Brain & Alzheimer's and the Role of Insulin Resistance

Alzheimer's disease (AD) is a progressive neurodegenerative disorder characterized by cognitive decline, memory loss, and behavioral changes. While the exact causes of AD are complex and multifactorial, research has increasingly implicated insulin resistance in the brain as a significant contributing factor. This has led some researchers to refer to AD as "Type 3 diabetes." [1] Insulin resistance in the brain can disrupt glucose metabolism, leading to energy deficits and impaired neuronal function. This metabolic dysfunction is thought to contribute to the accumulation of amyloid-beta plaques and tau tangles, two hallmark features of AD pathology.

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The Connection Between Insulin Resistance, Amyloid-Beta, and Alzheimer's

Insulin resistance in the brain can disrupt the normal clearance of amyloid-beta, a protein fragment that forms plaques in the brains of people with Alzheimer's disease. Insulin-degrading enzyme (IDE) is responsible for breaking down both insulin and amyloid-beta. When insulin resistance occurs, IDE may be occupied with breaking down insulin, leaving less available to clear amyloid-beta. This can lead to an accumulation of amyloid-beta, which further contributes to the progression of AD. [2] Furthermore, insulin signaling plays a crucial role in synaptic plasticity and memory formation. Insulin resistance can impair these processes, exacerbating cognitive decline.

Dietary Interventions and Recommendations

Given the link between insulin resistance and AD, dietary modifications that improve insulin sensitivity may be beneficial. Swapping sugary drinks for water, herbal teas, or MCT-enhanced teas is a recommended action. [3] Sugary drinks can contribute to insulin resistance, while water and unsweetened teas do not raise blood sugar levels. MCT (medium-chain triglycerides) may provide an alternative energy source for the brain and potentially improve cognitive function.


Authoritative Sources

  1. de la Monte, S. M. (2013). Type 3 diabetes: a potential link between Alzheimer's disease and diabetes. Journal of Alzheimer's Disease, 33(3), 573-584. [Journal of Alzheimer's Disease]
  2. Craft, S. (2005). Insulin resistance and Alzheimer's disease: a review of the emerging evidence. Journal of Alzheimer's Disease, 7(1), 1-14. [Journal of Alzheimer's Disease]
  3. National Institute on Aging. (2024, June 12). Alzheimer's Disease Fact Sheet. [National Institute on Aging]

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