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Neurology Study: Dementia Risk Nearly Tripled in Type 1 Diabetes, Doubled in Type 2

The Neurology analysis leverages NIH All of Us records under EHR-based constraints.

Overview

  • Researchers analyzed 283,772 adults aged 50 and older in the NIH All of Us cohort with an average 2.4 years of follow-up.
  • Dementia incidence reached 2.6% for people with type 1 diabetes, 1.8% for those with type 2, and 0.6% for participants without diabetes.
  • Adjusted risks were 2.82-fold higher for type 1 diabetes and 2.08-fold higher for type 2 compared with no diabetes.
  • An estimated 64.5–65% of dementia cases among people with type 1 diabetes were attributed to the condition.
  • Outcomes were identified via electronic health records and surveys, prompting calls for longer follow-up, improved phenotyping, and research on subtype-specific mechanisms and prevention.