INS and Cognitive impairment: In other studies of T2DM, cognitive deficits and structural brain atrophy were linked to cerebral hypoperfusion and altered vascular reactivity (Last et al., 2007; Brundel et al., 2012), and disrupted default-mode network connectivity was associated with peripheral hyperinsulinemia, insulin resistance, and white matter integrity (Musen et al., 2012; Hoogenboom et al., 2014).