Internist Questions Type II Diabetes

Alzheimer's tied to Type 2 Diabetes?

Is this true and does being Type 2 increase your chance to get it? It is very prevalent in my family. Most of my aunts had it, and my dad and his one brother, for sure, had it also. Rest of them died from aneurisms, strokes or heart attacks. Besides exercise and diet what else can be done? I have already had a stroke due to High BP. Thank you for your ideas and help.

Female | 65 years old
Complaint duration: 21 years 4 months.
Medications: Metropolis, losartan Hydralazine, sertraline, HCTZ etc.

3 Answers

I don't recall I have read that there is a relationship of Alzheimer's and type 2 diabetes. It may be for research purposes and few case studies.
Keeping your HbA1c below 6.5 is the best course.
Yes, studies have shown that patients with type 2 diabetes, especially poorly controlled, will have higher risk of developing dementia. Control your diabetes with lifestyle modifications such as diet, exercise and proper medications can reduce the risk of dementia cause by diabetes. Now, with that said, dementia can be caused by many other etiology - Alzheimer’s is one of them. With strong family history of dementia, you should work with your doctor to rule out any other possible causes.
Yes. Diabetes is a risk factor for dementia.
Also we have to consider multi infarct dementia caused by small vessel strokes in diabetes. So all cases of dementia are not Alzheimer’s
Blood pressure and blood sugar control is very important to prevent