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
Vaccines are like insurance; they’re important for health as well as safe to take, said Dr NK Arora, the former Chairperson and currently a member of the National Technical Advisory Group on Immunization, NTAGI.
NTAGI is the highest advisory body on immunization in the country, which consists of independent experts who provide recommendations on vaccines after reviewing data on disease burden, efficacy, and cost-effectiveness of vaccines.
As part of the ongoing World Immunization Week, Dr. Arora, the Executive Director of The INCLEN Trust International, spoke in an exclusive interview with HealthandMe on the importance of vaccines.
Comparing vaccines to insurance, Dr Arora highlighted the importance of immunization for both the young and the elderly. He emphasized that vaccines provide preventive protection against serious diseases, much like insurance offers financial security before a crisis occurs. He also underlined that timely immunization across all age groups is essential to reduce disease burden, prevent outbreaks, and ensure long-term public health safety.
“What I will say is that vaccination is like insurance. This is insurance for our health. And so it ensures the health of our children, ensures the health of our women, and pregnant women. It will ensure the health of our adolescents where the vaccination is going on,” said the expert.
The expert also urged people not to waste their time with anti-vaccine rumors and noted that vaccines, approved and given in the public health system, are safe and free of cost. These are initiated only after rigorous trials.
“Please do not hesitate to take the vaccine,” he said, adding that “vaccines are developed after extensive studies, both before it is first used in human beings and then again in human beings. And safety is something of paramount importance”.
He said people must get a vaccine, not when sick, but when we are in good health, and importantly urged the need to dispel myths around vaccines.
“I would like to assure all my readers that all the vaccines which are approved and given in the public health system are safe. Occasionally, you will hear some misinformation, some rumor, and this needs to be dispelled. If you are not very sure, please contact your physician, the nearest physician who looks after you and your family, and get clarifications from them. Rather than putting your weight on social media news and hearsay from neighbors and others, please get it. But I again assure you that all the vaccines available in India today are very safe”.
World Immunization Week is observed every year from April 24 to 30. The theme for 2026 is ‘For Every Generation, Vaccines Work.’
According to the WHO, vaccines have saved more than 150 million lives over the past 50 years.
"That’s 6 lives every minute, every day, for more than 5 decades," the WHO said.
Currently, more than 30 life-threatening diseases and infections are prevented by vaccines.
However, 20 million children missed at least one vaccine dose in 2024, leaving far too many at risk of preventable disease.
In India, vaccines have played a significant role in improving public health. The country's immunization campaigns have been key to eradicating polio and smallpox. It has also eliminated yaws and maternal and neonatal tetanus in India. In addition, child mortality rates, measles-rubella, and tuberculosis have also been considerably reduced.
As per an official government statement, full immunization coverage has risen from 62 per cent in 2015 to 98.4 per cent in January 2026.
The percentage of zero-dose children to the total population has declined from 0.11 per cent in 2023 to 0.06 per cent in 2024.
However, gaps remain in child vaccination. These include:
Only 76.4 per cent of children (12–23 months) are fully vaccinated (NFHS-5)
India accounts for 6.4 per cent of global zero-dose children and 49.2 per cent in South Asia.
In 2024, 909,000 children remained unvaccinated, while 454,000 were partially vaccinated.
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In a shocking case highlighting delayed diagnosis, a UK-based man visited doctors 24 times in a year for persistent back and leg pain but was repeatedly dismissed. He died just 12 days after being diagnosed with cancer.
The symptoms of 61-year-old Nigel began with lower back and leg pain. As the cancer spread across his body, he suffered from indigestion and severe weight loss. His doctors ignored his symptoms and could not even pinpoint the exact cancer till his death.
It was only a week after his death that the doctors were able to find that Nigel had pancreatic cancer — a type of cancer that often goes undiagnosed due to a lack of early detection tests, said his wife, Liv Williams, writing in an essay for Metro.co.uk.
“Nigel saw a healthcare professional 24 times, and even then, we didn't know it was pancreatic cancer. If something like the breath test had been available, maybe Nigel could have had treatment to give him more time with us,” Liv explained.
Also read: Former US Senator Ben Sasse Opens Up About Battle With Terminal Stage 4 Pancreatic Cancer
Nigel, a father of three, began experiencing lower back and leg pain in early 2023. Liv said that his primary care doctor referred him to a physiotherapist, but the wait took months and his condition worsened. He also developed serious indigestion.
“From March to June, Nigel sought medical advice, and each time he was sent away, either empty-handed or with medication for pain or indigestion,” she said.
Thinking the pain must be related to a spinal issue, the family paid out-of-pocket for an MRI. The lumbar spine MRI scan revealed nothing.
"But what is it then?, we asked in frustration numerous times; always to be told it would get better on its own," Liv wrote in the essay.
By July, Nigel could not stand the pain, and Liv was forced to take him to the Emergency Room (ER).
“His painful leg was getting thinner and thinner, like it was wasting away, and the pain was unbearable,” she said. Nigel lost significant weight, struggled to eat, relied on crutches, and could not sleep due to constant pain.

“Just before Christmas, I demanded a blood test from his GP – but three weeks later, a few days before the scheduled tests, Nigel couldn't urinate, which left him in agony,” she added. A visit to the ER was unfruitful as they had to rush back due to his pain.
The next time they visited the hospital, Nigel "screamed with pain", and seeing this, "a nurse promptly set him up on a bed with an IV".
The next day, the doctors informed Liv that Nigel had cancer. But as it had metastasized so much that his doctors could not pinpoint the exact cancer.
In just 12 days on February 9, 2024, Nigel died surrounded by his family.
What Is Pancreatic Cancer? Know The Warning Signs
Pancreatic cancer has long been one of the toughest challenges in oncology. With a five-year survival rate hovering around 13 percent and recurrence rates approaching 80 percent after treatment, the odds have historically been stacked against patients.
The prevention and early detection remain vital.
Experts warn that pancreatic cancer often masquerades as common ailments, delaying diagnosis. Here are some early symptoms that should never be ignored:
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Kidneys are extraordinary organs that perform critical tasks on a continual basis, e.g., filtering out waste, keeping electrolytes balanced, controlling blood pressure, and providing metabolic stability.
However, many people don’t pay enough attention to keeping their kidneys healthy until they discover that substantial damage has already happened.
Some of the most prevalent and underestimated threats to kidney functioning include uncontrolled blood pressure, chronic anxiety, and unhealthy living.
Hypertension (high blood pressure) is considered one of the most prevalent causes of CKD (chronic kidney disease) worldwide.
The kidneys need the support of a complicated design of tiny blood vessels to carry out their task of removing waste from the bloodstream. An ongoing and increased blood pressure level will slowly harm these small blood vessels by reducing their ability to function normally. As time passes, this injury will result in scar formation of the kidney tissue, causing a continual decline in the kidney’s ability to filter.
Hypertension is known as a silent killer because it frequently has no symptoms for many years. By the time someone experiences symptoms of high blood pressure, their kidneys may have already been damaged for a considerable period.
Chronic stress is often overlooked as an indirect cause of kidney damage. When we are under chronic stress, our sympathetic nervous system is activated, and the amount of stress hormones (cortisol and adrenaline) in our bodies increases.
These physiological changes lead to prolonged increases in blood pressure and blood glucose; both of these risk factors are bad for our kidneys. Chronic stress may cause people to engage in unhealthy coping strategies like poor diet, smoking, consuming alcohol, or not being physically active, which also increases their risk of kidney damage.
Our long-term kidney function is largely determined by lifestyle choices, including our dietary habits. Diets high in sodium, processed foods, and unhealthy fats increase the probability that you will develop hypertension, metabolic disorders, or some combination of both of these, which puts even more strain on your kidneys.
The sedentary lifestyle associated with obesity, insulin resistance, and cardiovascular disease are all significant contributors to chronic kidney disease. Dehydration, taking large amounts of over-the-counter medications (especially NSAIDs), and using tobacco products are all additional risk factors for progressive loss of kidney function.
Many of these risk factors can be addressed through prevention.
Regular monitoring of blood pressure, using mindfulness and other methods to manage stress levels, and maintaining a healthy diet full of fruits, vegetables, and whole grains will all help to reduce the strain on your kidneys.
Regular health screenings for people who have some of the above-mentioned risk factors (e.g., diabetes, high blood pressure, etc.) will give people an opportunity to identify problems early, giving them time to adjust their lifestyle or possibly seek some other type of treatment (e.g., taking medication).
Gaining and maintaining awareness of what contributes to the health of the kidneys can help protect the kidneys.
Gaining awareness of and taking action against hidden risks, such as high blood pressure or chronic stress, and making positive changes to your lifestyle will help maintain kidney function and minimize the likelihood of developing long-term complications in the future.
Early intervention is the most effective method for protecting the health of your kidneys.
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