http://www.newscientist.com/article/mg22029452.300-if-diabetes-causes-alzheimers-we-can-beat-it.html?cmpid=RSS%7CNSNS%7C2012-GLOBAL%7Cmagcontents
If diabetes causes Alzheimer's, we can beat it - health - 28 November 2013
- New Scientist

*Evidence is growing that Alzheimer's could actually be a late stage of
type 2 diabetes – if it is, we all have another big reason to live
healthier lives*

JUST over 100 years ago, German pathologist Alois Alzheimer dissected the
brain of a 57-year-old woman who had died, demented, in a hospital in
Kassel. He found tangles of strange fibrous deposits that seemed to have
destroyed her brain from within.

Today, the disease that bears his name is a bogeyman stalking our ageing
societies. About 35 million people have Alzheimer's; most of them require
expensive, exhausting care. By 2050 that number is expected to triple. We
still don't really know what causes the disease or how it destroys the
brain. There is no way to prevent it and no cure. Dealing with the epidemic
will cost trillions.

All it not lost, however. We could be in the midst of a rethink that
promises to banish the bogeyman. There is growing evidence that Alzheimer's
is actually a late stage of another disease, type 2 diabetes. The link
between the two has been noted for a few
years<http://article/mg21528805.800-food-for-thought-eat-your-way-to-dementia.html>and
though it remains a hypothesis, the evidence is growing (see "Are
Alzheimer's and diabetes the same
disease?<http://article/mg22029453.400-are-alzheimers-and-diabetes-the-same-disease.html>
").

At first glance that sounds like bad news. If the Alzheimer's epidemic is
scary, the type 2 diabetes one is truly terrifying. About 270 million
people have type 2 diabetes already and their ranks are swelling rapidly –
among them adolescents and young adults. If they are destined to progress
to Alzheimer's disease, the future looks bleak.

Or perhaps not. Type 2 diabetes is largely a lifestyle disease, caused by
obesity, poor diet and lack of exercise. It can be prevented, alleviated
and even cured by lifestyle changes, which holds out the hope that we could
start to deal with Alzheimer's in a similar way.

Experience tells us, of course, that exhorting people to eat better and
exercise more often falls on deaf ears. But with obesity rates levelling
off in some parts of the world and falling slightly in others, there is
some evidence that the message is getting through.

If the link between diabetes and Alzheimer's is firmed up, there will be
even more reason to take heed – and even more reason to keep banging the
public health drum. Good news comes in many guises. The possibility that
Alzheimer's is "just" diabetes is one of them.

*This article appeared in print under the headline "Banish the bogeyman"*

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