Previous investigations have found that increasing circulating glucose avai
lability can increase memory performance in rodents, healthy humans, and in
dividuals with dementia of the Alzheimer's type. In this study, patients wi
th schizophrenia, healthy control subjects, and controls with bipolar affec
tive disorder were tested using double-blind treatment with either 50 g anh
ydrous dextrose plus 4 mg sodium saccharin (for "taste") or 23.7 mg sacchar
in alone, followed by cognitive testing on a complex battery, At this gluco
se dose, verbal memory performance on a paragraph recall task was increased
during the glucose condition relative to the saccharin condition in the pa
tients with schizophrenia; this effect was not detected in either the psych
iatric or normal controls. The results provide preliminary support for the
hypothesis that memory performance can be improved in patients with schizop
hrenia by increasing circulating glucose availability and suggest the impor
tance of further evaluation of therapeutic manipulations of glucose availab
ility.