This refers to the critical relationship between the body’s regulation of blood glucose levels and the maintenance of optimal cognitive function and neurological structure. Consistent and tight glycemic control is necessary to prevent both the acute cognitive deficits of hypo- and hyperglycemia and the long-term neurodegenerative effects of chronic insulin resistance. The brain, despite its small mass, is a disproportionately high consumer of glucose, making this control vital.
Origin
The term integrates concepts from endocrinology, particularly diabetes research, and neuroscience, acknowledging the brain’s unique metabolic requirements and vulnerability to glucose dysregulation. Clinical understanding of this link intensified with the recognition of Type 2 diabetes as a significant risk factor for cognitive impairment. It is a modern clinical term emphasizing a modifiable lifestyle factor for neuroprotection.
Mechanism
Chronic hyperglycemia and hyperinsulinemia lead to increased oxidative stress, advanced glycation end products (AGEs) formation, and chronic low-grade neuroinflammation, all of which damage neurons and vasculature. Effective glycemic control ensures a stable supply of energy to neurons and mitigates these toxic metabolic pathways. Insulin signaling within the brain itself is also crucial for synaptic plasticity and neuronal survival, directly impacting memory and learning.
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