To synthesize current evidence on the relationship between diabetes mellitus (DM) and ten clinically important neurological disorders.
Approach:
Key Findings:
DM is implicated as a modifier of risk, phenotype, and prognosis across various neurological disorders.
Diabetes-related peripheral neuropathy affects approximately 50% of diagnosed individuals.
DM is associated with increased risk of Alzheimer’s disease, Parkinson’s disease, and inflammatory peripheral neuropathies.
A neuroprotective role of DM has been suggested in amyotrophic lateral sclerosis.
Mechanisms linking DM to neurological disorders include insulin resistance, inflammation, and disrupted energy homeostasis.
Interpretation:
Understanding the interplay between metabolic dysfunction, neurodegeneration, and neuro-immune pathways is crucial for the relationship between DM and neurological diseases.
Limitations:
Limited early detection and disease-modifying therapies for many neurological syndromes.
The complexity of diabetes-associated neurobiology necessitates a comparative framework.
More comprehensive studies are needed to fully understand the complexities of diabetes-associated neurobiology.
Conclusion:
Understanding the relationship between DM and neurological disorders may inform prevention strategies and therapeutic interventions, emphasizing the mechanisms involved.