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维生素与糖尿病之间的关系。

Relationship Between Vitamins and Diabetes.

作者信息

Raghuvanshi Devanshu S, Chakole Swarupa, Kumar Mayank

机构信息

Community Medicine, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Pharmacology, Jawaharlal Nehru Medical College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2023 Mar 28;15(3):e36815. doi: 10.7759/cureus.36815. eCollection 2023 Mar.

Abstract

This review article aims to examine the relationship between specific vitamins and type 2 diabetes. Individuals with diabetes have been observed to have lower levels of specific antioxidant vitamins such as A, C, and E, possibly due to the need to manage oxidative stress caused by glucose metabolic abnormalities. Retinol-binding protein, which has adipocytokine activities, has a modulatory effect. Levels of thiamine, pyridoxine, and biotin are also lower in individuals with diabetes. While the reasons for this are unclear, some improvement in metabolic control has been observed with supplementation. Although metformin is the preferred treatment for type 2 diabetes, it has been found to limit the absorption of certain nutrients, including vitamin B9 and vitamin B12, necessitating regular supplementation of these nutrients for people with diabetes. Diabetes and its consequences, including cardiovascular disease, are more likely in those with low vitamin D levels. Although some research suggests that vitamin K intake may improve glucose metabolism, further evidence is required. Research on the effectiveness of multivitamins has produced inconsistent results, and there are no clear guidelines for vitamin supplementation in individuals with type 2 diabetes mellitus. However, people who use metformin for extended periods may benefit from additional folic acid and vitamin B12 supplements.

摘要

这篇综述文章旨在探讨特定维生素与2型糖尿病之间的关系。据观察,糖尿病患者体内特定抗氧化维生素(如维生素A、C和E)的水平较低,这可能是由于需要应对葡萄糖代谢异常引起的氧化应激。具有脂肪细胞因子活性的视黄醇结合蛋白具有调节作用。糖尿病患者体内硫胺素、吡哆醇和生物素的水平也较低。虽然其原因尚不清楚,但补充这些物质后,代谢控制有了一定改善。尽管二甲双胍是2型糖尿病的首选治疗药物,但它会限制某些营养素的吸收,包括维生素B9和维生素B12,因此糖尿病患者需要定期补充这些营养素。维生素D水平低的人患糖尿病及其并发症(包括心血管疾病)的可能性更大。尽管一些研究表明,摄入维生素K可能改善葡萄糖代谢,但仍需更多证据。关于多种维生素有效性的研究结果并不一致,对于2型糖尿病患者的维生素补充,目前尚无明确的指导方针。然而,长期使用二甲双胍的患者可能会从额外补充叶酸和维生素B12中获益。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b4c9/10146464/a8607eae0ebe/cureus-0015-00000036815-i01.jpg

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