5 Ways Brain and Memory Games Benefit Seniors

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Brightstar Care of MSC

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Dec 04, 2023

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Florida - Sarasota, Bradenton & Charlotte Counties , Florida - Southwest

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Cognitive health is something that we tend to take for granted, but it’s what allows us to think clearly, learn, and remember. These are all important in our everyday function, but as we age and our bodies begin to change, our brains change as well. Some parts of the brain, including those used in learning and other complicated mental activities, begin to shrink. Blood flow in the brain may decrease, and communication between neurons may become less effective. Even in healthy older adults, these changes can begin to affect our cognitive function, making us slower to recall names and remember words, causing us to struggle with multitasking and diminishing our ability to pay attention. In people with Alzheimer’s or dementia, this loss of cognitive abilities is progressive.

While there isn’t a cure for cognitive decline yet, studies indicate there may be a link between brain games and improving cognitive abilities. The research may be inconclusive, but more medical experts are recommending brain games to slow down or prevent senior memory loss. Just as physical exercise keeps your body in shape, certain games and puzzles can keep your brain active and healthy.

Five Ways Brain Games and Active Learning Benefit Seniors

Brain games help slow down age-related mental decline.

Many seniors experience an age-related mental decline with slower reaction times, diminished vocabulary and a memory that isn’t as sharp as it used to be. This is all par for the course of living a long, happy life. However, brain games and active learning can help reengage and improve a person’s thinking skills. It’s especially helpful if you vary the games played to promote learning new skills, words or trivia facts.

Brain games help seniors stay connected with loved ones.

Wondering what to do with an aging loved one in your care? Try playing a brain game the whole family can enjoy. Not only will you be giving their brain health a boost, but you’ll also get the chance to connect with your loved one in a meaningful way. You can include a wider network of friends and family by connecting through a video chat app on your smartphone or tablet while playing online brain games.

Brain games can help alleviate senior stress and anxiety.

Finishing a crossword puzzle or playing a board game can help ease feelings of stress or anxiety. Playing games is good for the mind and soul, as it keeps people socially active with friends, family or others in their community. Being more social helps eliminate or reduce the feelings of loneliness or depression many seniors face. Who couldn’t benefit from a boost in their brain health, mood and social skills?

Mastering new skills or games makes seniors feel engaged.

You’re never too old to learn a new skill or master a new game. Finding new hobbies as we age is essential to our mental and physical health. If quilting, gardening or photography aren’t quite your senior loved one’s speed, consider helping them explore a new language through the many learning apps on your smartphone or tablet. You can also try your hand at helping them learn a new brain game. Staying in a routine encourages passive brain participation. If we never push our boundaries and develop new cognitive skills, we may start to feel a disconnect with the world around us.

Learning and playing games will keep you young at heart.

If you want to stay young at heart, the secret is finding new ways to test your cognitive abilities. It’s incredible how games that encourage active learning can make people feel younger and smarter while combating the feelings of boredom, restlessness or isolation plaguing today’s seniors. Whether it’s an online version of Jeopardy! or a simple game of match the cards, you can’t go wrong with games.

Effective Brain Stimulating Games and Activities for Seniors

You may be wondering what’s categorized as a brain game when purchasing gifts for aging loved ones. The truth is that, while just about any game is better than being sedentary and watching television, not every game is effective for slowing cognitive decline. There are a number that allow you to stretch your brain, including:

Chess

A classic game of strategy, chess helps build logical reasoning and problem-solving skills. It may initially seem complicated, but learning how to play can strengthen cognitive function, increasing IQ and focus. Chess can be played in person or online.

Checkers

Recent research indicates that regularly playing checkers is connected to larger brain volume and improved cognitive health. Checkers can help improve hand-eye coordination, increase mental acuity, and alleviate stress. Because you play with other people, it can also help provide positive social interaction.

Scrabble

Scrabble is beneficial for every age group, but particularly for older adults, because it improves memory functions, lowers blood pressure and increases overall general wellbeing. It can be educational, too, because there are sometimes words you and your loved one didn’t previously know.

Word Puzzles

There is evidence to suggest that playing games focused on language(Opens in a new window) may lead to improvements in memory, cognitive speed and verbal learning. These games include crosswords, word searches, anagrams, cryptograms, branded games like Mad Libs and online games like the recently released Wordle.

Playing Cards

Card games help people practice skills like reasoning, problem solving, memory and concentration. Card games can be played with a standard deck of cards or may have cards specific for the game, like Uno.

Matching and Memory Games for Adults

By testing short-term memory and the ability to remember patterns, matching and memory games engage the brain, activating areas related to recall and pattern recognition. Try a card matching game, or a memory game like listing the months of the year in alphabetical order or listing things that start with a certain letter.

Trivia Games

Playing trivia games can be an entertaining experience while also stimulating older adults’ minds. These games can be played as individual or on teams, and the topics and methods of playing can be modified to meet the needs of the people playing. Team trivia and Trivial Pursuit are two examples of fun trivia games.

Brain Stimulating Games for Alzheimer’s and Dementia

There are many treatments in the works for people with Alzheimer’s and/or dementia, including new medication and deep brain stimulation. While these treatments show a lot of promise, science has not yet found a cure for these debilitating conditions. There is evidence to indicate, however, that stimulating the brain using certain games can be helpful.

Recently, research was reviewed on the role of games in dementia care, looking at board games, video games, and virtual reality games. The review concluded that when people in the early and middle stages of dementia played these games, they saw improvement in a variety of cognitive abilities, including short-term memory, reaction time, problem solving, communication and logical reasoning. More research is needed, but there are some games believed to support a wide variety of cognitive skills for people with dementia.
When choosing brain games for adults with dementia, it is important to select games suitable for the individual’s cognitive abilities and preferences, carefully creating simple, familiar and non-frustrating experiences. Examples of games and activities for seniors with dementia include:

Word Puzzles

As stated earlier, games focused on language can improve memory, speed and verbal learning. For people with Alzheimer’s and other forms of dementia, research suggests that playing these games can lead to improvements not only seen through cognitive testing but also through neurophysical tests.

Jigsaw Puzzles

Working on a jigsaw puzzle is a fun way to work on memory and reasoning skills. Jigsaw puzzles come in a variety of difficulties, from simple, easy-to-piece-together puzzles to more complicated puzzles that require quite a bit of hand-eye coordination and memory recall. This makes it easy to choose a puzzle appropriate for a person’s abilities.

Dice Games

Dice games often have a central component of luck, but they are good for helping people with dementia practice numerical and calculation skills. Brain-stimulating dice games include backgammon, kismet, liar’s dice, shut the box and Yahtzee.

Card Games

Card games, as mentioned above, can boost skills like reasoning, problem solving, memory, and concentration. Since these skills are often in decline in people with dementia, they can be extremely beneficial. Matching games like go fish, trick-taking games like bridge, and even solitaire variations can be good for people with dementia.

Board Games

Board games use a premade board with game pieces and often elements like cards and dice. One recent study found that a higher frequency of playing board games between ages 70 and 79 resulted in less cognitive decline. Good board games to try include Monopoly, Trivial Pursuit, Ticket to Ride, Cranium and chess.

Video Games

Whether traditional desktop games, game systems like Wii and Switch, or cell phone and tablet games, research supports the theory that these games can enhance cognitive function in older adults, improving visual recognition, visual memory and attention. Tetris, Candy Crush Saga, Animal Crossing, Wii Sports, and mobile or app versions of classic word games, puzzles and board games can all be beneficial.

BrightStar Care® offers around-the-clock in-home senior care

At BrightStar Care®, we take a unique approach to caring for older adults by pairing our unmatched clinical expertise with key education resources to help and empower families. BrightStar Care helps families meet the physical, mental, and emotional needs of an older relative by providing excellence in home health care.

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Keeping Your Brain Sharp: The Key to Healthy Aging

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What Causes Alzheimer's Disease - Types 3, 4, & 5

In the past we have talked about and broken Alzheimer's down into multiple types.  They are:Type 1Type 1s primary characteristic is inflammation. Type 2Type 2s primary characteristics are low levels of nutrients, hormone factors, and/or trophic factors. Type 1.5Type 1.5s primary characteristic is insulin resistance (DIABETES)Here is the link if you would like to go back and read that:  https://alzheimerssurvivor.com/blogs/what-is-an-alzheimers-survivor/what-causes-alzheimers-diseaseAs we begin this weeks discussion, I want to remind you that Alzheimers Disease is not a single symptom.  Years of research show that you cannot point to one single trait as the single cause of Alzheimers Disease.  According to Dr. Dale Bredesen, people with Alzheimers Disease suffer from multiple insults for 20 - 30 years before developing Alzheimers. However, when you research what causes Alzheimers disease, most will tell you Alzheimers is a disease triggered by old age. Explaining that only people over 65 have Alzheimers Disease.   When in reality, the most common person diagnosed withAlzheimers Disease in 2024 is a 52-YEAR-OLD FEMALE!Most people slowly develop Alzheimers Disease over 20 30 years. While symptoms will become apparent in a person in their 40s & 50s, the disease began when they were 22 32. What triggers Alzheimers Disease to start to develop at this age? 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There are heavy metals in our food, mold in our houses, toxic substances in our plastic, and pollutants in the air. If you live in the US, toxin exposure is a fact of life. While these toxins certainly are not good for us, our bodies are capable of removing these substances. This is known as detoxification. It becomes a problem when more toxins are entering our bodies than we can remove, or when our bodys detoxification system is unequipped to detoxify a given substance. When this occurs for some people, they begin to develop a subtype of Alzheimers disease known as toxic Alzheimers. The most common contributors to toxic Alzheimers are as follows: MycotoxinsMycotoxins are a class of toxic chemicals secreted from certain types of molds. Some of the most well-documented mycotoxins include aflatoxin, ochratoxin, fumonisin, gliotoxins, and trichothecenes. These toxins are capable of disrupting neurotransmitter synthesis, depleting the bodys antioxidant reserve, impairing the blood brain barrier integrity, and even killing brain cells. Altogether, a heavy burden of mycotoxins can contribute to the onset of toxic Alzheimer's disease. Heavy MetalsHeavy metals are another source of chemical toxicants that can contribute to Alzheimers. The most common neurotoxic chemicals are lead, mercury, and arsenic. While we are still waiting on further research to clarify the role of heavy metals in Alzheimers Disease, this is what we know:Lead - Lead is a heavy metal that readily passes through the blood brain barrier to cause direct damage to the brain. The result of lead toxicity is neuroinflammation, oxidative stress, and neurodegeneration. Mercury - Mercury disrupts the bodys natural antioxidant system and causes an accumulation of reactive oxygen species. These are destructive molecules that damage the DNA and cause all sorts of issues. In the case of Alzheimer's, mercury builds up in the brain and contributes to memory loss and personality changes.Arsenic - Arsenic is a heavy metal found in the soil, air, and contaminated water. Arsenic travels through the blood and enters into various organ tissues where it stays. In the brain, arsenic disrupts the metabolism of brain cells called astrocytes. This metabolic disruption causes impairment to the central nervous system.Other ToxinsThere are many other toxins that we are exposed to in our modern world. Many of these are found in plastic products, such as bisphenol-A (BPA). Other sources include herbicides and pesticides used in agriculture. What are the signs and symptoms of toxic Alzheimers?Toxic Alzheimers can be one of the hardest subtypes to diagnose. This is because different toxins affect the brain in different ways. For this reason, it is important to understand all signs and symptoms that may lead to a diagnosis. The following signs and symptoms are as outlined by Dr. Dale Bredesen as a part of the Bredesen Protocol in the book The End of Alzheimers.Symptoms begin before age 65Usually ApoE4 negativeNo family history, or family history with symptoms beginning only at ages much older than the patientsSymptoms often occur around the time of menopause or andropause.Depression precedes or accompanies cognitive declineHeadache is an early symptom, and sometimes the first.Typical symptoms include executive function deficits (planning, problem solving, organizing, focusing), inability to manipulate numbers/perform calculations, trouble speaking or loss of speech, problems with visual perception, or problems with learned programs such as dressing.Increased stress (e.g., loss of employment, divorce, family change) and sleep loss.Exposure to mycotoxins or metals (e.g., inorganic mercury via amalgams, or organic mercury via fish) or bothDiagnosis of CIRS (chronic inflammatory response syndrome) with cognitive declineImaging suggests brain changes not seen in most cases of AlzheimersTYPE 4Type 4s primary characteristic is low blood flow to the brain.Type 4 or Vascular AD, is caused by a reduction of blood flow to the brain, which ultimately deprives the brain of essential oxygen and nutrients. The brain is an extremely vascularized tissue, meaning it requires large amounts of oxygen. A lack of oxygen to the brain leads to hypoperfusion (low blood flow) and compromises the blood-brain barrier which allows for harmful substances to leak in and damage neurons. Cerebral vasculature is extremely important as it is one way the body clears the accumulation of amyloid-beta.CHARACTERISTICS & BIOCHEMICAL MARKERS OF TYPE 4Leakiness present in vascular tissues.Individuals with cardiovascular disease have a high risk for Type 4 Alzheimers.These individuals do best when they prioritize healing underlying insulin resistance.CARDIOVASCULAR HEALTHMost people think of cardiovascular health, they only think about the heart.  However cardiovascular health extends to the entire body, including the brain. Vascular disease typically manifests in the brain as inflammation of the blood vessel lining. This inflammation has a series of negative effects such as activating the immune cells of the brain and reducing overall blood flow. Both of these are known contributors to the progression of Alzheimers and can increase the amount of amyloid plaque in the brain.  For this reason, there is a large crossover between the presence of cardiovascular disease and vascular Alzheimers. BLOOD BRAIN BARRIER INTEGRITYThe blood brain barrier often breaks down in those with Alzheimers disease. The blood brain barrier is the lining of the blood vessels around the brain that gives the brain an extra level of protection from bloodborne pathogens, & toxins. Since the blood brain barrier is so selective with what is and is not allowed to pass through, it can be a big deal when the structural integrity begins to degrade. Things that are not supposed to get into the brain begin to leak in. Nutrients that require an intact blood brain barrier to enter can no longer get in. This is why nutrients like omega-3 tend to be lower in those with blood brain barrier integrity issues. Cardiovascular health appears to play a large role in blood brain barrier breakdown with a positive ApoE4 status being highly correlated with vascular Alzheimers. TYPE 5Type 5s primary characteristic is brain damage.Traumatic brain injuries can contribute to the development of Alzheimers disease. While it is different for each person, the consequences of these injuries may extend long after the initial symptoms subside. Traumatic Alzheimers is the fifth subtype of Alzheimers disease and is characterized by a history of head trauma.  Often leading to an earlier onset of Alzheimers disease. While not all head injuries lead to Alzheimers, traumatic Alzheimers symptoms usually do not appear until many years or decades after the traumatic event. Causes of Traumatic AlzheimersThe categorization of traumatic Alzheimer's disease came about after recognizing that the majority of people who suffered a mild to moderate traumatic brain injury during their lives had plaque in their brain upon autopsy, regardless of the cause of death.Early research is beginning to explain how traumatic Alzheimers works, and how we can treat it. It appears that experiencing a traumatic brain injury causes acute stress to the brain and surrounding vasculature. Whether this is a one-time injury from an accident or a repeated trauma from playing sports, the brain becomes inflamed and the integrity of the blood-brain barrier begins to break down. While this reaction may subside in some people, it appears to kick-start the pathology of Alzheimer's disease in others. These are typically people who have an ApoE4 allele or have a predisposition towards inflammatory Alzheimer's disease or vascular Alzheimer's disease. For these people, a traumatic brain injury may expedite the onset of Alzheimer's Disease by years. When this occurs, the condition is classified as traumatic Alzheimer's disease. SIGNS AND SYMPTOMS OF TRAUMATIC ALZHEIMERSSigns and symptoms of traumatic Alzheimers will vary heavily from one person to the next. The most obvious sign would be a history of one or more traumatic brain injuries. Other than that, the signs and symptoms would depend on whether the brain injury is vascular or inflammatory. MISSIONThe primary mission of Alzheimers Survivor is to communicate to everyone that there are treatments available for people experiencing Alzheimers Disease. There are Research solutions available for every stage of the diseaseThere are FDA-approved pharmaceuticals for every stage of the diseaseThere are Integrative Medicine solutions available for every stage of the diseaseGone are the days when there was nothing you could do to treat Alzheimers Disease. It is up to each individual and their family to decide what option best fits your need. Next week, we will begin to discuss treatments that are available to treat Alzheimers Disease.Here are the links to purchase the books on Amazon and the link to Dr. Bredesens website.THE END OF ALZHEIMERS 2 BOOKS COLLECTION SET BY DALE BREDESEN PAPERBACK OCTOBER 26, 2023LINK:https://amzn.to/462LcY3The End of Alzheimer's Program: The First Protocol to Enhance Cognition and Reverse Decline at AnyAge Paperback September 6, 2022LINK:https://amzn.to/3xNcrctDr. Bredesens WebsiteLINK: https://www.apollohealthco.com/

What Causes Alzheimer's Disease - Types 1, 2 & 1.5

Alzheimers Disease is not a single thing.  Years of research show that you cannot point to 1 single thing as the cause of Alzheimers Disease.  For years the healthcare industry agreed that the unifying component of Alzheimers Disease was age.  Sadly, many groups still define Alzheimers Disease as an old age disease.  When in reality the most common person diagnosed with Alzheimers Disease is a 52-year-old female (example picture below).Alzheimers Disease is not something you will wake up with one day after you turn 80 (example picture below).  Most people slowly develop Alzheimers Disease over 20 30 years. The  52-year-old female we met in the previous paragraph was 22-32 when the beginning of Alzheimers Disease was triggered in her brain. When I look at the next 2 pictures below of a 22 and a 32-year-old female, it is upsetting to think that she could be unknowingly triggering Alzheimers Disease in her brain.  At this age, these women are usually busy establishing their careers or starting their families at this age.  They both have their entire life ahead of them. I find it easier to differentiate the types and symptoms of Alzheimer's Disease to address what caused it. They are:Type 1Type 1s primary characteristic is inflammation. Type 2Type 2s primary characteristic is low levels of nutrients, hormone factors, and/or trophic factors. Type 1.5Type 1.5s primary characteristic is insulin resistance (diabetesType 3Type 3s primary characteristic is exposure to toxins.Type 4Type 4s primary characteristic is low blood flow to the brain.Type 5Type 5s primary characteristic is brain damage.This week we will review what causes Alzheimers Disease in Type 1, Type 2 & Type 1.5 Alzheimers Disease.Type 1Type 1s primary characteristic is inflammation. What is inflammation?Harvard Medical School explains inflammation like this: Think of inflammation as the body's natural response to protect itself against harm. There are two types: acute and chronic. You're probably more familiar with the acute type, which occurs when you bang your knee or cut your finger. Your immune system dispatches an army of white blood cells to surround and protect the area, creating visible redness and swelling. The process works similarly if you have an infection like the flu or pneumonia. So in these settings, inflammation is essentialwithout it, injuries could fester and simple infections could be deadly.The inflammation could come from many different factors. It may start from a leaky gut, chronic sinusitis, a poor oral microbiome with chronic poor oral health. It can be a systemic infection or any number of other undiagnosed chronic infections. Any of these things can contribute to inflammation in your body.Types of InflammationAcute InflammationAcute inflammation is a healthy and necessary function that helps the body attack bacteria and other foreign substances in the body. Once the body has healed, the inflammation resolves. Acute inflammation can cause heat or warmth in the affected area. For example, an injured part of your body might feel warm to the touch. Sometimes, the heat is caused by a fever.A few examples of common conditions that can cause acute inflammation include:Acute bronchitis An infected body partA sore throat related to the flu or another viral infection Dermatitis Physical traumaSinusitis Skin cuts and scratches Chronic InflammationChronic inflammation may continue to attack healthy areas if it doesn't "turn off." It may not be as visible as acute inflammation. A few examples of chronic inflammatory conditions include:Inflammatory arthritis (including rheumatoid arthritis, lupus, and psoriatic arthritis)Asthma Periodontitis (inflammation of gums and other supporting teeth structures)Inflammatory bowel disease (including Crohns disease and ulcerative colitis, which cause signs of inflammation in the GI tract)Eczema  Issues with chronic inflammation tend to run in families as it is common in people who carry one or two ApoE4 alleles (ApoE in itself is considered an inflammatory gene). Type 2Type 2s primary characteristic is low levels of nutrients, hormone imbalances, and/or trophic factors. MalnutritionWhy would someone living in a wealthy first-world country experience low levels of nutrition? While most people in the US have plenty to eat. The food they chose does not provide the nutrition they need.  A steady diet of fast food will not provide you and your family with the nutrition you need.  But neither will the processed food we prepare at home.We consider a homemade meal something that is assembled with processed components, at home.  An example is your standard crock pot meal.  Many start with a protein, cans of processed soup, processed cream cheese, a packet or two of freeze-dried soup mix, or spice packets containing MSG.  Sometimes frozen vegetables are added.  This combination is left to cook for 6-8 hours.  About 30 minutes to an hour before mealtime, processed pasta and more processed cheese is added.  It smells great, fills your belly, and is considered a win for the entire family.  However, the original protein and vegetables have very little nutritional value after cooking for 8 hours. A steady diet of food with little to no nutrition will leave an individual hungry all the time.  Encouraging them to eat overly processed food all day and develop obesity.  Obesity leads to insulin resistance (diabetes). Hormone ImbalanceHow do you know that your hormones are imbalanced?Hormonal imbalances can cause a variety of symptoms, including:Metabolism: Unexplained weight gain or loss, fatigue, constipation, diarrhea, and irregular body fat distributionSkin: Dry, coarse, or thin skin, skin tags, and darkened skin in the armpits or neckMood: Mood swings, depression, anxiety, or irritabilityMenstrual cycle: Heavy or painful periods, irregular periods, or pain during menstruationFertility: Low libido or infertilitySleep: Insomnia or poor-quality sleepOther: Headaches, muscle weakness, joint pain, and blurred vision Hormonal shifts are normal at certain times of life, such as before and during menstruation, during pregnancy, or during menopause & andropause (male menopause). Also, some medications and health issues can cause hormonal shifts.  Trophic FactorsWhat are trophic factors?The NIH explains: The various neurotrophic factors influence a wide range of cell functions in the developing, mature, and injured nervous system. Recent studies have provided valuable insights on the receptors that mediate these effects and on the intracellular events that follow the binding of the ligand. Although growth factors were known to be expressed by non-neuronal cells in the targets and pathways of neuronal projections, it is now clear that the neurons themselves can also be a source of these molecules. A better understanding of the mechanisms of action of trophic factors on the survival and differentiation of neurons, coupled with advances in methods for the delivery of these molecules to the nervous system have provided an impetus for exploring their use as aids to the protection and regeneration of the injured nervous system.Simply put, trophic factors control the development and survival of specific groups of neurons.Trophic factors are small proteins that play crucial roles in the growth, survival, and function of neurons in the nervous system. They are also known as neurotrophic factors or growth factors.These factors are typically secreted by various cells, including neurons and glial cells (non-neuronal cells), and they act upon specific receptors on the surface of neurons.The main functions of trophic factors include:Promoting Neuronal Survival: They help neurons survive by preventing cell death (apoptosis) triggered by various factors such as lack of nutrients or injury.Supporting Neuronal Growth and Differentiation: Trophic factors can stimulate the growth of axons and dendrites, the long projections of neurons that form connections with other neurons.Modulating Synaptic Plasticity: They can influence the strength and efficacy of synaptic connections between neurons, which is important for learning and memory.Repairing and Regenerating Neurons: Trophic factors are involved in the regeneration of damaged neurons after injury or disease.Examples of trophic factors include nerve growth factor (NGF), brain-derived neurotrophic factor (BDNF), neurotrophin-3 (NT-3), and glial cell line-derived neurotrophic factor (GDNF). Each of these factors acts through specific receptors on neurons to exert their effects.Overall, trophic factors are essential for the development, maintenance, and repair of the nervous system throughout life.  If your trophic factors have begun to fail, your brain begins to atrophy.Type 2 also occurs more frequently in those who carry one or two copies of the ApoE4 allele, but the symptoms tend to initiate about a decade later than the inflammatory Type 1.  Type 1.5Type 1.5s primary characteristic is insulin resistance (diabetes). Type 1 and Type 2 Alzheimers Disease can occur together often seen with neural inflammation in addition to the reduced support for brain synapses. What is diabetes?Diabetes mellitus, commonly referred to as diabetes, is a chronic metabolic disorder characterized by high blood sugar levels (hyperglycemia) over a prolonged period. This condition arises either due to insufficient production of insulin by the pancreas or the body's cells becoming resistant to the action of insulin, or both.Here are the key points about diabetes:Types of Diabetes:Type 1 Diabetes: This results from the autoimmune destruction of insulin-producing beta cells in the pancreas. People with type 1 diabetes require daily insulin injections for survival.Type 2 Diabetes: This is characterized by insulin resistance, where the body's cells do not respond effectively to insulin. Initially, the pancreas compensates by producing more insulin, but over time, it may not be able to keep up with demand.Causes:Type 1 Diabetes: The exact cause is not fully understood, but it involves genetic predisposition and environmental factors that trigger an autoimmune reaction. Type 1 diabetes develops in children AND adults.Type 2 Diabetes: Risk factors include obesity, sedentary lifestyle, genetic predisposition, and increasing age. Symptoms:Increased thirst and frequent urinationExtreme hungerUnexplained weight lossWeight gainFatigueBlurred visionSlow healing of woundsFrequent infectionsComplications:Long-term uncontrolled diabetes can lead to serious complications affecting various organs:Cardiovascular disease (heart attack, stroke)Kidney disease (diabetic nephropathy)Nerve damage (neuropathy)Eye damage (diabetic retinopathy)Foot damage (diabetic foot)Skin conditionsHearing impairmentAlzheimer's diseaseManagement:Type 1 Diabetes: Requires daily insulin injections or use of an insulin pump, regular blood sugar monitoring, balanced diet, and exercise.Type 2 Diabetes: Initially managed with lifestyle changes (diet and exercise) and may progress to oral medications or insulin therapy if blood sugar levels cannot be controlled sufficiently.Prevention:Type 1 diabetes cannot be prevented.Type 2 diabetes can often be prevented or delayed through maintaining a healthy weight, regular physical activity, and a balanced diet.Diabetes requires lifelong management to prevent complications and maintain good quality of life. Regular monitoring of blood sugar levels, adherence to treatment plans, and lifestyle modifications are essential for effectively managing the condition.If you find that you are experiencing symptoms consistent with diabetes you must see an endocrinologist!  Much has changed in the world of diabetes management in the last 5 years.  Primary Care Providers are amazing doctors.  I believe they do not have the experience and training required to treat diabetes. I confidently say this from my own experience.  I was officially diagnosed as a Type 2 diabetic in 2019.  When I was diagnosed my blood sugar was out of control!  I had highs that would startle you!  The truth is, I had those highs for years I just did not know it.  I did not have health insurance and denied the truth to myself.  Once diagnosed I found a very well-respected primary care doctor.  He and his nurses worked with me to teach me the importance of checking my blood sugar twice a day.  I was instructed to begin injecting a long-acting insulin every night about 2 hours after I ate.  My blood sugar came down and I was encouraged to keep my A1C at or about 7.  My doctor and his staff were following the current protocols.  Then Covid hit and the world fell apart.My primary care provider was not accepting appointments, returning calls, or refilling prescriptions.  Two weeks of lockdowns were quickly extended to months of lockdowns.  For me, that was months of lockdowns without the medication I needed.  I left that provider and started working with another.  This time a much more respected doctor and his staff of PAs.  Both providers assumed that since I am an adult in my 50s, I am a type 2 diabetic.  They carefully evaluated me changed my medication and added Ozempic to the mix. Again, following the appropriate protocols they researched and were confident were the best solutions for type 2 diabetes.Over the next 6 months, I experienced unbelievable GI pain and constant issues.  I begged for referrals to a GI doctor but was denied.  I only lost 7 pounds on Ozempic, my blood sugar was steadily inching up, I had COVID-19, and was simply miserable. Until one day after not being able to keep anything down for a few days and unbelievable pain, I went to the ER.  Finally, with the results from the CT scan, I found a new primary care doctor.  This guy was horrible and mismanaged my diabetes worse than ever before.  However, he did not deny the referral to a GI doctor. I waited months to get in and even longer to get the tests I needed to learn what was going on inside of my gut. But he was the one who said I needed an Endocrinologist and demanded that my doctor write the referral to the doctor I work with now.Between the GI doctor and my Endocrinologist, I learned that I am not a Type 2 diabetic.  I am a Type 1.5 diabetic or an adult with Type 1 diabetes.  My GI issues have been resolved with lifestyle and nutritional changes.  I was prescribed an OmniPod 5 insulin pump and a constant glucose monitoring device (gcm).  My blood sugar ranges between 95 and 105 all day except after I eat my 1 meal a day. But the highs after I eat are much lower than my lowest reading before I started receiving the appropriate care. I tell you this to say your Primary Care Provider is not a bad doctor.  They are providing the care they are told to provide.  However, they are not experts in diabetes management.  My research and personal experience say:If you look down and cannot see your toes, you need a very thorough evaluation for insulin resistance. If you have skin tags, you need a very thorough evaluation for insulin resistance. If you are always thirsty, you need a very thorough evaluation for insulin resistance. If you crave sugary food, you need a very thorough evaluation for insulin resistance. If you get up to pee more than once at night, you need a very thorough evaluation for insulin resistance. Fasting glucose tests or a simple A1C test are not enough.  You need to wear a constant glucose monitoring device for at least 10 days.  Your doctor will see your accurate highs and lows and have better information to diagnose you and create a treatment plan.Demand your primary care provider provide you with the referral.  Your brain health depends on it!I still encourage you to purchase Dr. Dale Bredesens books.  Or go to his website and read through everything. If not for yourself, for a friend or family member. 1 in 3 people will die from Alzheimers Disease. We all must do what we can to reduce those numbers. Here are the links to purchase the books on Amazon and the link to Dr. Bredesens website.THE END OF ALZHEIMERS 2 BOOKS COLLECTION SET BY DALE BREDESEN PAPERBACK OCTOBER 26, 2023LINK:https://amzn.to/462LcY3 The End of Alzheimer's Program: The First Protocol to Enhance Cognition and Reverse Decline at AnyAge Paperback September 6, 2022LINK:https://amzn.to/3xNcrctDr. Bredesens WebsiteLINK: https://www.apollohealthco.com/