Vitamin D supplements and effect on glycemic control and lipid profile in individuals living with diabetes: a retrospective study.

IF 3.3 4区 医学 Q1 Medicine
A Alqadi, E Almodyan, M N Alanazi, S S Alghamdi, M H Ahmed, S Badi, A S Alghamdi
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Abstract

OBJECTIVE: Diabetes Mellitus (DM) is a global concern with a high prevalence among the Saudi population. Uncontrolled diabetes is associated with serious medical complications and an increase in mortality and morbidity. Vitamin D deficiency may have the potential to decrease insulin sensitivity and alter lipid metabolism. This study aimed to assess the impact of vitamin D supplements on glycemic control and lipid profile among individuals living with diabetes in Saudia Arabia. MATERIALS AND METHODS: This retrospective study recruited 254 individuals with diabetes. The medical records were searched for age, gender, HbA1c, fasting blood glucose (FBG), Vitamin D and lipid profiles. The population records were extracted in two intervals: before taking vitamin D supplements and three months after receiving supplements. Paired t-test and confidence intervals were used to compare HbA1c, FBG, vitamin D, and other extracted variables between intervals. Vitamin D levels were compared between genders in each interval. RESULTS: The supplementation of vitamin D leads to improvement in vitamin D from a mean of 45.4 to 65 (normal reference range 50-150). Supplementation of vitamin D showed significant improvement in HbA1c, FBG, all parameters of lipid profile, renal and liver function and hemoglobin (p < 0.001) when t-test was used and confidence interval calculated. CONCLUSIONS: Vitamin D plays a potential role in insulin sensitivity and lipid metabolism. Therefore, maintaining optimal level of vitamin D through its supplements or sun exposure might help to improve heath and decrease complications especially in individuals with diabetes.

Graphical abstract: https://www.europeanreview.org/wp/wp-content/uploads/Graphical-Abstract-NEW.jpg.

维生素D补充剂对糖尿病患者血糖控制和血脂的影响:一项回顾性研究。
目的:糖尿病(DM)是一个全球关注的问题,在沙特人口中患病率很高。不受控制的糖尿病与严重的医疗并发症以及死亡率和发病率的增加有关。维生素D缺乏可能会降低胰岛素敏感性和改变脂质代谢。本研究旨在评估维生素D补充剂对沙特阿拉伯糖尿病患者血糖控制和血脂的影响。材料和方法:这项回顾性研究招募了254名糖尿病患者。检索医疗记录的年龄、性别、HbA1c、空腹血糖(FBG)、维生素D和脂质谱。人口记录分两个时间段提取:服用维生素D补充剂前和服用补充剂后三个月。使用配对t检验和置信区间比较HbA1c、FBG、维生素D和其他提取的变量。在每个时间段内,对不同性别的维生素D水平进行了比较。结果:补充维生素D可使维生素D水平从平均45.4提高到65(正常参考范围50-150)。经t检验并计算置信区间,补充维生素D对HbA1c、FBG、血脂、肾功能、肝功能及血红蛋白等指标均有显著改善(p < 0.001)。结论:维生素D在胰岛素敏感性和脂质代谢中发挥潜在作用。因此,通过补充维生素D或晒太阳来维持维生素D的最佳水平可能有助于改善健康,减少并发症,尤其是糖尿病患者。图形摘要:https://www.europeanreview.org/wp/wp-content/uploads/Graphical-Abstract-NEW.jpg。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
5.30
自引率
6.10%
发文量
906
审稿时长
2-4 weeks
期刊介绍: European Review for Medical and Pharmacological Sciences, a fortnightly journal, acts as an information exchange tool on several aspects of medical and pharmacological sciences. It publishes reviews, original articles, and results from original research. The purposes of the Journal are to encourage interdisciplinary discussions and to contribute to the advancement of medicine. European Review for Medical and Pharmacological Sciences includes: -Editorials- Reviews- Original articles- Trials- Brief communications- Case reports (only if of particular interest and accompanied by a short review)
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