Details

Autor(en) / Beteiligte

• MCNAY, Ewan C
• SHERWIN, Robert S

Titel

Effect of Recurrent Hypoglycemia on Spatial Cognition and Cognitive Metabolism in Normal and Diabetic Rats

Ist Teil von

• Diabetes (New York, N.Y.), 2004-02, Vol.53 (2), p.418-425

Ort / Verlag

Alexandria, VA: American Diabetes Association

Erscheinungsjahr

2004

Quelle

Electronic Journals Library

Beschreibungen/Notizen

• Effect of Recurrent Hypoglycemia on Spatial Cognition and Cognitive Metabolism in Normal and Diabetic Rats Ewan C. McNay and Robert S. Sherwin From the Department of Internal Medicine, Section of Endocrinology, Yale School of Medicine, New Haven, Connecticut Address correspondence and reprint requests to Ewan C. McNay, Department of Endocrinology, Yale School of Medicine, 333 Cedar St., TMP532, P.O. Box 208020, New Haven, CT 06520-8020. E-mail: ewan.mcnay{at}yale.edu Abstract The effects of recurrent hypoglycemia (RH) on cognition in human subjects remain controversial, perhaps in part due to difficulty in completely controlling previous hypoglycemic history. We used a model of RH in nondiabetic and diabetic rats to examine the effects of short-term (3 h daily for 3 days) RH on subsequent hippocampally dependent spatial memory, tested either at euglycemia or under acute hypoglycemia. Hippocampal metabolism was simultaneously measured using microdialysis. Antecedent RH improved task performance (79 ± 2% alternation in nondiabetic RH animals vs. 63 ± 3% in controls; P < 0.001) at euglycemia, accompanied by reversal of the task-associated dip (20 ± 1% below baseline) in hippocampal extracellular fluid (ECF) glucose seen in control animals. RH rats also had a larger rise in hippocampal ECF glucose, after intraperitoneal glucose injection, than did controls. However, RH animals tested at acute hypoglycemia (∼2.8 mmol/l) performed significantly worse than control animals. Results were similar in diabetic and nondiabetic rats. Our data suggest that RH causes improvement in subsequent cognitive performance at euglycemia, accompanied by alterations in cognitive metabolism. When glucose availability is limited, complex cognitive functioning seems to be adversely effected in RH animals, perhaps to better maintain and preserve basic brain functions. ECF, extracellular fluid RH, recurrent hypoglycemia STZ, streptozotocin Footnotes Accepted October 27, 2003. Received May 29, 2003. DIABETES