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2型糖尿病患者镁水平的评估及其与糖化血红蛋白水平的相关性。

Estimation of magnesium level in type 2 diabetes mellitus and its correlation with HbA1c level.

作者信息

Saeed Hajar, Haj Safer, Qasim Bayar

机构信息

Department of Medicine Azadi Teaching Hospital, DOH Duhok Iraq.

College of Medicine University of Duhok Duhok Iraq.

出版信息

Endocrinol Diabetes Metab. 2018 Nov 2;2(1):e00048. doi: 10.1002/edm2.48. eCollection 2019 Jan.

DOI:10.1002/edm2.48
PMID:30815575
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6354745/
Abstract

BACKGROUND

Type 2 diabetes mellitus (T2DM) is a common disease; the total number of diabetes patients is expected to reach 366 million by 2030. Magnesium has received considerable attention for its potential role in improving insulin sensitivity and preventing diabetes and its cardiovascular complications. Hypomagnesaemia is linked to poor control of type 2 diabetes mellitus, and depletion of serum magnesium occurs exponentially with duration of disease. The aim of this study was to measure serum magnesium level and the correlation of magnesium level with HbA1c in type 2 diabetes mellitus.

METHODS

In this cross-sectional study, we included 100 diabetic patients; blood is taken for measurement of both magnesium and HbA1c levels. Patients with risk factors of magnesium deficiency were not included.

RESULTS

Of the total 100 patients recruited in our study, majority had diabetes for 8.0 years duration. The mean age of the patients was 53.97 ± 10.65 years, most of them were on oral hypoglycaemic agents (84.9%) followed by combination of oral hypoglycaemic agents and insulin (10.5%), and a small percentage were on insulin alone (4.7%). The mean of serum magnesium and HbA1c levels was 1.88 ± 0.25 mg/dL and 8.38% ± 1.53%, respectively. The majority of the patients had a normal level of magnesium (95.0%); however, most of them had uncontrolled blood glucose (82.0%). The study showed that the serum magnesium level and HbA1c are not significantly correlated ( = 0.462).

CONCLUSION

Normal magnesium levels were observed in majority of patients, there is no significant correlation between serum magnesium and HbA1c levels in patients with T2DM, but larger-scale clinical trials are needed in future.

摘要

背景

2型糖尿病(T2DM)是一种常见疾病;预计到2030年糖尿病患者总数将达到3.66亿。镁因其在改善胰岛素敏感性、预防糖尿病及其心血管并发症方面的潜在作用而受到广泛关注。低镁血症与2型糖尿病控制不佳有关,血清镁的消耗随疾病持续时间呈指数增加。本研究的目的是测量2型糖尿病患者的血清镁水平以及镁水平与糖化血红蛋白(HbA1c)的相关性。

方法

在这项横断面研究中,我们纳入了100例糖尿病患者;采集血液用于测量镁和HbA1c水平。不包括有镁缺乏风险因素的患者。

结果

在我们研究中招募的100例患者中,大多数患者糖尿病病程为8.0年。患者的平均年龄为53.97±10.65岁,大多数患者使用口服降糖药(84.9%),其次是口服降糖药与胰岛素联合使用(10.5%),少数患者仅使用胰岛素(4.7%)。血清镁和HbA1c水平的平均值分别为1.88±0.25mg/dL和8.38%±1.53%。大多数患者镁水平正常(95.0%);然而,大多数患者血糖控制不佳(82.0%)。研究表明,血清镁水平与HbA1c无显著相关性(=0.462)。

结论

大多数患者镁水平正常,2型糖尿病患者血清镁与HbA1c水平之间无显著相关性,但未来需要更大规模的临床试验。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dad9/6354745/ed54d1847dab/EDM2-2-e00048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dad9/6354745/ed54d1847dab/EDM2-2-e00048-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dad9/6354745/ed54d1847dab/EDM2-2-e00048-g001.jpg

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