What Is Type 3 Diabetes? Insulin Resistance In The Brain That Could Trigger Alzheimer’s
Most people are aware of type 1 and type 2 diabetes, but did you know there is a type 3 diabetes as well! It is a more obscure term. Although it is not an accepted medical diagnosis, type 3 diabetes has been discussed in the literature as a possible relationship between insulin resistance in the brain and Alzheimer's disease. This link has been described to help explain how metabolic disorders impact brain health, causing cognitive decline and dementia.
Type 3 diabetes is more of a misnomer because it should not be confused with type 3c diabetes, which relates to pancreatic dysfunction. The term "type 3 diabetes," on the other hand, has been loosely used by some scientists to analogously propose that Alzheimer's disease is strongly implicated with insulin resistance in the brain.
This concept was conceptualized by Dr. Suzanne de la Monte and Dr. Jack Wands of Brown University in the year 2008. This hypothesis postulated that Alzheimer's disease may be called type 3 diabetes for it bears many similarities with glucose metabolism disorder type 2 diabetes. Their concept arises from the basic principle that insulin is fundamental to blood sugar regulation, but it is also the case with the brain. When brain cells become insulin-resistant, they lose access to glucose, impairing their function.
Research published in the Journal of Diabetes Science and Technology supports this hypothesis by indicating that insulin resistance can be a significant contributor to the occurrence of dementia, also referred to as Alzheimer's. The symptoms of memory loss and diminished reasoning are associated with impaired glucose metabolism in the body, especially in the cerebral tissue.
Although type 3 diabetes is not a "medical term," its symptoms correlate well with Alzheimer's diseases that are known to reduce the ability to think in an efficient manner and bring down brain health. These signs are:
- Loss of memory, especially short-term.
- Poor judgment and judgment ability
- Failure in recognizing people or places familiar once.
- Failure in the process of reading, writing or processing numbers
- Anxiety, agitation, or mood changes.
- Disorganized thoughts or confusion
- Lack of impulse control
As the disease advances, patients may be afflicted with severe complications including an inability to swallow or control their bodily functions. In the final stages, most patients die from fatal complications such as aspiration pneumonia.
This may not be well understood with regards to type 3 diabetes, or the exact link between insulin resistance and Alzheimer's disease. Some identified contributing factors include the following:
Insulin acts as an important regulatory mechanism of brain functions such as memory and cognition. The reduction in insulin signaling may impair metabolism of brain cells, thus bringing about neurodegeneration.
These diseases show a strong relationship and those individuals diagnosed with type 2 diabetes have double chances of getting Alzheimer's. In the two, the main causes can be chronic inflammation, oxidative stress, and a defect in glucose metabolism.
Insulin resistance associated with obesity, stress, and an unhealthy diet is considered a cause that may increase the chances of Alzheimer's disease.
Researches in Frontiers in Neuroscience and The Lancet Neurology have also highlighted that drugs used for antidiabetic medication may be crucial for the prevention or at least slowing down the course of Alzheimer's.
In 2022, in a study in Pharmaceuticals, researchers studied biomarker uptake in brain regions implicated in the faulty uptake and metabolism of blood sugar in Alzheimer’s patients.
Emerging Therapies
Research into such treatments as intranasal insulin has also been promising. Intranasal delivery of insulin directly to the brain has been reported to enhance glucose uptake by brain cells, improve memory, and boost cognitive performance. While such clinical trials have been shown to be successful, additional research is needed for safety and efficacy.
Medications
For patients being aggressive or agitated, antipsychotic drugs may be prescribed; however, therapies such as cognitive rehabilitation as well as cognitive stimulation therapy serve to preserve memory and executive function.
Lifestyle Interventions
Diet, exercise, and stress management are critical in preventing and managing insulin resistance. A review in the Journal of Alzheimer's Disease also highlighted the benefits of Kirtan Kriya meditation, which can regulate genes involved in insulin and glucose metabolism, improve sleep, and reduce inflammation.
Although type 3 diabetes is not officially recognized, its connection to Alzheimer’s disease underscores the importance of proactive measures for brain health. Some prevention strategies include:
1. Healthy Diet
Consuming a balanced diet rich in antioxidants, whole grains, and healthy fats may support brain health.
2. Regular Exercise
Physical activity improves insulin sensitivity, reduces inflammation, and enhances overall metabolic health.
3. Stress Reduction
Mindfulness practices, including meditation, have been shown to lower stress levels, which can reduce the risk of cognitive decline.
The term type 3 diabetes brings out the complex relationship between metabolic disorders and brain health. Even though it is not a recognized medical condition, the concept emphasizes the crucial role of insulin in brain function and its possible contribution to Alzheimer's disease. Continued research will hopefully provide hope for therapies such as intranasal insulin and lifestyle modifications.
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As winter settles in, many people sense a shift in their mood. Shorter days and colder weather often leave us feeling a little dull. In some cases, this may be linked to seasonal affective disorder (SAD). Yet there may also be another explanation.
A doctor has cautioned that a very common deficiency could be the reason you have been feeling unusually low. He noted that this problem affects well over a billion people around the world.
In a TikTok video, Doctor Sermed Mezher raised concern about iron deficiency. Iron is a mineral the body relies on to move oxygen through the blood and support several important processes. Dr Mezher explained as per Express, “Low iron is the most common nutritional deficiency in the world, affecting more than one billion people.” He also described how it can influence dopamine, often referred to as the “feel-good” chemical.
He added, “And its effects on dopamine go way deeper than just oxygen transport. Dopamine is made from an amino acid called tyrosine over a couple of steps, and the enzyme involved in the first step needs iron to work properly. It is no surprise, then, that in iron deficiency, studies show problems in dopamine pathways that play a part in happiness, reward, self control and social behaviour.”
The positive news is that this can usually be managed. Dr Mezher said, “Once your iron levels are restored, these pathways return to their normal state, and you can help this process by taking iron with vitamin C and staying away from caffeinated drinks for two hours before and after.”
The NHS lists several signs of iron deficiency anaemia, including:
If you think you may be low in iron, you should talk to your GP. A simple blood test can confirm it.
Iron levels can be raised through the foods you eat. These options are naturally rich in iron:
The NHS also suggests cutting back on:
The NHS notes, “Large amounts of these foods and drinks make it harder for your body to absorb iron. You might be referred to a specialist dietitian if you're finding it hard to include iron in your diet.”
The daily iron requirement is:
The NHS adds, “Taking 17mg or less a day of iron supplements is unlikely to cause any harm. But continue taking a higher dose if advised to by a GP.”
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From celebrities trying to slim down for a red-carpet event to people using medication to manage diabetes or obesity, GLP-1 drugs have become a widely used choice for weight control. They are often described as near-perfect solutions, yet they can bring unexpected effects. In 2025, many users began noticing reactions that had not been mentioned before, especially among those taking Ozempic. If you rely on Ozempic for weight management or overall health, it helps to know the unusual side effects people spoke about during the year.
GLP-1 drugs, also known as GLP-1 agonists, were first developed for diabetes care. They work much like the body’s own GLP-1 hormone, which is released after meals to prompt insulin production. Those living with diabetes often do not make enough insulin to keep blood sugar steady. A GLP-1 medication boosts insulin release so blood sugar stays more stable. These drugs often support weight reduction as well.
For many people with diabetes, weight control plays an important role in managing the condition. GLP-1 drugs reduce hunger and help the stomach empty more slowly, creating a longer sense of fullness. This can lead to marked weight loss in people with or without diabetes.
Ozempic is a prescribed treatment mainly used for adults with type 2 diabetes. The active substance is semaglutide, given once a week through an injection. It is a glucagon-like peptide-1 (GLP-1) receptor agonist that acts like a natural hormone in the body. It increases insulin when blood sugar rises, lowers glucagon levels, and slows the movement of food through the stomach, which in turn reduces appetite.
Beyond the familiar effects such as nausea, constipation, and stomach discomfort, some users shared experiences that felt different from the typical list. Below are the unusual reactions connected with Ozempic that gained attention in 2025.
“Ozempic vulva” is a phrase women have used to describe changes in the vulva, including loss of volume, sagging, or dryness, especially after major weight loss linked to Ozempic or similar medicines. These changes are not a medical diagnosis. They seem to come from rapid fat loss, reduced muscle mass, shifts in hormones, or dehydration, rather than the drug itself, according to Healthline. Reported changes include a less plump appearance in the labia majora, dryness, and a looser texture.
Medical News Today notes that Ozempic often triggers what is known as a “stool reflex”, in which the gut tries to clear space once food reaches the intestine. In some people, this reflex becomes unusually strong, leading to diarrhea. Many users have discussed this on Reddit. One person created a widely shared thread asking, with complete honesty, for tips on avoiding accidents while sleeping. They explained they had struggled with this for months and called it their most frustrating symptom. Another user, after three doses, said that “sh*tt*ng the bed” was the one thing they were dreading.
The good news is that most people do not face such long-lasting trouble. Studies from 2022 show that diarrhea linked with Ozempic usually lasts around three days when starting the drug. For most users, it settles within about four weeks as the body adapts.
“Ozempic breasts” is an informal expression used for changes in breast size or shape that appear after rapid weight loss while on Ozempic. Breasts contain a large amount of fatty tissue, so when someone loses weight quickly, they may notice less fullness, sagging, or a flatter look. Although this is not a recognised medical term, it has become a common concern among those using the medication, according to Healthline.
“Ozempic butt” refers to loose or sagging skin that may show up after dramatic and fast weight loss while using these drugs. This can cause a softer or deflated look in areas where people naturally hold more weight. It is important to remember that this effect comes from rapid weight loss and not from the medication acting directly on the body.
“Ozempic feet” is a name people have given to changes in the feet linked with sudden weight loss from drugs like Ozempic. These include loose skin, reduced fat padding, more visible veins, and extra pain while walking. These shifts can make the feet more sensitive and increase the chance of developing corns and calluses, since there is less cushioning. Other possible concerns include tingling, numbness, or swelling, as noted by Healthline.
If you notice any of these changes, remember that they often appear during periods of fast weight loss. Still, it is best to speak with your healthcare professional if anything becomes difficult to manage or feels out of the ordinary.
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Do you also feel like you get sick a lot, especially when you travel? You are not the only one. A 2018 study, published in the Proceedings of the National Academy of Sciences of the US, notes that airplane passengers have an 80% chance of getting sick on a flight. The study also points out that this probability could increase if they sit in the wrong spot.
Seconding to this, Dr Jonathan Finoff, who advises Olympic athletes where to sit on plane tells the Wall Street Journal that people must choose the window seat. The chief medical officer of the US Olympic and Paralympic Committee, Dr Finoth says that this seat keeps the passenger away from high traffic areas like the entrance and bathrooms.
As per Dr Finoth, one must keep sanitizing wipes so they can clean any areas they might touch. These areas include seatbelt, armrests, air nozzle, and even bathroom doors.
The doctor further says that cleaning the tray table is utmost important as research suggests that it has a higher germ concentration than a toilet seat. As per a 2015 study by Travelmath, it was in fact proved that tray table contained more than eight times the amount of bacteria per square inch compared to lavatory flush buttons.
The primary reason is that the tight turnaround time between domestic flights often result in only quick wipe-downs or no professional cleaning at all, leading to germs spreading rather than being eliminated.
Dr Finoth also suggests that directing the air nozzle between you and the person next to you creates another barrier for germs. Lastly, it is important to get seven to eight hours of restful sleep each night to benefit from one's immune system.
While all these steps are important, Dr Ayesha Appa, who is an addiction and infectious disease doctor, who works as an Assistant Professor of Medicine in the Division of HIV, Infectious Diseases, and Global Medicine at San Francisco General Hospital pointed out that airplanes filters are great, "but still risk if someone is sick or spewing droplets within 2 rows". She points out that though the tray tables can be gross, but they are not efficient transfer of viruses like flu, or COVID. "So don't forget to wash hands, bring your N-95, if you are really committed to preventing infection (like an Olympic athlete)."
A study titled Proceedings of the National Academy of Sciences stated that an infected passenger will cause 0.7 new infections per flight.
The study offers a “brilliant” blueprint for how a virus could move around an aircraft, says Ira Longini, a biostatistician at the University of Florida, as reported by the Science.org. Still, he argues it has limited real-world epidemiological value.
To map movement patterns, biomathematician Howard Weiss of Georgia Tech and a team of around 10 graduate students and postdocs boarded 10 transcontinental flights lasting 3.5 to 5 hours. Armed with iPads, they tracked every passenger and flight attendant’s movements throughout the journey.
Despite collecting data during flu season, the flights were mostly filled with healthy travelers. “We observed about 1,500 passengers and only one was coughing moderately,” Weiss says. Analysis of 228 surface swabs also failed to detect any viral genetic material.
The resulting paper essentially charts a transmission network, showing who interacts with whom, and how frequently. But without real data on how easily illness spreads from one person to another, Longini notes, the study can’t reveal how a virus would actually travel through that network. “It’s like having a road map with no information about how fast the cars can go,” he says.
To fill this gap, the researchers used transmission rates inferred from historical events, specifically a 1977 incident where 38 of 54 people on a grounded plane developed an “influenza-like illness” after nearly five hours without air circulation. They then multiplied that rate by four to create what first author Vicki Hertzberg of Emory University calls a “worst-case scenario.”
So, what can be done to avoid the worst-case scenario? Scientists suggest: take the window seat, avoid using the bathroom, and limit your interaction with the crew.
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