PMID- 31199776 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210215 IS - 2191-0200 (Electronic) IS - 0334-1763 (Linking) VI - 30 IP - 7 DP - 2019 Oct 25 TI - Pathological and cognitive changes in patients with type 2 diabetes mellitus and comorbid MCI and protective hypoglycemic therapies: a narrative review. PG - 757-770 LID - 10.1515/revneuro-2018-0083 [doi] AB - Type 2 diabetes mellitus (T2DM) is becoming a significant health issue worldwide. Many studies support the hypothesis that patients with T2DM have a higher-than-expected incidence of mild cognitive impairment (MCI) than individuals without diabetes. Based on the results from recent studies, MCI might be associated with the effects of T2DM on glucose metabolism and brain atrophy. As a narrative review, we will illuminate pathological and cognitive changes in patients with T2DM and comorbid MCI and protective hypoglycemic therapies. The early abnormal signs of cognition must be elucidated, and extensive investigations are needed to develop improved therapies for use in the clinic. CI - (c) 2019 Walter de Gruyter GmbH, Berlin/Boston. FAU - Zhang, Xiao AU - Zhang X AD - The First Affiliated Hospital of Dalian Medical University, Dalian 116000, P.R. China. FAU - Huang-Fu, Zhao AU - Huang-Fu Z AD - The Second Affiliated Hospital of Dalian Medical University, Dalian 116027, P.R. China. FAU - Lang, Xing-Ying AU - Lang XY AD - Dalian Center for Disease Control and Prevention, Dalian 116021, P.R. China. FAU - Chun, Pu AU - Chun P AD - Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian 16044, P.R. China. FAU - Chi, Yan-Yan AU - Chi YY AD - Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian 16044, P.R. China. FAU - Yuan, Xiao-Ying AU - Yuan XY AD - Department of Anatomy, College of Basic Medicine, Dalian Medical University, Dalian 16044, P.R. China. FAU - Wang, Xu-Gang AU - Wang XG AD - Department of Neurology, The Second Affiliated Hospital of Dalian Medical University, Dalian 116027, P.R. China. LA - eng PT - Journal Article DEP - 20190613 PL - Germany TA - Rev Neurosci JT - Reviews in the neurosciences JID - 8711016 SB - IM OTO - NOTNLM OT - cognition OT - hypoglycemic therapy OT - mild cognitive impairment OT - pathology OT - type 2 diabetes mellitus EDAT- 2019/06/15 06:00 MHDA- 2019/06/15 06:01 CRDT- 2019/06/15 06:00 PHST- 2018/08/13 00:00 [received] PHST- 2019/01/30 00:00 [accepted] PHST- 2019/06/15 06:00 [pubmed] PHST- 2019/06/15 06:01 [medline] PHST- 2019/06/15 06:00 [entrez] AID - /j/revneuro.ahead-of-print/revneuro-2018-0083/revneuro-2018-0083.xml [pii] AID - 10.1515/revneuro-2018-0083 [doi] PST - epublish SO - Rev Neurosci. 2019 Jun 13;30(7):757-770. doi: 10.1515/revneuro-2018-0083. Print 2019 Oct 25.