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青少年 1 型糖尿病患者的急性高血糖与空间工作记忆。

Acute Hyperglycemia and Spatial Working Memory in Adolescents With Type 1 Diabetes.

机构信息

UMC-University Children's Hospital Ljubljana, Ljubljana, Slovenia.

Faculty of Medicine, University of Ljubljana, Ljubljana, Slovenia.

出版信息

Diabetes Care. 2020 Aug;43(8):1941-1944. doi: 10.2337/dc20-0171. Epub 2020 May 29.

DOI:10.2337/dc20-0171
PMID:32471909
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7372055/
Abstract

OBJECTIVE

To investigate the effect of acute hyperglycemia on brain function in adolescents with type 1 diabetes (T1D).

RESEARCH DESIGN AND METHODS

Twenty participants with T1D (aged 14.64 ± 1.78 years) and 20 age-matched healthy control subjects (aged 14.40 ± 2.82 years) performed two functional MRI sessions. Participants with T1D performed the first scanning session under euglycemic and the second under hyperglycemic clamp (20 mmol/L [360 mg/dL]).

RESULTS

Lower spatial working memory (sWM) capacity during acute hyperglycemia and significant differences in activation of regions of interest during different stages of the sWM task ( = 0.014) were observed.

CONCLUSIONS

Acute hyperglycemia negatively affected sWM capacity in adolescents with T1D, which is relevant for daily functioning and academic performance.

摘要

目的

研究急性高血糖对 1 型糖尿病(T1D)青少年脑功能的影响。

研究设计和方法

20 名 T1D 参与者(年龄 14.64 ± 1.78 岁)和 20 名年龄匹配的健康对照者(年龄 14.40 ± 2.82 岁)进行了两次功能磁共振成像(fMRI)扫描。T1D 参与者在正常血糖和高血糖钳夹(20 mmol/L [360 mg/dL])下进行了第一次扫描。

结果

在急性高血糖期间,空间工作记忆(sWM)能力降低,在 sWM 任务的不同阶段,感兴趣区域的激活存在显著差异( = 0.014)。

结论

急性高血糖对 T1D 青少年的 sWM 能力产生负面影响,这与日常功能和学业表现相关。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29d8/7372055/45daec49c901/dc200171f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29d8/7372055/45daec49c901/dc200171f1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/29d8/7372055/45daec49c901/dc200171f1.jpg

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