Article ID | Journal | Published Year | Pages | File Type |
---|---|---|---|---|
4934390 | Psychoneuroendocrinology | 2017 | 44 Pages |
Abstract
At the core of arguments and mechanisms presented in this review is the circadian rhythm of cortisol secretion, which is the main determinant of glycemic control in humans. Alterations to that rhythm and to the hypothalamic-pituitary-adrenal axis occurring in AD are examined. Consequently the cause of hypercortisolemia in AD, and therefore of association between AD and DM, is proposed to be adrenal hyper-responsiveness to adrenocorticotropic hormone.
Keywords
random blood glucoseACTHUFCDSTFBGCRHRBGT2DinsulinAlzheimer’s diseasedexamethasone suppression testAdrenal incidentalomaRelative riskDiabetes mellitusType 2 diabetesMetabolic syndromeCushing’s syndromeconfidence intervalfasting blood glucoseCARMETSHypothalamic-pituitary-adrenal axisHPAhazard ratioodds ratioadrenocorticotropic hormonecorticotropin-releasing hormonehypothalamic-pituitary-adrenalCortisol awakening responsecortisolUrinary free cortisol
Related Topics
Life Sciences
Biochemistry, Genetics and Molecular Biology
Endocrinology
Authors
Elena Notarianni,