Mohamad Magda I, El-Sherbeny Enas E, Bekhet Meram M
a Medical Biochemistry Department.
c Faculty of Medicine, Ain Shams University, Cairo, EGYPT; Public Health & Community Medicine Department , Faculty of Medicine, Mansoura University, Mansoura, EGYPT.
J Am Coll Nutr. 2016 Jul;35(5):399-404. doi: 10.1080/07315724.2015.1026427. Epub 2015 Sep 21.
AIM: The aim of this study was to evaluate the effect of vitamin D supplementation in patients with type 2 diabetes mellitus (T2DM) with regard to their glycemic control and lipid profile. METHODS: One hundred subjects with T2DM were recruited and given 4500 IU/day of vitamin D for 2 months. 25-Hydroxyvitamin D [25(OH)D], fasting blood glucose (FBG), glycosylated hemoglobin A1c (HbA1c), and lipid profile were measured pre- and postsupplementation. RESULTS: There was a significant increase in the mean value of 25(OH)D level after supplementation (baseline level 16 ± 5.3 ng/ml vs. after supplement level 49.2 ± 17.7 ng/ml, p < 0.05). Both FBG and HbA1c but not lipid profile were significantly decreased after supplementation. However, the univariate general linear model between 25(OH)D percentiles and lipid profile levels showed that diabetic subjects with high 25(OH)D levels (>61 ng/ml) had significantly lower levels of total cholesterol and low-density lipoprotein cholesterol (LDL-C) in comparison to those in the low or middle percentiles. Furthermore, participants in a higher percentile had a significantly higher level of high-density lipoprotein cholesterol (HDL-C) than those in the middle percentile. Lipid profile levels were not affected by the supplement except for triglycerides (TG) levels in females, which were significantly decreased. CONCLUSIONS: Vitamin D supplementation may be beneficial to diabetic subjects because it improved glycemic control. Diabetic subjects with high 25(OH)D levels (>61 ng/ml) had better lipid profiles.
目的:本研究旨在评估补充维生素D对2型糖尿病(T2DM)患者血糖控制和血脂谱的影响。 方法:招募100名T2DM患者,给予其每天4500国际单位的维生素D,持续2个月。在补充维生素D前后测量25-羟维生素D [25(OH)D]、空腹血糖(FBG)、糖化血红蛋白A1c(HbA1c)和血脂谱。 结果:补充维生素D后,25(OH)D水平的平均值显著升高(基线水平为16±5.3纳克/毫升,补充后水平为49.2±17.7纳克/毫升,p<0.05)。补充后,FBG和HbA1c均显著降低,但血脂谱未受显著影响。然而,25(OH)D百分位数与血脂谱水平之间的单变量一般线性模型显示,25(OH)D水平高(>61纳克/毫升)的糖尿病患者与低或中等百分位数的患者相比,总胆固醇和低密度脂蛋白胆固醇(LDL-C)水平显著更低。此外,较高百分位数的参与者的高密度脂蛋白胆固醇(HDL-C)水平显著高于中等百分位数的参与者。除女性甘油三酯(TG)水平显著降低外,补充维生素D对血脂谱水平无影响。 结论:补充维生素D可能对糖尿病患者有益,因为它改善了血糖控制。25(OH)D水平高(>61纳克/毫升)的糖尿病患者血脂谱更佳。
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