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给予维生素 D 和高剂量欧米伽 3 以维持 1 型糖尿病缓解。

Administration of vitamin D and high dose of omega 3 to sustain remission of type 1 diabetes.

机构信息

Department of Health Sciences, University of Eastern Piedmont, Novara, Italy.

出版信息

Eur Rev Med Pharmacol Sci. 2018 Jan;22(2):512-515. doi: 10.26355/eurrev_201801_14203.

Abstract

Two cases of Type 1 Diabetes (T1D) in pediatric subjects treated with supplementation with high dose vitamin D and omega 3 are reported. A similar pattern of remission of the disease was observed, resulting in restoration and subsequent persistence of optimal metabolic control, one and two years after T1D onset. Minimal basal insulin administration (0.1 IU/kg/die) in a single evening injection was required. The immunomodulatory and anti-inflammatory properties of the supplements were likely contributing to the observed effect. Similarities in genotyping and autoantibody patterns in these two cases could be of assistance to identify which subjects with T1D could benefit from this supplemental therapy. High dose vitamin D and omega 3 could be of assistance in childhood T1D therapy, to prolong preservation of endogenous insulin secretion in the absence of side effects. We do not know how long the state of remission can last, but these initial results are promising and represented a significant benefit for the two pediatric subjects treated. Larger controlled studies will determine the long-term effect of this proposed supplementation and its possible cost-benefits, including reduction of hypoglycemic episodes and complications.

摘要

报告了两例接受高剂量维生素 D 和欧米伽 3 补充治疗的儿童 1 型糖尿病(T1D)患者。观察到疾病缓解的模式相似,导致在 T1D 发病后 1 年和 2 年时,最佳代谢控制得到恢复和随后的持续存在。仅在晚上注射一次,就需要最小剂量的基础胰岛素(0.1 IU/kg/die)。补充剂的免疫调节和抗炎特性可能有助于观察到的效果。这两种情况下的基因分型和自身抗体模式的相似性可能有助于确定哪些 T1D 患者可以从这种补充治疗中受益。高剂量维生素 D 和欧米伽 3 可能有助于儿童 T1D 治疗,以延长内源性胰岛素分泌的保存,而没有副作用。我们不知道缓解状态可以持续多久,但这些初步结果是有希望的,对接受治疗的两名儿科患者有显著的益处。更大规模的对照研究将确定这种补充治疗的长期效果及其可能的成本效益,包括减少低血糖发作和并发症。

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