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Prediabetes exists when blood sugar levels are higher than optimal but not yet high enough for the patient to be medically diagnosed with diabetes. Unfortunately, millions of Americans younger than age 60 have prediabetes — and many aren’t even aware.

“Prediabetes is associated with dementia risk, but this risk is explained by the development of diabetes,” said authors Elizabeth Selvin, a professor of epidemiology, and Jiaqi Hu, a doctoral student, in a news statement. They are both at the Johns Hopkins Bloomberg School of Public Health in Baltimore.

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People in the study who developed type 2 diabetes before the age of 60 had three times the risk of dementia later in life compared with those who did not have type 2 diabetes before age 60, the study found. If prediabetes progressed to type 2 diabetes between the ages of 60 to 69, the risk dropped, but only by a few points.

“We all have transient spikes in our blood glucose. It goes up, then down,” said Dr. Andrew Freeman, director of cardiovascular prevention and wellness at National Jewish Health in Denver. He was not involved with the study.

“But if you look at ‘glucose years’ to determine how high is your glucose and for how long, then you begin to seecumulative damage,” Freeman said. “And the earlier you’re exposed, the greater the level of cumulative damage.”

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“There was a strong association of prediabetes with dementia but this association was only present among people who developed diabetes,” Selvin told 【 - Free Real-Time Market Predictions 】 in an email. “This finding suggests that preventing progression from prediabetes to diabetes could help prevent dementia in older age.”

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“I’ve been screaming this from the rooftops for over a decade,” said Isaacson, who was not involved in the study, via email. “If this study gets people to actually take action when a ‘borderline diabetes’ or prediabetes diagnosis is given, that will certainly improve brain health outcomes.”

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Even worse, nearly 1 in 5 adolescents ages 12 to 18 and 1 in 4 young adults ages 19 to 34 are living with prediabetes,the CDC said.

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“Diabetes raises the risk of heart disease and stroke, which hurt the heart and blood vessels. Damaged blood vessels in the brain may contribute to cognitive decline,”according to the Alzheimer’s Association.

In addition, high blood sugar causes inflammation, which could damage brain cells, the association said. Even people in the early stages of type 2 diabetes show signs of dysfunction in the brain.

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Prediabetes is known as a silent predator, developing and progressing without any obvious symptoms. There are risk factors, however.

You are at higher risk for prediabetes if you are overweight, over the age of 44, exercise less than three times a week, have a parent or sibling with type 2 diabetes, have had diabetes during pregnancy or have given birth to a child over 9 pounds (4 kilograms), according to the CDC.

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