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新诊断2型糖尿病的北印度人群中25羟维生素D状态模式:一项前瞻性病例对照研究。

Pattern of 25 hydroxy vitamin D status in North Indian people with newly detected type 2 diabetes: A prospective case control study.

作者信息

Laway Bashir Ahmad, Kotwal Suman Kumar, Shah Zaffar Amin

机构信息

Department of Endocrinology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.

Department of Immunology, Sher-I-Kashmir Institute of Medical Sciences, Soura, Srinagar, Jammu and Kashmir, India.

出版信息

Indian J Endocrinol Metab. 2014 Sep;18(5):726-30. doi: 10.4103/2230-8210.139242.

Abstract

BACKGROUND

Vitamin D deficiency (VDD) has been linked to impaired glucose tolerance and type 2 diabetes (T2D) in humans. The aim of the present study was to find the vitamin D status in newly detected T2D patients compared with healthy controls.

MATERIALS AND METHODS

One hundred and two, newly detected T2D patients and similar number of age, body mass index (BMI), and gender matched healthy controls without diabetes were studied. In addition to basic information, metabolic parameters and serum 25 hydroxy vitamin D (25HD) were measured in both the groups.

RESULTS

Overall 25HD, was lower (mean ± SD, 18.81 ± 15.18 ng/ml) in patients with T2D as compared to healthy controls (28.46 ± 18.89 ng/ml) (P = 0.00). Taking a cut of 30 ng/ml, 81% of T2D patients had either VDD or insufficiency compared to 67% of healthy control subjects. Severe VDD (25HD of < 5 ng/ml) was seen in 16.2% of patients with diabetes and 2.5% of control subjects. Levels of 25HD had a negative correlation with HbA1c, fasting plasma glucose.

CONCLUSIONS

VDD is common in people with new onset T2D.

摘要

背景

维生素D缺乏(VDD)与人类糖耐量受损和2型糖尿病(T2D)有关。本研究的目的是比较新诊断的T2D患者与健康对照者的维生素D状况。

材料与方法

研究了102例新诊断的T2D患者以及数量相近、年龄、体重指数(BMI)和性别匹配的无糖尿病健康对照者。除基本信息外,还测量了两组的代谢参数和血清25羟维生素D(25HD)。

结果

与健康对照者(28.46±18.89 ng/ml)相比,T2D患者的总体25HD水平较低(平均值±标准差,18.81±15.18 ng/ml)(P = 0.00)。以30 ng/ml为临界值,81%的T2D患者存在VDD或维生素D不足,而健康对照者中这一比例为67%。16.2%的糖尿病患者和2.5%的对照者存在严重VDD(25HD<5 ng/ml)。25HD水平与糖化血红蛋白、空腹血糖呈负相关。

结论

VDD在新诊断的T2D患者中很常见。

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Prevalence of vitamin D deficiency across the spectrum of glucose intolerance.葡萄糖不耐受各阶段维生素D缺乏的患病率。
J Diabetes Metab Disord. 2015 Jun 30;14:54. doi: 10.1186/s40200-015-0179-5. eCollection 2015.

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