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Contrary to expectations, abnormalities in blood lipid levels may not be directly linked to cognitive decline in individuals with DM. This concept was explored in a new study published in the Journal of Diabetes & Metabolic Disorders.

The cross-sectional study included 365 adults with DM aged 18 years and above. Cognitive function was evaluated using the Montreal Cognitive Assessment (MoCA) scale, with scores below 21 indicating impairment. Logistic regression models, adjusted for confounding variables, were used to analyze lipid parameters total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides (TG).

Overall, 67.9% of participants exhibited cognitive impairment, while 70.4% had elevated LDL levels and 42.5% had low HDL. However, no statistically significant associations were observed between any lipid fraction and cognitive performance, even when analyses were stratified by sex.

Further longitudinal studies are necessary to clarify the long-term impact of dyslipidemia on cognitive health in diabetic populations and to uncover other potential contributing factors.

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Key highlights
  • In adults with diabetes mellitus (DM), total cholesterol (TC), low-density lipoprotein (LDL), high-density lipoprotein (HDL), and triglycerides (TG) showed no significant association with cognitive impairment.
  • Cognitive function, measured by the Montreal Cognitive Assessment (MoCA), revealed impairment in 67.9% of participants.
  • The findings highlight the need for longitudinal studies to clarify long-term risk factors for DM-related cognitive decline.
Source

Bernardes, P.R.A.A., Quadra, M.R., Schäfer, A.A. et al. Blood lipids and cognitive function in individuals with diabetes mellitus: a sex-stratified analysis. J Diabetes Metab Disord 24, 252 (2025). https://doi.org/10.1007/s40200-025-01769-4 

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What Role Do Lipids Truly Play in Diabetes-Related Cognitive Decline?
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Cross-sectional study finds cholesterol and triglyceride levels not associated with cognitive impairment in adults with diabetes

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