The Sweet Side of Parkinson’s: Link Found Between Diabetes and Disease Progression

Published on March 16, 2023

Like a roller coaster racing through twists and turns, the connection between diabetes and Parkinson’s disease (PD) has been a wild ride. A recent systematic review and meta-analysis took a closer look at this relationship, and the findings are eye-opening. The study found that individuals with diabetes have a higher risk of developing PD compared to those without diabetes. But it doesn’t stop there! For people already living with PD, having diabetes also means experiencing a faster decline in motor function and cognitive abilities. It’s like adding jet fuel to an already speeding train. While the underlying mechanisms are yet to be fully understood, these results highlight the importance of managing diabetes to potentially slow down the progression of PD. More research is needed to delve deeper into this sweet connection between these two conditions!

BackgroundPrevious studies reported inconsistent results regarding association between diabetes mellitus (DM), prediabetes and risk, disease progression of Parkinson’s disease (PD). The meta-analysis was made to investigate association between DM, prediabetes and risk, disease progression of PD.MethodsLiteratures investigating association between DM, prediabetes and risk, disease progression of PD were searched in these databases: PubMed and Web of Science. Included literatures were published before October 2022. STATA 12.0 software was used to compute odds ratios (ORs)/relative risks (RRs) or standard mean differences (SMDs).ResultsDM was associated with a higher risk of PD, compared to non-diabetic participants with a random effects model (OR/RR = 1.23, 95% CI 1.12–1.35, I2 = 90.4%, p < 0.001). PD with DM (PD-DM) was associated with a faster motor progression compared to PD without DM (PD-noDM) with a fixed effects model (RR = 1.85, 95% CI 1.47–2.34, I2 = 47.3%, p = 0.091). However, meta-analysis for comparison in change rate of United Rating Scale (UPDRS) III scores from baseline to follow-up time between PD-DM and PD-noDM reported no difference in motor progression between PD-DM and PD-noDM with a random effects model (SMD = 2.58, 95% CI = −3.11 to 8.27, I2 = 99.9%, p < 0.001). PD-DM was associated with a faster cognitive decline compared to PD-noDM with a fixed effects model (OR/RR = 1.92, 95% CI 1.45–2.55, I2 = 50.3%, p = 0.110).ConclusionsIn conclusion, DM was associated with a higher risk and faster disease decline of PD. More large-scale cohort studies should be adopted to evaluate the association between DM, prediabetes and PD.

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