Type 2 & other diabetes

Altered brain function and structure in youth-onset type 2 diabetes

Eur J EndocrinolPublished Cross-sectional study

Authors' conclusion

Y-T2D is associated with distinct alterations in brain function and structure, providing evidence of potentially compromised brain health in this clinical population.

Study context

Population
Young adults with Y-T2D (mean age 25.0 ± 7.2 years, diabetes duration 6.5 ± 6.7 years) and peers with obesity alone (age 19 ± 1.6 years) or healthy weight (age 22.9 ± 4.1 years)
Participants
40 adults
Exposure
Youth-onset T2D vs obesity alone vs healthy weight
  • Y-T2Dn = 12
  • OBn = 8reference
  • Healthy weight (HW)n = 20reference
Outcome
Brain function (functional connectivity, seed-to-voxel analysis) and structure (GM volume) on MRI

Main finding

As reported in the abstract

  • Stronger functional connectivity between salience network and default mode network in Y-T2D vs both OB and HW
  • Reduced gray matter (GM) volume in regions associated with executive functioning, language and visual processing in Y-T2D vs OB and HW
  • Y-T2D vs OB: P < 0.05
  • Y-T2D vs HW: P < 0.05
  • Y-T2D vs OB: P < 0.001
  • Y-T2D vs HW: P < 0.001

Observational data: associations, not effects.

Original publication

Altered brain function and structure in youth-onset type 2 diabetes. Eur J Endocrinol. Published 8 May 2025. doi:10.1093/ejendo/lvaf098

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