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维生素D在糖尿病中起作用吗?

Does Vitamin D Have a Role in Diabetes?

作者信息

Abugoukh Tahani M, Al Sharaby Afrah, Elshaikh Abeer O, Joda Malaz, Madni Amna, Ahmed Ihab, Abdalla Rasha S, Ahmed Kholood, Elazrag Shahd E, Abdelrahman Nadir

机构信息

Internal Medicine, Michigan State University College of Human Medicine, East Lansing, USA.

Family Medicine - Geriatrics, Michigan State University College of Human Medicine, East Lansing, USA.

出版信息

Cureus. 2022 Oct 18;14(10):e30432. doi: 10.7759/cureus.30432. eCollection 2022 Oct.

Abstract

Vitamin D, a fat-soluble vitamin, acts in the calcium and phosphorus metabolism in its active form (1,25-dihydroxy vitamin D). It may help prevent and treat autoimmune diseases, including diabetes mellitus. Diabetes has become a significant global health issue with a rising incidence and prevalence. A recent focus has been on vitamin D supplementation as part of efforts to discover novel ways to prevent and treat diabetes. Most evidence points to the vitamin D receptors (VDRS) gene in both types of diabetes. The main objective of this study is to analyze how vitamin D affects both type 1 and type 2 diabetes. In this literature review, we searched the PubMed and Google Scholar databases to collect related articles from 13 papers of different study designs. We found a significant association between vitamin D deficiency and type 1 and type 2 diabetes development. It has been shown that vitamin D supplements have a promising effect in reducing glycated hemoglobin (HbA1c) in patients with type 1 diabetes, with no significant impact on the incidence or improvement of type 2 diabetes. Patients with diabetes and people at high risk of diabetes need the appropriate amount of vitamin D; therefore, regular testing and vitamin D supplementation are advised for the management and prevention of diabetes. Additional randomized studies with bigger sample sizes and longer-term trials are required to fully explore the benefits of vitamin D supplementation in patients with type 1 and type 2 diabetes.

摘要

维生素D是一种脂溶性维生素,其活性形式(1,25 - 二羟基维生素D)参与钙和磷的代谢。它可能有助于预防和治疗自身免疫性疾病,包括糖尿病。随着发病率和患病率的上升,糖尿病已成为一个重大的全球健康问题。最近的一个关注点是补充维生素D,作为发现预防和治疗糖尿病新方法努力的一部分。大多数证据指向两种类型糖尿病中的维生素D受体(VDRS)基因。本研究的主要目的是分析维生素D如何影响1型和2型糖尿病。在这篇文献综述中,我们搜索了PubMed和谷歌学术数据库,从13篇不同研究设计的论文中收集相关文章。我们发现维生素D缺乏与1型和2型糖尿病的发生之间存在显著关联。研究表明,维生素D补充剂对降低1型糖尿病患者的糖化血红蛋白(HbA1c)有显著效果,对2型糖尿病的发病率或改善情况无显著影响。糖尿病患者和糖尿病高危人群需要适量的维生素D;因此,建议定期检测并补充维生素D以管理和预防糖尿病。需要更多样本量更大的随机研究和长期试验来充分探索补充维生素D对1型和2型糖尿病患者的益处。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f736/9671203/938be133a0a6/cureus-0014-00000030432-i01.jpg

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