The Short Version
Type 1 diabetes is associated with elevated dementia risk, but "nearly three times" overstates the typical finding. The most comprehensive quantitative synthesis — a 2025 systematic review and meta-analysis — reports a pooled hazard ratio of approximately 1.50 (a 50% increase), while a large nationwide cohort study found roughly double the risk. The ~2.8× figure comes from one specific recent study and media reports echoing it, not from the broader evidence base. The claim cherry-picks the highest estimate rather than reflecting the range of peer-reviewed findings.