{"id":109341,"date":"2016-08-29T17:31:30","date_gmt":"2016-08-29T17:31:30","guid":{"rendered":"http:\/\/healthmedicinet.com\/i\/diabetes-linked-to-memory-decline-in-older-adults-2\/"},"modified":"2016-08-29T17:31:30","modified_gmt":"2016-08-29T17:31:30","slug":"diabetes-linked-to-memory-decline-in-older-adults-2","status":"publish","type":"post","link":"https:\/\/healthmedicinet.com\/i\/diabetes-linked-to-memory-decline-in-older-adults-2\/","title":{"rendered":"Diabetes linked to memory decline in older adults"},"content":{"rendered":"<p><span id=\"article-text\"><br \/>\n<span id=\"midArticle_start\" \/><\/p>\n<p><span id=\"midArticle_0\" \/><span class=\"article-prime\"><\/p>\n<p><span class=\"articleLocatio\/spann\">(Reuters Health) &#8211; Older adults with poorly controlled diabetes may struggle with what\u2019s known as episodic memory, the ability to recall specific events experienced recently or long ago, a study suggests. <\/span><\/p>\n<p><\/span><span id=\"midArticle_1\" \/><\/p>\n<p \/><span id=\"midArticle_2\" \/><\/p>\n<p>Researchers examined results from a series of four memory tests done from 2006 to 2012 for 950 older adults with diabetes and 3,469 elderly people without the disease. <\/p>\n<p><span id=\"midArticle_3\" \/><\/p>\n<p \/><span id=\"midArticle_4\" \/><\/p>\n<p>The participants who had diabetes and elevated blood sugar performed worse on the first round of memory tests at the start of the study and also experienced a bigger decline in memory function by the end of the study. <\/p>\n<p><span id=\"midArticle_5\" \/><\/p>\n<p \/><span id=\"midArticle_6\" \/><\/p>\n<p>\u201cWe believe that the combination of diabetes and high blood sugar increases the chances of a number of health problems,\u201d said lead study author Colleen Pappas, an Aging researcher at the University of South Florida in Tampa. <\/p>\n<p><span id=\"midArticle_7\" \/><\/p>\n<p \/><span id=\"midArticle_8\" \/><\/p>\n<p>\u201cOur study brings attention to the possibility that worsening memory may be one of them,\u201d Pappas added by email. <\/p>\n<p><span id=\"midArticle_9\" \/><\/p>\n<p \/><span id=\"midArticle_10\" \/><\/p>\n<p>While the study doesn\u2019t explore why this might happen, it\u2019s possible that elevated blood sugar damages brain cells that transmit messages in the hippocampus, a part of the brain involved in memory, Pappas said. <\/p>\n<p><span id=\"midArticle_11\" \/><\/p>\n<p>            <span class=\"article-divide first-article-divide\" \/><\/p>\n<p \/><span id=\"midArticle_12\" \/><\/p>\n<p>At the start of the study, when participants were about 73 years old on average, they all got blood tests that measure average blood sugar levels. This so-called hemoglobin A1c test measures the percentage of hemoglobin \u2013 the protein in red blood cells that carries oxygen \u2013 that is coated with sugar, with readings of 6.5 percent or above signaling diabetes.<\/p>\n<p><span id=\"midArticle_13\" \/><\/p>\n<p \/><span id=\"midArticle_14\" \/><\/p>\n<p>The people without diabetes had average A1c levels of 5.6, considered a normal or healthy range. But the diabetics had average A1c levels of 6.7, putting them at increased risk of complications from the disease. <\/p>\n<p><span id=\"midArticle_15\" \/><\/p>\n<p \/><span id=\"midArticle_0\" \/><\/p>\n<p>Researchers also did memory tests using immediate and delayed word recall to assess changes in brain function over time. <\/p>\n<p><span id=\"midArticle_1\" \/><\/p>\n<p \/><span id=\"midArticle_2\" \/><\/p>\n<p>            <span class=\"article-divide second-article-divide\" \/><\/p>\n<p>Higher A1c levels were associated with lower scores on that first memory test and a steeper decline in scores over time, researchers report in the Journal of Epidemiology and Community Health. <\/p>\n<p><span id=\"midArticle_3\" \/><\/p>\n<p \/><span id=\"midArticle_4\" \/><\/p>\n<p>Higher A1c levels in the people with diabetes, however, explained most of that association. <\/p>\n<p><span id=\"midArticle_5\" \/><\/p>\n<p \/><span id=\"midArticle_6\" \/><\/p>\n<p>One limitation of the study is that researchers only checked A1c once, at the start of the study, the authors note. That makes it hard to say how shifts in blood sugar over time might have influenced any changes in memory. <\/p>\n<p><span id=\"midArticle_7\" \/><\/p>\n<p \/><span id=\"midArticle_8\" \/><\/p>\n<p>            <span class=\"article-divide third-article-divide\" \/><\/p>\n<p>Researchers also lacked data on medications people took to control blood sugar, which makes it difficult to assess whether memory lapses might be averted in patients who took medications designed to manage diabetes, the authors also point out. <\/p>\n<p><span id=\"midArticle_9\" \/><\/p>\n<p \/><span id=\"midArticle_10\" \/><\/p>\n<p>Even so, the findings suggest that keeping blood sugar levels in a healthy range may help maintain memory performance over time, said Dr. Joe Verghese, director of the Montefiore-Einstein Center for the Aging Brain in New York.<\/p>\n<p><span id=\"midArticle_11\" \/><\/p>\n<p \/><span id=\"midArticle_12\" \/><\/p>\n<p>\u201cPatients with diabetes can experience several brain changes that develop over time such as shrinkage of areas involved in memory and thinking as well as damage to blood vessels supplying the brain,\u201d Verghese, who wasn\u2019t involved in the study, said by email. \u201cHigher blood sugar levels may be detrimental for brain health even in older adults who do not meet formal criteria for diabetes but are in the gray zone.\u201d <\/p>\n<p><span id=\"midArticle_13\" \/><\/p>\n<p \/><span id=\"midArticle_14\" \/><\/p>\n<p>People with diabetes also need to be aware that even if their blood sugar is well controlled, they\u2019re still at increased risk for memory problems and impairments in cognitive function, said Mark Espeland, a researcher at Wake Forest School of Medicine in Winston-Salem, North Carolina. <\/p>\n<p><span id=\"midArticle_15\" \/><\/p>\n<p \/><span id=\"midArticle_0\" \/><\/p>\n<p>The best defense is avoiding diabetes in the first place, Espeland, who wasn\u2019t involved in the study, said by email. <\/p>\n<p><span id=\"midArticle_1\" \/><\/p>\n<p \/><span id=\"midArticle_2\" \/><\/p>\n<p>\u201cTaking steps to reduce one\u2019s risk for diabetes is important to maintaining a healthy brain,\u201d Espeland said.  \u201cThese steps include an active lifestyle and avoiding obesity.\u201d<\/p>\n<p><span id=\"midArticle_3\" \/><\/p>\n<p \/><span id=\"midArticle_4\" \/><\/p>\n<p>SOURCE: bit.ly\/2bMYdLB<\/a> Journal of Epidemiology and Community Health, online July 20, 2016.<\/p>\n<p><span id=\"midArticle_5\" \/><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>(Reuters Health) &#8211; Older adults with poorly controlled diabetes may struggle with what\u2019s known as episodic memory, the ability to recall specific events experienced recently or long ago, a study suggests. Researchers examined results from a series of four memory tests done from 2006 to 2012 for 950 older adults with diabetes and 3,469 elderly <a class=\"read-more-link\" href=\"https:\/\/healthmedicinet.com\/i\/diabetes-linked-to-memory-decline-in-older-adults-2\/\">Read More<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-109341","post","type-post","status-publish","format-standard","hentry"],"_links":{"self":[{"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/109341","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/comments?post=109341"}],"version-history":[{"count":0,"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/posts\/109341\/revisions"}],"wp:attachment":[{"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/media?parent=109341"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/categories?post=109341"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthmedicinet.com\/i\/wp-json\/wp\/v2\/tags?post=109341"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}