Cognitive Fuel Stability refers to the consistent and sustained availability of primary energy substrates, principally glucose and ketone bodies, to the brain tissue, ensuring uninterrupted and optimal neuronal function. Maintaining this stability prevents cognitive deficits associated with transient hypo- or hyperglycemia and supports complex executive functions. It is a critical metric for assessing metabolic health’s impact on neurophysiology.
Origin
This term is derived from neuroendocrinology and metabolic research, recognizing the brain’s high and continuous energy demand and its unique reliance on circulating fuel sources. The concept highlights the direct link between systemic metabolic regulation and central nervous system performance.
Mechanism
Achieving stability is mediated by the balanced regulation of insulin and counter-regulatory hormones, such as glucagon and cortisol, which govern hepatic glucose output and peripheral uptake. When carbohydrate intake is managed effectively, the body avoids rapid fluctuations in blood glucose, minimizing oxidative stress on neurons and supporting stable neurotransmitter synthesis. Furthermore, metabolic flexibility, the ability to efficiently switch between glucose and fat for fuel, is a key component of this stability.
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