Impact of Vitamin D on Calcium, Parathyroid Hormone and Lipid Profile Levels among Saudi-females with Type 2 Diabetes

Walaa Mohammedsaeed, Hakeemah Al-Nakhle
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Abstract

Aim: Evaluation of vitamin D levels in Saudi female patients with type 2 diabetes and its effect on the levels of serum calcium, parathyroid hormone (PTH) and lipid profiles of these patients. Methodology: This study included 200 Saudi females with diabetes and 150 normal healthy females (non-diabetic). All of them were randomly selected based on study criteria and measurements were done in fasting blood samples. The amount of 25-hydroxy vitamin D (s-25 (OH) D), Ca, phosphorus, PTH, thyroid hormone, creatinine, albumin was estimated in the serum. The glycemic and lipid profiles were also assessed. Results: Severe vitamin D deficiency (<25 nmol/ml) was observed in 60% of the participants, while mild vitamin D deficiency (=25-50 nmol/ml) was observed in 30% of the participant. Insufficient vitamin D (=50-75 nmol/ml) was observed in 10% of the participants. Serum 25 (OH) D correlated negatively with FBG, HbA1c, phosphorus, Atherogenic Index of Plasma, triglycerides, LDL and total cholesterol. There was a positive significant correlation between serums 25 (OH) D, PTH, and Calcium. Conclusion: Low serum vitamin D, Ca and PTH levels was associated with impaired glucose metabolism and increased cardiovascular risk in type II diabetes.
维生素D对沙特女性2型糖尿病患者钙、甲状旁腺激素和脂质水平的影响
目的:评价沙特女性2型糖尿病患者的维生素D水平及其对这些患者血清钙、甲状旁腺激素(PTH)和血脂水平的影响。方法:本研究包括200名患有糖尿病的沙特女性和150名正常健康女性(非糖尿病)。所有这些人都是根据研究标准随机选择的,并在空腹血液样本中进行测量。测定血清中25-羟基维生素D (s-25 (OH) D)、钙、磷、甲状旁腺素、甲状腺激素、肌酐、白蛋白的含量。血糖和血脂也被评估。结果:60%的参与者严重缺乏维生素D (<25 nmol/ml),而30%的参与者轻度缺乏维生素D (=25-50 nmol/ml)。10%的参与者维生素D不足(=50-75 nmol/ml)。血清25 (OH) D与FBG、HbA1c、磷、血浆动脉粥样硬化指数、甘油三酯、LDL和总胆固醇呈负相关。血清25 (OH) D、甲状旁腺素、钙水平呈正相关。结论:血清维生素D、钙和甲状旁腺激素水平低与II型糖尿病患者糖代谢障碍和心血管风险增加有关。
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