Type2 Diabetes Clinical Trial
Official title:
KETOCOGNITION - Effects of Ketone Bodies on Cognition in Type 2 Diabetes
Diabetes negatively affects cognition and increases the risk of developing overt dementia.
Decreased cerebral glucose metabolism may be contributing to this effect, thus providing a
glucose substitute using ketone bodies might improve neuronal function.
In this study the investigators propose to provide quantitative results on cognitive
performance during acute hyperketonemia in patients with type 2 diabetes.
It has been proposed that hypometabolism in the brain contributes to the neuropathology that
leads to Alzheimer's disease (AD). Additionally cognitive disturbances in patients with AD
are associated with and paralleled by a decrease in cerebral glucose metabolism. This AD-like
reduction in cerebral metabolism has also been associated with insulin-resistance, and may
contribute to one of the links between diabetes and AD. Therefore manipulating
neuro-energetics by providing a glucose substitute seems to be a means of improving neuronal
function.
Here the investigators will examine the effect of ketone bodies on cognitive performance in
patients with type 2 diabetes by a randomized cross-over trial. Each subject will meet for
two experimental visits separated by 2-6 weeks. During the two visit days subjects will, in a
randomized order, receive ketone bodies (β-hydroxybutyrate) or placebo (saline)
intravenously. On both test days plasma glucose levels will be clamped. After glucose levels
have been stabilized cognitive performance will be assessed by a battery of validated
cognitive tests.
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