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10.1097/MD.0000000000004803

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C5023915!5023915!27603392
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suck abstract from ncbi


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pmid27603392      Medicine+(Baltimore) 2016 ; 95 (36): ä
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  • Increased GABA concentrations in type 2 diabetes mellitus are related to lower cognitive functioning #MMPMID27603392
  • van Bussel FC; Backes WH; Hofman PA; Puts NA; Edden RA; van Boxtel MP; Schram MT; Stehouwer CD; Wildberger JE; Jansen JF
  • Medicine (Baltimore) 2016[Sep]; 95 (36): ä PMID27603392show ga
  • Type 2 diabetes mellitus is associated with accelerated cognitive decline. The underlying pathophysiological mechanisms still remain to be elucidated although it is known that insulin signaling modulates neurotransmitter activity, including inhibitory ?-aminobutyric acid (GABA) and excitatory glutamate (Glu) receptors. Therefore, we examined whether levels of GABA and Glu are related to diabetes status and cognitive performance.Forty-one participants with type 2 diabetes and 39 participants without type 2 diabetes underwent detailed cognitive assessments and 3-Tesla proton MR spectroscopy. The associations of neurotransmitters with type 2 diabetes and cognitive performance were examined using multivariate regression analyses controlling for age, sex, education, BMI, and percentage gray/white matter ratio in spectroscopic voxel.Analysis revealed higher GABA+ levels in participants with type 2 diabetes, in participants with higher fasting blood glucose levels and in participants with higher HbA1c levels, and higher GABA+ levels in participants with both high HbA1c levels and less cognitive performance.To conclude, participants with type 2 diabetes have alterations in the GABAergic neurotransmitter system, which are related to lower cognitive functioning, and hint at the involvement of an underlying metabolic mechanism.
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