Danescu Liviu G, Levy Shiri, Levy Joseph
Department of Internal Medicine, St. Joseph Mercy Oakland Hospital, Pontiac, MI, USA.
Endocrine. 2009 Feb;35(1):11-7. doi: 10.1007/s12020-008-9115-5. Epub 2008 Nov 1.
Better understanding of the physiological role of the vitamin-D system, in particular its potential effects on inflammatory and autoimmune conditions as well as on insulin secretion and possibly also on insulin resistance, increased the interest in its potential role in prevention and control of the diabetic condition, both type-1 and -2 diabetes. Both these conditions are associated with inflammation and type-1 diabetes also with an autoimmune pathology. Indeed, animal and human studies support the notion that adequate vitamin-D supplementation may decrease the incidence of type-1 and possibly also of type-2 diabetes mellitus and may improve the metabolic control in the diabetes state. However, the exact mechanisms by which vitamin-D and calcium supplementation exert their beneficial effects are not clear and need further investigation.
对维生素D系统生理作用的更深入理解,尤其是其对炎症和自身免疫性疾病的潜在影响,以及对胰岛素分泌甚至可能对胰岛素抵抗的潜在影响,增加了人们对其在预防和控制1型和2型糖尿病病情中潜在作用的兴趣。这两种病症都与炎症相关,1型糖尿病还与自身免疫病理相关。事实上,动物和人体研究支持这样的观点,即充足的维生素D补充可能降低1型糖尿病以及可能的2型糖尿病的发病率,并可能改善糖尿病状态下的代谢控制。然而,维生素D和钙补充剂发挥有益作用的确切机制尚不清楚,需要进一步研究。