Сахарный диабет и когнитивные нарушения
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Surkova E.V., Tanashyan M.M., Bespalov A.I., Naminov A.V. Diabetes mellitus and cognitive impairment: current understanding of pathogenesis and clinical trial data. Therapeutic Archive. 2019; 91 (10): 112–118. DOI: 10.26442/00403660.2019.10.000362
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Ключевые слова: сахарный диабет, когнитивные нарушения, деменция, болезнь Альцгеймера, антидиабетические препараты, центральная нервная система.
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The review discusses literature data and the results of our own studies on the effect of diabetes on cognitive functions and cerebrovascular pathology, as well as possible ptogenetic mechanisms for the implementation of this effect. The results of studies on the effects of antidiabetic drugs on cognitive function are presented.
Key words: diabetes mellitus, cognitive impairment, dementia, Alzheimer's disease, antidiabetic drugs, central nervous system.
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3. [Zakharov VV, Yakhno NN. Cognitive disorders in the elderly and senile age. Methodical manual for doctors. Moscow, 2005. 71 p. (In Russ.)].
4. [Tanashian MM, Lagoda OV, Orlov SV, et al. Cerebrovascular diseases and metabolic syndrome. Therapeutic Archive. 2013;85(10):34-42 (In Russ.)].
5. Roberts R, Knopman DS. Classification and epidemiology of MCI. Clin Geriatr Med. 2013;29(4):753-72. doi: 10.1016/j.cger.2013.07.003
6. Munshi MN, Medha N. Cognitive dysfunction in older adults with diabetes: what a clinician needs to know. Diabetes Care. 2017 Apr;40(4):461-7. doi: 10.2337/dc16-1229
7. [Tanashyan MM, Lagoda OV, Antonova KV. Metabolic syndrome and cerebrovascular diseases. Akademiya insul'ta. Al'manakh №3. P. 155-64 (In Russ.)].
8. [Sosina VB, Zakharov VV, Strokov IA, Vakhnina NV. Cognitive impairment in diabetes mellitus. Neurology, Neuropsychiatry, Psychosomatics. 2017;9(1):90-5 (In Russ.)]. doi: 10.14412/2074-2711-2017-1-90-95
9. [Piradov MA, Tanashyan MM, Maksimova MYu. Stroke: modern diagnostic and treatment technologies. Moscow: MEDpress-inform, 2018. 3rd ed. 121 p. (In Russ.)].
10. Rajala U, Laakso M, Paivansalo M, et al. Blood pressure and atherosclerotic plaques in carotid, aortic and femoral arteries in elderly Finns with diabetes mellitus or impaired glucose tolerance. J Hum Hypertens. 2005;19:85-91. doi: 10.1038/sj.jhh.1001779
11. Tuttolomondo A, Pinto A, Salemi G, Di Raimondo D, Di Sciacca R, Fernandez P, Licata G. Diabetic and non-diabetic subjects with ischemic stroke: differences, subtype distribution and outcome. Nutrit Metabol Cardiovasc Dis. 2008;18(2):152-7. doi: 10.1016/j.numecd.2007.02.003
12. Papa G, Degano C, Iurato MP, Licciardello C, Maiorana R, Finocchiaro C. Macrovascular complication phenotypes in type 2 diabetic patients. Cardiovasc Diabetol. 2013;12(1):20. doi: 10.1186/1475-2840-12-20
13. [Tanashyan MM, ed. Vascular diseases of the brain and metabolic syndrome. A guide for doctors. Moscow: AST 345, 2017 (In Russ.)].
14. Convit A, Wolf OT, Tarshish C, De Leon MJ. Reduced glucose tolerance is associated with poor memory performance and hippocampal atrophy among normal elderly. Proc Nat Acad Sci. 2003;100(4):2019-22. doi: 10.1073/pnas.0336073100
15. Kissela BM, Khoury J, Kleindorfer D, Woo D, Schneider A, Alwell K, et al. Epidemiology of ischemic stroke in patients with diabetes: the greater Cincinnati/Northern Kentucky Stroke Study. Diabetes Care. 2005;28(2):355-9. doi: 10.2337/diacare.28.2.355
16. Air EL, Kissela BM. Diabetes, the metabolic syndrome, and ischemic stroke: epidemiology and possible mechanisms. Diabetes Care. 2007;30(12):3131-40. doi: 10.2337/dc06-1537
17. Chen R, Ovbiagele B, Feng W. Diabetes and stroke: epidemiology, pathophysiology, pharmaceuticals and outcomes. Am J Med Sci. 2016;351(4):380-6. doi: 10.1016/j.amjms.2016.01.011
18. Hu G, Sarti C, Jousilahti P, Peltonen M, Qiao Q, Antikainen R, Tuomilehto J. The impact of history of hypertension and type 2 diabetes at baseline on the incidence of stroke and stroke mortality. Stroke. 2005;36(12):2538-43. doi: 10.1161/01.STR.0000190894.30964.75
19. Hägg S, Thorn LM, Putaala J, Liebkind R, Harjutsalo V, Forsblom CM, et al, & FinnDiane Study Group. (2013). Incidence of stroke according to presence of diabetic nephropathy and severe diabetic retinopathy in patients with type 1 diabetes. Diabetes Care. 2013;36(12):4140-6. doi: 10.2337/dc13-0669
20. Prospective DU. Study Group. Tight blood pressure control and risk of macrovascular and microvascular complications in type 2 diabetes: UKPDS 38. BMJ. 1998;317(7160):703. doi: 10.1136/bmj.317.7160.703
21. Selvin E, Coresh J, Shahar E, Zhang L, Steffes M, Sharrett AR. Glycaemia (haemoglobin A1c) and incident ischaemic stroke: the Atherosclerosis Risk in Communities (ARIC) Study. Lancet Neurol. 2005;4(12):821-6. doi: 10.1016/S1474-4422(05)70227-1
22. Ramirez A, Wolfsgruber S, Lange C, Kaduszkiewicz H, Weyerer S, Werle J, et al. Elevated HbA 1c is associated with increased risk of incident dementia in primary care patients. J Alzheimer's Dis. 2015;44(4):1203-12. doi: 10.3233/JAD-141521
23. Xu WL, von Strauss E, Qiu CX, Winblad B, Fratiglioni L. Uncontrolled diabetes increases the risk of Alzheimer’s disease: a population-based cohort study. Diabetologia. 2009;52(6):1031. doi: 10.1007/s00125-009-1323-x
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1 ФГБУ «Национальный медицинский исследовательский центр эндокринологии» Минздрава России, Москва, Россия;
2 ФГБНУ «Научный центр неврологии», Москва, Россия
________________________________________________
E.V. Surkova 1, M.M. Tanashyan 2, A.I. Bespalov 1, A.V. Naminov 2
1 Endocrinology Research Centre, Moscow, Russia
2 Research Center of Neurology, Moscow, Russia