Summary.
Increased concentrations of insulin, glucose and glycohemoglobin are associated with Type II diabetes mellitus (DM) and recognized as characteristic markers of the disease; in Alzheimer’s (AD), Vascular dementia (VaD), and both dementia’s with superimposed diabetes (AD + DM, VaD + DM) the knowledge is scarce. The sample (n = 122; males = 60; mean age = 73 ± 7) comprised DM, AD, VaD, AD + DM, and VaD + DM patients, and healthy controls (C). The ANOVA’s yielded significant differences between groups: Insulin p = 3.7 × 10−3; Glucose p < 10−12; Glycohemoglobin p = 9.2×10−4. Comparisons between groups (DM vs. C, AD + DM vs. AD, VaD + DM vs. VaD, and demented DM vs. non-demented DM) resulted significant for all variables (Bonferroni’s statistic, α = 0.05). Diabetic and diabetic demented patients presented significant increases largely different from controls (0.01 < p < 0.001), unlike the non-significant changes in their non-diabetic counterparts; linear relationships were found across all groups. The correlation’s insulin/glucose and insulin/glycohemoglobin change to positive within demented groups, indicating a different performance of insulin in demented and non-demented subjects.
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A Akomolafe A Beiser JB Meigs R Au RC Green LA Farrer et al. (2006) ArticleTitleDiabetes mellitus and risk of developing Alzheimer disease: results from the Framingham study Arch Neurol 63 IssueID11 1551–1555 Occurrence Handle17101823 Occurrence Handle10.1001/archneur.63.11.1551
InstitutionalAuthorNameAmerican Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders (DSM IV) EditionNumber4 American Psychiatric Association Washington, DC 1–620
CM Bennett M Guo SC Dharmage (2007) ArticleTitleHbA(1c) as a screening tool for detection of Type 2 diabetes: a systematic review Diabet Med 24 IssueID4 333–343 Occurrence Handle17367307 Occurrence Handle10.1111/j.1464-5491.2007.02106.x Occurrence Handle1:CAS:528:DC%2BD2sXlslWjsLY%3D
GJ Biessels S Staekenborg E Brunner C Brayne P Scheltens (2006) ArticleTitleRisk of dementia in diabetes mellitus: a systematic review Lancet Neurol 5 IssueID1 64–74 Occurrence Handle16361024 Occurrence Handle10.1016/S1474-4422(05)70284-2
KI Birkeland B Kilhovd P Thorsby PA Torjesen R Gans S Vaaler et al. (2003) ArticleTitleHeterogeneity of non-insulin-dependent diabetes expressed as variability in insulin sensitivity, beta-cell function and cardiovascular risk profile Diabet Med 20 IssueID1 37–45 Occurrence Handle12519318 Occurrence Handle10.1046/j.1464-5491.2003.00838.x Occurrence Handle1:STN:280:DC%2BD3s%2FhtlChtA%3D%3D
CA Burtis ER Ashwood (Eds) (1994) Tietz textbook of clinical chemistry EditionNumber2 Saunders Philadelphia, PA 959–960
RO Domínguez ER Marschoff AL Famulari EM Guareschi MA Pagano JA Serra (2005) ArticleTitleHomocysteine, vitamin B12 and folate in Alzheimer’s and vascular dementias: the paradoxical effect of the superimposed Type II diabetes mellitus condition Clin Chim Acta 359 IssueID1–2 163–170 Occurrence Handle15935339 Occurrence Handle10.1016/j.cccn.2005.03.049 Occurrence Handle1:CAS:528:DC%2BD2MXnslyhsL0%3D
JL Evans ID Goldfine BA Maddux GM Grodsky (2003) ArticleTitleAre oxidative stress-activated signaling pathways mediators of insulin resistance and beta-cell dysfunction? Diabetes 52 IssueID1 1–8 Occurrence Handle12502486 Occurrence Handle10.2337/diabetes.52.1.1 Occurrence Handle1:CAS:528:DC%2BD3sXisVWquw%3D%3D
MF Folstein SE Folstein PR Mc Hugh (1975) ArticleTitleMini mental state: a practical method for grading the cognitive state of patient for the clinician J Psychiatr Res 12 189–198 Occurrence Handle1202204 Occurrence Handle10.1016/0022-3956(75)90026-6 Occurrence Handle1:STN:280:DyaE28%2FntFKjtw%3D%3D
D Fuchs M Jaeger B Widner B Wirleitner E Artner-Dworzak F Leblhuber (2001) ArticleTitleIs hyperhomocysteinaemia due to oxidative depletion of folate rather than to insufficient dietary intake? Clin Chem Med 39 691–694 Occurrence Handle10.1515/CCLM.2001.113 Occurrence Handle1:CAS:528:DC%2BD3MXotVSrsro%3D
A García K Zanibbi (2004) ArticleTitleHomocysteine and cognitive function in elderly people CMAJ 171 IssueID8 897–904 Occurrence Handle15477631
OJ Gibson PE Mc Sharry L Tarassenko (2006) ArticleTitleOn the weighted- average relationship between plasma glucose and HbA1c Diabetes Care 29 2556–2557 Occurrence Handle17065701 Occurrence Handle10.2337/dc06-1646
MA Hamilton (1960) ArticleTitleRating scale for depression J Neurol Neurosurg Psychiatry 23 56–62 Occurrence Handle14399272 Occurrence Handle1:STN:280:DyaF3c7ltFyksw%3D%3D Occurrence Handle10.1136/jnnp.23.1.56
CP Hughes L Berg WL Danziger LA Coban RL Martin (1982) ArticleTitleA new clinical scale for the staging of dementia (CDR) Br J Psychiatry 140 566–572 Occurrence Handle7104545 Occurrence Handle1:STN:280:DyaL383lsl2mtA%3D%3D Occurrence Handle10.1192/bjp.140.6.566
JA Luchsinger MX Tang S Shea R Mayeux (2004) ArticleTitleHyperinsulinemia and risk of Alzheimer disease Neurology 63 IssueID7 1187–1192 Occurrence Handle15477536
V Lyssenko P Almgren D Anevski R Perfekt K Lahti M Nissen et al. (2005) ArticleTitlePredictors of and longitudinal changes in insulin sensitivity and secretion preceding onset of Type 2 diabetes Diabetes 54 IssueID1 166–174 Occurrence Handle15616025 Occurrence Handle10.2337/diabetes.54.1.166 Occurrence Handle1:CAS:528:DC%2BD2MXhtVWisr4%3D
M Majores H Kolsch M Bagli U Ptok M Kockler K Becker et al. (2002) ArticleTitleThe insulin gene VNTR polymorphism in Alzheimer’s disease: results of a pilot study J Neural Transm 109 IssueID7–8 1029–1034 Occurrence Handle12111440 Occurrence Handle10.1007/s007020200086 Occurrence Handle1:CAS:528:DC%2BD38XnsFOisLw%3D
S Mattis (1976) Mental status examination for organic mental syndrome in the elderly patient L Bellak T Karasu (Eds) Geriatric psychiatry: a handbook for psychiatrists and primary care physicians Grune and Stratton New York
G Mc Khan D Drachman M Folstein R Katzman C Price M Stardlan (1984) ArticleTitleClinical diagnosis of Alzheimer’s disease: report of the NINCDS-ADRDA work group under the auspices of the department of health and human services task force of Alzheimer’s disease Neurology 34 939–944
FA Middle A Bannister AJ Bellingham PD Dean (1983) ArticleTitleSeparation of glycosilated hemoglobins using immobilized phenylboronic acid Biochem J 209 771–779 Occurrence Handle6870791 Occurrence Handle1:CAS:528:DyaL3sXlslahsrs%3D
DF Morrison (1976) Multivariate statistical methods McGraw-Hill Tokyo 1–415
PK Myint S Sinha NJ Wareham SA Bingham RN Luben AA Welch et al. (2007) ArticleTitleGlycated hemoglobin and risk of stroke in people without known diabetes in the European prospective investigation into cancer (EPIC) – Norfolk prospective population study. A threshold relationship? Stroke 38 IssueID2 271–275 Occurrence Handle17204684 Occurrence Handle10.1161/01.STR.0000254549.75763.5f Occurrence Handle1:CAS:528:DC%2BD2sXotVSmsg%3D%3D
GC Román TK Tatemichi T Erkinjuntti JL Cummings JC Masdeu JH García et al. (1993) ArticleTitleVascular dementia: diagnostic criteria for research studies. Report of the NINDS-AIREN international workshop Neurology 43 250–260 Occurrence Handle8094895
KG Rowley M Daniel K O’dea (2005) ArticleTitleScreening for diabetes in Indigenous populations using glycated hemoglobin: sensitivity, specificity, post-test likelihood and risk of disease Diabet Med 22 IssueID7 833–839 Occurrence Handle15975095 Occurrence Handle10.1111/j.1464-5491.2005.01447.x Occurrence Handle1:CAS:528:DC%2BD2MXmvVGmtLg%3D
S Schwarb S Koberle R Spiegel (1988) ArticleTitleThe Alzheimer’s disease assessment scale (ADAS): an instrument for early diagnosis of dementia? Int J Geriat Psychiatry 3 45–53 Occurrence Handle10.1002/gps.930030107
JA Serra RO Domínguez ES de Lustig EM Guareschi AL Famulari ER Marschoff et al. (2001) ArticleTitleParkinson’s disease is associated with oxidative stress: comparison of peripheral antioxidant profiles in living Parkinson’s, Alzheimer’s and vascular dementia patients J Neural Transm 108 IssueID10 1135–1148 Occurrence Handle11725816 Occurrence Handle10.1007/s007020170003 Occurrence Handle1:CAS:528:DC%2BD38XjvVSjtg%3D%3D
JA Serra ER Marschoff RO Domínguez EM Guareschi AL Famulari MA Pagano et al. (2004) ArticleTitleOxidative stress in Alzheimer’s and vascular dementia: masking of the antioxidant profiles by a concomitant Type II diabetes mellitus condition J Neurol Sci 218 17–24 Occurrence Handle14759628 Occurrence Handle10.1016/j.jns.2003.10.004 Occurrence Handle1:CAS:528:DC%2BD2cXpsV2isg%3D%3D
RR Sokal FJ Rohlf (1995) Biometry EditionNumber3 Freeman New York 1–880
InstitutionalAuthorNameThe Expert Committee on the Diagnosis and Classification of Diabetes Mellitus (2000) ArticleTitleReport of the expert committee on the diagnosis and classification of diabetes mellitus Diabetes Care 23 S4–S19
JC Travis (1980) Clinical radioimmunoassay-state of the art: Scientific Newsletters Inc. Radioassay-Ligand Assay Publishers Ananheim 89–92
B Widner C Enzinger A Laich B Wirleitner D Fuchs (2002a) ArticleTitleHyperhomocysteinemia, pteridines and oxidative stress Curr Drug Metabol 3 225–232 Occurrence Handle10.2174/1389200024605091 Occurrence Handle1:CAS:528:DC%2BD38XjtVOiur4%3D
B Widner F Leblhuber B Frick A Laich E Artner-Dworzak D Fuchs (2002b) ArticleTitleModerate hyperhomocysteinaemia and immune activation in Parkinson’s disease J Neural Transm 109 IssueID12 1445–1452 Occurrence Handle10.1007/s00702-002-0758-8 Occurrence Handle1:CAS:528:DC%2BD38XpsFCjtb4%3D
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Integrated by the following medical degrees (MD) and psychologists (Ps) from the Neurology Service and the Diabetes Unit of the Hospital General de Agudos Juan A. Fernández, Hospital Sirio-Libanés and the FACENE: Eduardo L. Bartolomé MD, Silvia González MD, Graciela D’Abraccio MD, Marcela Arata Ps, Liliana Oudkerk Ps, Laura Garau MD, Fernando Krinsky MD, Edith Labos Ps, Cecilia Ruiz Ps, Gustavo Frechtel MD, Alejandra Arana MD, and Silvia Lovecchio MD.
Correspondence: Jorge A. Serra, Laboratorio de Estrés Oxidativo, PRALIB-CONICET, Facultad de Farmacia y Bioquímica, UBA; Junín 954; C1113AAD Buenos Aires, Argentina
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Domínguez, R., Marschoff, E., Guareschi, E. et al. Insulin, glucose and glycated hemoglobin in Alzheimer’s and vascular dementia with and without superimposed Type II diabetes mellitus condition. J Neural Transm 115, 77–84 (2008). https://doi.org/10.1007/s00702-007-0804-7
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DOI: https://doi.org/10.1007/s00702-007-0804-7