance on specific fuel sources for optimal neuronal activity. The concept emphasizes the link between metabolic health and neurological output.
Mechanism
Management involves modulating systemic glucose control through insulin sensitivity optimization and, in some contexts, promoting ketogenesis to provide alternative fuel sources for the brain. Hormones such as insulin, cortisol, and thyroid hormones regulate the expression of glucose and ketone transporters across the blood-brain barrier and within glial cells. By ensuring efficient fuel switching and minimizing glucose variability, neuronal function is stabilized, supporting consistent cognitive output and reducing neuroinflammation.
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