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锌与糖尿病:微量营养素与代谢之间的联系。

Zinc and Diabetes: A Connection between Micronutrient and Metabolism.

机构信息

Department of Physiology, Medical College for Women and Hospital, Dhaka 1230, Bangladesh.

Department of Medical Education, School of Medicine, University of Texas Rio Grande Valley (UTRGV), Edinburg, TX 78541, USA.

出版信息

Cells. 2024 Aug 15;13(16):1359. doi: 10.3390/cells13161359.

Abstract

Diabetes mellitus is a global health problem and a major contributor to mortality and morbidity. The management of this condition typically involves using oral antidiabetic medication, insulin, and appropriate dietary modifications, with a focus on macronutrient intake. However, several human studies have indicated that a deficiency in micronutrients, such as zinc, can be associated with insulin resistance as well as greater glucose intolerance. Zinc serves as a chemical messenger, acts as a cofactor to increase enzyme activity, and is involved in insulin formation, release, and storage. These diverse functions make zinc an important trace element for the regulation of blood glucose levels. Adequate zinc levels have also been shown to reduce the risk of developing diabetic complications. This review article explains the role of zinc in glucose metabolism and the effects of its inadequacy on the development, progression, and complications of diabetes mellitus. Furthermore, it describes the impact of zinc supplementation on preventing diabetes mellitus. The available information suggests that zinc has beneficial effects on the management of diabetic patients. Although additional large-scale randomized clinical trials are needed to establish zinc's clinical utility further, efforts should be made to increase awareness of its potential benefits on human health and disease.

摘要

糖尿病是一个全球性的健康问题,也是导致死亡率和发病率的主要因素之一。该疾病的治疗通常涉及使用口服抗糖尿病药物、胰岛素和适当的饮食调整,重点是摄入宏量营养素。然而,一些人体研究表明,微量元素(如锌)的缺乏与胰岛素抵抗以及更高的葡萄糖耐量不良有关。锌作为一种化学信使,作为辅助因子增加酶的活性,并参与胰岛素的形成、释放和储存。这些多样化的功能使锌成为调节血糖水平的重要微量元素。充足的锌水平也已被证明可以降低发生糖尿病并发症的风险。这篇综述文章解释了锌在葡萄糖代谢中的作用,以及其不足对糖尿病的发展、进展和并发症的影响。此外,它还描述了锌补充剂对预防糖尿病的影响。现有信息表明,锌对糖尿病患者的管理有有益的影响。尽管需要更多的大规模随机临床试验来进一步确定锌的临床实用性,但应努力提高人们对其在人类健康和疾病方面的潜在益处的认识。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b9cd/11352927/07a92fd03c62/cells-13-01359-g001.jpg

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