Kit KittlestadFeb 18, 2025 5 min read

Is There a Type 3 Diabetes? Here's What to Know

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You’ve probably heard of type 1 and type 2 diabetes, but what about type 3 diabetes? While not officially recognized by major medical organizations, it’s gaining traction among researchers who study the connection between diabetes and Alzheimer’s disease. 

Some scientists believe Alzheimer’s could be another form of diabetes, specifically tied to how the brain processes insulin. So, what exactly is type 3 diabetes, and how does it relate to cognitive decline? Together, let’s take a look at the symptoms, risk factors, and latest research.

What is Type 3 Diabetes?

Type 3 diabetes is a term used to describe the hypothesis that Alzheimer’s disease is a brain-specific form of diabetes. Unlike type 1 diabetes, where the immune system attacks insulin-producing cells, or type 2 diabetes, which develops due to insulin resistance, type 3 diabetes refers to insulin resistance that primarily affects the brain.

The brain needs insulin to regulate glucose and support neural functions like memory and cognition. When insulin resistance develops in the brain, neurons struggle to get the energy they need, leading to inflammation, oxidative stress, and ultimately, cognitive decline. This is why some researchers call Alzheimer’s disease Alzheimer’s type 3 diabetes.

Type 3 Diabetes Symptoms

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Because type 3 diabetes is closely linked to Alzheimer’s disease, its symptoms tend to overlap with cognitive decline. Some common warning signs include:

  • Memory loss that disrupts daily life

  • Difficulty solving problems or making decisions

  • Confusion with time and place

  • Trouble recognizing familiar faces or recalling words

  • Mood swings and personality changes

  • Poor judgment and decision-making

Unlike typical diabetes symptoms such as frequent urination, excessive thirst, and fatigue, type 3 diabetes symptoms primarily impact brain function. 

If you or a loved one notice these cognitive issues, speak to your doctor – and ask about seeing a diabetes doctor or a neurologist to discuss potential underlying causes.

Risk Factors for Type 3 Diabetes

Several risk factors increase the likelihood of developing type 3 diabetes. Many of these are shared with type 2 diabetes and Alzheimer’s disease, reinforcing the connection between metabolic health and brain function.

1. Type 2 Diabetes

People with type 2 diabetes are at a higher risk of developing Alzheimer’s disease. Insulin resistance, a key feature of type 2 diabetes, can extend to the brain, affecting memory and cognitive function over time.

2. Obesity and Poor Diet

Diets high in sugar and unhealthy fats contribute to insulin resistance, increasing the risk of both type 2 and type 3 diabetes. Excess body fat, particularly around the abdomen, is linked to inflammation that can harm the brain.

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3. A Sedentary Lifestyle

Physical activity plays a crucial role in insulin sensitivity. A lack of exercise increases the risk of diabetes, cardiovascular disease, and cognitive decline.

4. Genetics and Family History

A family history of Alzheimer’s or diabetes raises the risk of developing type 3 diabetes. Genetic factors can make individuals more prone to insulin resistance and cognitive impairment.

5. Chronic Stress and Poor Sleep

Long-term stress and insufficient sleep can disrupt insulin regulation and contribute to cognitive decline. Managing stress and maintaining good sleep hygiene can help support both brain and metabolic health.

Which Diabetes Is Worse?

It’s natural to wonder which diabetes is worse: type 1, type 2, or type 3? Each condition presents unique challenges.

  • Type 1 Diabetes: Requires lifelong insulin therapy and can lead to severe complications if not managed properly.

  • Type 2 Diabetes: Affects a much larger portion of the population and is often preventable with lifestyle changes.

  • Type 3 Diabetes: If, indeed, linked to Alzheimer’s disease, it’s particularly concerning because cognitive decline significantly impacts quality of life and has no known cure.

Rather than ranking them, it’s more useful to understand how they’re connected and take steps to reduce the risk of developing diabetes-related complications.

Ongoing Research and Future Possibilities

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Scientists are actively studying the relationship between insulin resistance and neurodegenerative diseases. Some promising areas of research include:

1. Insulin Therapy for Alzheimer’s

Some studies suggest that intranasal insulin therapy may help improve cognitive function in people with early Alzheimer’s. This method delivers insulin directly to the brain without affecting blood sugar levels.

2. Diabetes Medications and Brain Health

Certain diabetes drugs, like metformin and GLP-1 receptor agonists, are being explored for their potential to protect brain cells and reduce cognitive decline.

3. Diet and Lifestyle Interventions

Adopting a Mediterranean diet, engaging in regular exercise, and maintaining a healthy weight are all strategies that may also help reduce the risk of both type 2 and type 3 diabetes.

A Growing Body of Research

While type 3 diabetes isn’t an officially recognized medical condition, the growing body of research linking Alzheimer’s to metabolic dysfunction suggests that brain health and insulin regulation are closely intertwined. 

Understanding the risk factors and taking preventive steps – such as eating a balanced diet, staying active, and managing stress – can support both cognitive function and overall health. 

If you’re concerned about your risk, consider talking to a diabetes specialist or a neurologist to explore ways to protect your brain and metabolic health. And, as you do, keep coming back for more health-related insights as, together, we endeavor to live our best, healthiest lives.

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