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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US journalist Norah O’Donnell recently spoke about the importance of early skin cancer detection a decade after being diagnosed with melanoma, the most dangerous form of skin cancer.
She said her experience changed her outlook towards sun protection. She also shared advice related to skin cancer from her dermatologist, Dr Elizabeth Hale.
According to CBS News, O’Donnell recalled that it was during a routine dermatology appointment when Hale noticed two concerning spots on her back.
A biopsy confirmed melanoma, but the cancer was detected early and removed before it could spread.
O’Donnell said she now seeks shade wherever she can find, wears UV-protective clothing and regularly reapplies broad-spectrum sunscreen when spending time outdoors. She also reflected on her past exposure to sunburns and tanning salons.
Melanoma develops in the cells that produce melanin, the pigment responsible for skin colour. Although it accounts for a smaller proportion of skin cancer cases, it is responsible for an alarming share of skin cancer deaths.
Hale emphasised that early detection can make a considerable difference. “Even though it only accounts for 5% of new cases of skin cancer, it’s responsible for more than 75% of skin cancer-related deaths,” she said.
She also spoke about the importance of getting suspicious spots examined rather than waiting for them to become more noticeable and serious.
“There have been major advances in melanoma treatment, but it’s still really best to get your skin checked because when melanoma is caught early it has greater than a 99% five-year survival. But once it spreads, that survival rate goes down precipitously,” Hale said.
Speaking about skin cancer risks related to tanning beds and sunburns, Hale said melanoma cases have been increasing among women in their 20s and 30s.
“It is directly related to exposure to tanning beds and to sunburns,” she said.
According to the Skin Cancer Foundation, using tanning beds before 35 could increase melanoma risk by 75%.
Hale also warned against the growing trend of deliberately seeking a tan through prolonged, unprotected sun exposure.
“There really is no such thing as … a safe, healthy tan,” she said.
A tan is not simply a cosmetic appeal. As Hale explained, it denotes “DNA damage” that may contribute to cancer later in life.
Hale recommends regular skin examinations to nab suspicious skin changes early. She advises people to discuss their individual cancer screening needs with a dermatologist, especially if they have a family history of skin cancer.
Sun protection is another essential part of prevention. Hale recommends using a broad-spectrum sunscreen with SPF 30 or higher and reapplying it every two hours when spending extended periods outdoors.
Her advice on choosing sunscreen is straightforward: “the best sunscreen is the one you’ll actually use”.
As per the Johns Hopkins Medicine, wearing sunscreen is the easiest and the best ways to protect your skin's appearance and health at any age. It recommends to use it regularly to prevent sunburn, skin cancer, and premature aging.
While everyone needs sun exposure to produce vitamin D, unprotected exposure to the sun's UV rays can cause damage to the eyes, skin, and the immune system.
To protect, apply 1 ounce of sunscreen throughout your body. To protect your face and neck, you will need about half a teaspoon of sunscreen.
Experts also believe that as long as the sunscreen is at least SPF 30 and is water-resistant, it does not matter what order you apply your skin care products. While some people find it is easiest to work with bare skin, some do it at the end.
Protective clothing and seeking shade can provide additional protection, especially during prolonged outdoor activities.
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Arthritis is sometimes treated like a normal part of getting older. Yet it can show up in many age groups. It can also limit how freely someone moves. That can affect daily independence and overall comfort.
Some people think arthritis care always means an operation, like joint replacement. In reality, the path to care is wider. What happens next depends on symptoms, which joint is affected, a person’s age, how active they are, and their general health.
Where the disease is in its early stages or is perceived to be mild, treatment will begin in a very low-key manner. This will involve physiotherapy and exercise. Where necessary, losing excess body weight can be beneficial. Minor changes in daily activities will decrease stress. Doctors will prescribe medication depending on the situation. Here, the main objective is to alleviate symptoms and maintain function. It will not be the initial step and will only be considered where appropriate.
In case arthritis is severe, pain and stiffness will persist for a long period of time. Performing simple activities becomes difficult. Even walking will become challenging. Sleep may also be affected. When this happens, it helps to check again. Doctors can use exam findings and imaging to see how much the joint has changed. They can also review whether non-surgical care is working as expected.
Good arthritis care is about choosing the right path for the right person. Timing matters too. It begins with a close look at symptoms and a clear diagnosis. Sometimes it also means getting scans when they are needed. After that, the plan should rely on what the best research shows.
Treatment should be set up with rehab in mind. The aim is to fit the person, not just the label on the chart. One person may do well with physical therapy and simple habit shifts. Another person may need a procedure, mainly when a joint is badly worn.
The main goal is easier daily comfort and better movement. Just as important, it should help someone keep their independence. It is also not only about chasing the newest option.
People should not wait until pain makes normal life hard. When they seek help early, it can be easier to see what is driving the joint pain. It can also help show how far the arthritis has gone. With that in hand, a care plan can be built with more clarity.
When care starts early and matches the person, many can stay active longer. They may also better protect joint function and keep it working well for more time.
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As pollution levels rise in October, doctors warn that exposure to particulate matter can affect lung and heart health, aggravate existing respiratory conditions, and cause symptoms even in otherwise healthy individuals, particularly as winter approaches.
PM2.5 and PM10 can irritate the respiratory tract, while fine particles such as PM2.5 can penetrate deep into the lungs, with some entering the bloodstream.
Delhi woke up to poor air quality on Thursday, with the Commission for Air Quality Management’s (CAQM) AQI dashboard recording an Air Quality Index (AQI) of 226 across Delhi-NCR at 7 am.
As per the CAQM’s dashboard, some areas of the national capital recorded very poor air quality, with an average AQI of 307.
The Commission for Air Quality Management (CAQM) on Wednesday imposed Stage I of the Graded Response Action Plan (GRAP) across Delhi-NCR after the capital's air quality slipped into the 'poor' category.
According to the Air Quality Early Warning System, Delhi's air quality is likely to remain in the 'poor' category until October 23. The forecast for the following six days also indicates that pollution levels are likely to remain in the same category.
Also read: Delhi Air Pollution Is Back: What Days Of Poor AQI Can Do to Your Lungs
Dr. Amit Kumar Mandal, Senior Director - Pulmonology, Paras Health Panchkula, told HealthandMe that air pollution can cause inflammation in the airways and worsen asthma, chronic obstructive pulmonary disease (COPD) and other respiratory conditions. It can also increase the risk of cardiovascular complications.
The effects may not always be immediately noticeable. People may experience persistent coughing, throat irritation, wheezing or breathlessness. Repeated exposure over time can contribute to more serious health problems, even in people without pre-existing conditions.
Dr. A.S. Sandhya, Consultant, Pulmonary & Sleep Medicine, Kailash Hospital & Neuro Institute, told HealthandMe that October can mark the beginning of a prolonged period of poor air quality in Delhi-NCR.
When pollution combines with changing weather conditions, people with asthma, bronchitis and COPD may experience more frequent symptoms. However, healthy individuals can also develop eye irritation, coughing, throat discomfort and reduced exercise tolerance after exposure to polluted air.
Read More: Can Delhi’s Air Pollution Increase GI Cancer Risk? Doctors Report Patients As Young As 15
Doctors recommend monitoring daily AQI levels and limiting exposure when air quality is poor.
Dr. Mandal advises reducing prolonged outdoor activity and avoiding exercise near busy roads during high-pollution periods. Children, older adults, pregnant women and people with respiratory or heart conditions should take extra precautions.
Dr. Sandhya recommends limiting strenuous outdoor exercise when pollution levels are high and using a well-fitted N95 mask when outdoor exposure cannot be avoided.
Indoor air quality also matters, particularly for children and older adults who spend extended periods at home. Air purifiers with suitable filtration may help reduce indoor particulate matter, although they do not eliminate all pollutants.
People should not ignore persistent coughing, wheezing or unusual breathlessness. Those experiencing persistent breathing difficulties, chest discomfort or worsening respiratory symptoms should consult a doctor.
People with existing medical conditions should follow their treatment plans and seek medical advice if their symptoms worsen.
Taking preventive measures now, rather than waiting for pollution to peak in winter, can help reduce exposure and the risk of avoidable health complications in the months ahead.
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