This specialized clinical area examines the bidirectional relationship between systemic glucose metabolism and the central nervous system’s structure and function. It focuses on how fluctuations in blood glucose and insulin signaling directly impact neuronal health, neurotransmitter production, and cognitive performance. Optimal glucose management is recognized as a critical factor in mitigating neurodegenerative risk and supporting sustained brain vitality.
Origin
The term integrates endocrinology, which governs glucose homeostasis via insulin and glucagon, with neurology, the study of the nervous system. Its clinical relevance grew from extensive research linking metabolic dysregulation, such as insulin resistance, to impaired brain energy utilization and neuroinflammation. This connection established the brain as an insulin-sensitive organ highly dependent on stable fuel delivery.
Mechanism
The brain, despite its small mass, is a significant consumer of glucose; its metabolic health is paramount for optimal function. Insulin receptors are abundant in brain regions crucial for memory and cognition, where insulin facilitates glucose uptake and supports synaptic plasticity. Dysregulated glucose levels can lead to oxidative stress and microglial activation in the brain, impairing neural communication and contributing to cognitive decline.
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