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.
Credit: AI generated image
Asthma is often thought of as an "outdoor" problem, with triggers such as smog, pollen, or car exhaust. But for many, the real danger may be sitting right there on the sofa or hiding under the sink.
The chronic condition affects over 260 million people. It is also responsible for over 450,000 deaths each year worldwide.
If you're doing everything right with your inhaler but still feel that tightness in your chest, it’s time to look at silent indoor triggers.
1. The Bedding "Dynasty"
“It’s a bit unsettling, but your mattress is likely home to millions of microscopic dust mites. They love the warmth and humidity of a bed. You won't see them, but you’ll feel them,” Dr. Sandeep Nayar, Principal Director & HOD - Chest & Respiratory Diseases, BLK Max Super Speciality Hospital, told HealthandMe.
The Fix: Don’t just wash your sheets; use hot water (60°C). If you haven't encased your pillows in allergen-proof covers yet, make that your priority this weekend.
2. Moisture is the Enemy
Dr Nayar said mold isn't always a giant green patch. It hides in the "sweat" behind your wallpaper or the damp corners of a bathroom that doesn't vent well. If a room smells even slightly musty, mold spores are likely in the air.
The Tip: Keep your home's humidity below 50 per cent. A simple dehumidifier can sometimes do more for your lungs than an extra dose of medicine.
3. It’s Not Just the Fur
Many people think "hypoallergenic" pets are the cure. It’s actually a protein in pet saliva and skin flakes (dander) that causes the flare-up.
The Reality: Even if you keep the dog off the bed, dander travels on your clothes. HEPA air purifiers are a must-have if you share your home with a furry friend.
4. The "Clean" Smell Myth
That "fresh lemon" scent or your favorite scented candle? Those are Volatile Organic Compounds (VOCs). To a sensitive lung, those chemicals are irritants, not cleaners.
The Switch: Move toward fragrance-free products. If a cleaning spray makes you cough, your body is telling you everything you need to know.
5. Urban Uninvited Guests
In cities, cockroach droppings are a massive, often ignored asthma trigger. Their proteins mix with household dust and get kicked up every time you walk across the floor.
The Strategy: Seal the cracks in your walls and keep the kitchen bone-dry.
Other asthma triggers include dust mites, pet dander, indoor smoke, and strong cleaning agents that can worsen symptoms over time
Dr. Manisha Mendiratta, Director & Head - Pulmonology, Sarvodaya Hospital, Faridabad, told HealthandMe that the key is prevention through simple, consistent habits. To make a meaningful difference, the expert urged people to
“Most importantly, patients should identify their personal triggers and act early, because managing their indoor environment is just as critical as managing their medication,” added Dr. Mendiratta.
Credit: Canva
Cancer is a complex disease, and its diagnosis often involves multiple tests, procedures, and high costs. Patients frequently undergo several blood draws and investigations before a clear result is reached.
Now, a revolutionary new low-cost test has shown promise in detecting multiple cancers using just a single blood sample.
Beyond cancer detection, the test may also help identify various liver conditions and organ abnormalities by analyzing DNA fragments circulating in the bloodstream.
The test, developed by scientists at the University of California, Los Angeles, is known as MethylScan. The novel test works by analyzing cell-free DNA, tiny fragments of genetic material released into the blood when cells die.
In early tests, MethylScan detected about 63 per cent of cancers across all stages and roughly 55 per cent of early-stage cancers.
The test, described in the journal Proceedings of the National Academy of Sciences, could offer a powerful and more affordable approach to early disease detection and comprehensive health monitoring.
“Early detection is crucial,” said Dr. Jasmine Zhou, Professor of Pathology at UCLA Health.
“Survival rates are far higher when cancers are caught before they spread. If you detect cancer at stage one, outcomes are dramatically better than at stage four,” Dr Zhou added.
MethylScan studies DNA methylation—chemical tags on DNA that reflect tissue health and can change when disease develops.
Since most circulating DNA comes from healthy cells, advanced machine learning is used to identify subtle disease signals.
In the study, MethylScan analyzed blood samples from 1,061 people, including patients with liver, lung, ovarian, and stomach cancers.
For multi-cancer detection, the test achieved a high level of overall accuracy. At a specificity of 98 per cent, meaning few false positives, it detected about 63 per cent of cancers across all stages and roughly 55 per cent of early-stage cancers.
The test also performed well in liver cancer surveillance among high-risk individuals, including those with liver cirrhosis or HBV. It detected nearly 80 per cent of cases at a specificity of just over 90 per cent, meaning a less than 10 per cent false positive rate.
The blood test could also distinguish between different types of liver disease, including viral hepatitis and metabolic-associated liver disease. It correctly classified about 85 per cent of patients, suggesting blood-based DNA testing could reduce the need for invasive liver biopsies.
In addition, the researchers noted that MethylScan can work like a health radar for the body. By reading DNA signals in the blood, it can tell when specific organs, such as the liver or lungs, are under stress or damaged, even without knowing the disease in advance.
“This study demonstrates that blood-based methylation profiling can deliver clinically meaningful information across multiple diseases,” said Zhou. “It’s an exciting advancement that brings us closer to realizing the dream of a single assay for universal disease detection.”
Understanding your dandruff type helps you move away from trial and error and choose more targeted scalp care. (Photo credit: AI generated)
Most people assume dandruff simply means white flakes. In clinical practice, however, we commonly see two different patterns—oily dandruff and dry dandruff. Both can cause flaking and itching, but the scalp environment, type of flakes, and recurrence pattern can differ significantly. Understanding which type you have helps in choosing the right scalp care. Using random shampoos without understanding your scalp often provides only temporary relief, and the flakes keep returning.
Dr Ankur Sarin, Dermatologist at Sarin Wellness and Co-founder, sarinskin.com, in an interview with Health and Me, explained the differences and management approaches.
Dandruff is a common scalp condition linked to an imbalance involving a naturally occurring yeast called Malassezia. This organism lives on most human scalps and feeds on sebum, the natural oil produced by the scalp.
In some individuals, the scalp becomes sensitive to the by-products produced when this yeast breaks down sebum. This irritation can lead to inflammation and faster turnover of skin cells.
Normally, scalp skin sheds invisibly. However, when cell turnover speeds up, these cells accumulate and appear as visible flakes. Mild itching, irritation, and redness can also occur. The amount of oil present on the scalp often influences how dandruff appears, which is why the condition can show up as either oily or dry flaking.
What It Looks Like: Oily dandruff usually appears as yellowish or off-white flakes that look slightly sticky or clumped together. These flakes often stick to the scalp or nails rather than falling freely on clothing.
What It Feels Like: The scalp may feel greasy within one or two days after washing. Itching is usually persistent but moderate. Some people may also notice mild redness.
Excess sebum creates a favourable environment for Malassezia yeast to grow more actively. Factors that can worsen oily dandruff include:
Simply washing more often or using cosmetic shampoos may remove surface oil temporarily, but they do not control yeast growth, so flakes tend to return quickly.
Dry dandruff is often confused with simple scalp dryness caused by cold weather, harsh shampoos, or over-washing. However, recurrent fine flaking is still frequently associated with Malassezia-related irritation, even if the scalp does not feel very oily. This means that simply increasing oiling or switching to moisturising shampoos may improve comfort but may not completely resolve the flaking.
The key difference between oily and dry dandruff lies in scalp oil levels and flake texture.
Many regular shampoos simply cleanse the hair. They may wash away flakes temporarily but do not treat the underlying microbial imbalance. For better control, it helps to look for clinically studied antifungal ingredients. One such ingredient is piroctone olamine, which helps reduce the growth of dandruff-associated yeast.
Consistent use helps maintain scalp balance and reduce recurrence.
A few simple observations can help:
A simple home check is to press a small strip of butter paper on the scalp parting. If it quickly shows oil marks, your scalp may lean towards the oily side.
The Takeaway
Checking the ingredient list and using shampoos with proven antifungal ingredients regularly can help maintain long-term scalp health. Consistency matters — because dandruff is a recurring condition that needs ongoing scalp care, not a one-time fix.
© 2024 Bennett, Coleman & Company Limited