According to the scientists, it could be worthwhile to prioritize these drugs for future repurposing research.
According to a long-term study recently published in the open-access journal BMJ Open Diabetes Research & Care, using the diabetes drug known as glitazones is associated with a 22% lower risk of dementia. Glitazones are often known as thiazolidinediones or TZDs for short and are an older class of type 2 diabetes drugs.
According to the researchers, these drugs may effectively prevent dementia in high-risk individuals with mild to moderate type 2 diabetes, and it may now be worthwhile to give them priority in future clinical trials to determine whether they can be repurposed.
Researchers have begun to investigate whether diabetes drugs could potentially help prevent or cure dementia since type 2 diabetes and dementia share several physiological patterns. However, the results have been inconsistent thus far.
The researchers compared the incidence of dementia in older adults with type 2 diabetes who were receiving either sulfonylurea or thiazolidinedione (TZD) with those receiving metformin alone in order to shed further light on this.
They used data from 559,106 individuals with type 2 diabetes who had been diagnosed in the national Veteran Affairs (VA) Health System between January 2000 and December 2019.
Only older patients (aged at least 60) and given a first prescription of metformin, a sulfonylurea (tolbutamide, glimepiride, glipizide, or glyburide), or a TZD (rosiglitazone or pioglitazone) between January 2001 and December 2017 were included (559,106) in the study. Their health was tracked for an average of nearly 8 years.
After at least 1 year of drug treatment, the use of a TZD alone was associated with a 22% lower risk of dementia from any cause, compared with the use of metformin alone.
Specifically, it was associated with an 11% lower risk of Alzheimer’s disease and a 57% lower risk of vascular dementia. Given that vascular diseases increase the risk of Alzheimer’s disease, TZDs may also help to reduce dementia and Alzheimer’s disease in part through their favorable effects on the vascular system, say the researchers.
While the risk of dementia from any cause was 11% lower for the use of metformin and TZD combined, it was 12% higher for the use of a sulfonylurea drug alone, prompting the researchers to suggest that supplementing a sulfonylurea with either metformin or a TZD may partially offset these effects.
Further in-depth analysis indicated that those younger than 75 benefited more from a TZD than older patients, highlighting the importance of early prevention for dementia, note the researchers. And these drugs also seemed to be more protective in overweight or obese patients.
This is an observational study, so definitive conclusions can’t be drawn about cause and effect. And the researchers acknowledge that certain potentially influential information wasn’t available, including kidney function and genetic factors, and that study participants were predominantly male and White.
But they suggest that future studies for repurposing diabetes drugs for dementia prevention might want to consider prioritizing TZDs, based on their findings.
And they conclude: “These findings may help inform medication selection for [older] patients with [type 2 diabetes] at high risk of dementia.”
Reference: “Use of oral diabetes medications and the risk of incident dementia in US veterans aged ≥60 years with type 2 diabetes” by Xin Tang, Roberta Diaz Brinton, Zhao Chen, Leslie V. Farland, Yann Klimentidis, Raymond Migrino, Peter Reaven, Kathleen Rodgers and Jin J Zhou, 11 October 2022, BMJ Open Diabetes Research & Care.
The study was funded by the National Human Genome Research Institute, the National Science Foundation, the National Institute of Diabetes and Digestive and Kidney Disease, and the National Heart, Lung, and Blood Institute.
When the roll is calling I will be there yes my diabetes has been treated with metformin-dopamine too healed me…Yeah waiting to regrow turn upside down like a car dealer…see supply chain said status is in transit philosophus later goodbye
Blood sugar control decreases the risk of dementia.
You make zero sense silly giy
MMR VAX GIVES CHIKDREN TYPE 1 DIABETES. IT WAS ENGINEERED ON DOGS FIRST THEN TO HUMAN DISEASE..WILEY/BLACKWELL VACCINES& AUTOIMMUNITY BUY THE BOOK. IT EXPOSES WHAT SCIENTIST HAVE BEEN CONDITIONED TO SAY. WE HAVE BEEN LIED TO SO THESE SOCIOPATHS CAN MAKE TRILLUONS OFF OF PEOPKES SUFFERING. HEARD OF THE CESTUI QUE VIE 1666 ACT. UNCLAIMED SECURITIES BY WE THE PEOPKE. SO THE POLITICAL PARTIES KNOW OF FAKE VOTING, THE SIGNATURE ALLIWS THEM TO TAP YOUR SECURITIES WITHOUT YOUR CONSENT IS FRAUD, SECURITIES FRAUD, CSPITAL FELONIES. SAME WHEN YOUE TER COURT, THEY ARE TAPPI G YOUR SECURITIES WITHOUT YOUR KNOWLEDGE OR COBSENT. OUR SYSTEM RUNS ON SECURITIES NOT DOLLARS. LOL
I have no dough the scientist, government or any one else for that matters has there fingers in this to make some money off of us. Everyone is money hungry & will steal the shirt off your back without a flinch. That’s how people are now a days. They don’t care who there going to hurt.
Comments are not very helpful other than to remind us of the obnoxious natur of all cap missives.
Keep drinking the KoolAid Jack,as you are obviously completely Tonto
One wonders what some folks feel about running a spell check before posting comments. That aside, I worry less about some cabal tapping our “securities” and more about actual pharmaceutical companies repackaging insulins in indestructible, non-reusable yet patented injectors that can go for $1000.00 per month or more. Insulin was discovered in 1922 and given to the world by it’s founders. They weren’t looking for a profit. This munificence is all the more impressive when placed next to the avaricious examples of the pharma companies of today.
Well hello being a female 68 with type 2 diabetes using metformin only once a day my doctor took me off the other meds but I do belive the meds have to do with dementia I feel everyday now that I’m older if I thought there was something out there to help control it omg i would be so grateful this is my opinion this is no joke I hate not remembering things from a min ago or yesterday
My doctor does only what he has to,the routine is bs,bp, metformin and this is it ,they only follow what the previous doc,has started, I quit the meds, I can help myself better.