Two hundred and ten individuals were willing to join this study (May 10, 2021, to July 1, 2022). The exclusion criteria for the two groups were as follows: type 1 diabetes mellitus, impaired fasting glucose or impaired glucose tolerance
58 (link), hypertension, hypoglycemia (blood sugar levels < 3.9 mmol/L), hyperlipidemia, serious eye diseases (e.g., blindness), symptoms of neurological conditions (e.g., cerebral infarction or hemorrhage), history of neurological abnormality (e.g., Parkinson’s disease), severe head injuries or chronic head discomfort (e.g., migraine), BMI > 31 kg/m
2, left- or mixed-handedness, substance (tobacco, alcohol, or psychoactive drug) abuse, taking medications that may affect cognition and memory within 6 months, specific abnormalities detected on conventional MRI scans or any other factors that may influence brain structure or function (e.g., extreme physical weakness, chronic infections, and other endocrine diseases). Patients with T2DM were diagnosed by two experienced endocrinologists following international clinical standards
59 . MCI was evaluated via Mini-Mental State Examination (MMSE) and MoCA-B (21 ≤ MoCA-B score < 26, and MMSE score > 24 were diagnosed with MCI)
60 ,61 (link).
Participants with brain tumors (n = 3), neuropsychiatric diseases (n = 4) (e.g., major depression or schizophrenia), or developmental disorders (n = 4) were excluded. Finally, 37 patients with T2DM-MCI, 93 patients with T2DM-NCI, and 69 NC were enrolled in this study. The source of patients with T2DM and NC corresponded with our previous study
37 (link). This study was approved by the ethics committee of The First Affiliated Hospital of Guangzhou University of Chinese Medicine (ID: NO. JY [2020] 288). Written informed consent was obtained from all participants. In addition, the study was conducted following approved guidelines.
Wu J., Fang Y., Tan X., Kang S., Yue X., Rao Y., Huang H., Liu M., Qiu S, & Yap P.T. (2023). Detecting type 2 diabetes mellitus cognitive impairment using whole-brain functional connectivity. Scientific Reports, 13, 3940.