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Association between serum 25‐hydroxyvitamin D and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease
AIMS/INTRODUCTION: Vitamin D is suggested to influence glucose homeostasis. An inverse relationship between serum 25‐hydroxyvitamin D (25[OH]D) and glycemic control in non‐chronic kidney disease (CKD) patients with type 2 diabetes was reported. We aimed to examine this association among type 2 diabe...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5835453/ https://www.ncbi.nlm.nih.gov/pubmed/28519964 http://dx.doi.org/10.1111/jdi.12696 |
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author | Lim, Lee Ling Ng, Yong Muh Kang, Pei San Lim, Soo Kun |
author_facet | Lim, Lee Ling Ng, Yong Muh Kang, Pei San Lim, Soo Kun |
author_sort | Lim, Lee Ling |
collection | PubMed |
description | AIMS/INTRODUCTION: Vitamin D is suggested to influence glucose homeostasis. An inverse relationship between serum 25‐hydroxyvitamin D (25[OH]D) and glycemic control in non‐chronic kidney disease (CKD) patients with type 2 diabetes was reported. We aimed to examine this association among type 2 diabetes patients with CKD. MATERIALS AND METHODS: A total of 100 type 2 diabetes participants with stage 3–4 CKD were recruited. Blood for glycated hemoglobin (HbA(1c)), serum 25(OH)D, renal and lipid profiles were drawn at enrollment. Correlation and regression analyses were carried out to assess the relationship of serum 25(OH)D, HbA(1c) and other metabolic traits. RESULTS: A total of 30, 42, and 28% of participants were in CKD stage 3a, 3b and 4, respectively. The proportions of participants based on ethnicity were 51% Malay, 24% Chinese and 25% Indian. The mean (±SD) age and body mass index were 60.5 ± 9.0 years and 28.3 ± 5.9 kg/m(2), whereas mean HbA(1c) and serum 25(OH)D were 7.9 ± 1.6% and 37.1 ± 22.2 nmol/L. HbA(1c) was negatively correlated with serum 25(OH)D (r (s) = −0.314, P = 0.002), but positively correlated with body mass index (r (s) = 0.272, P = 0.006) and serum low‐density lipoprotein cholesterol (P = 0.006). There was a significant negative correlation between serum 25(OH)D and total daily dose of insulin prescribed (r (s) = −0.257, P = 0.042). Regression analyses showed that every 10‐nmol/L decline in serum 25(OH)D was associated with a 0.2% increase in HbA(1c). CONCLUSIONS: Lower serum 25(OH)D was associated with poorer glycemic control and higher insulin use among multi‐ethnic Asians with type 2 diabetes and stage 3–4 CKD. |
format | Online Article Text |
id | pubmed-5835453 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-58354532018-03-07 Association between serum 25‐hydroxyvitamin D and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease Lim, Lee Ling Ng, Yong Muh Kang, Pei San Lim, Soo Kun J Diabetes Investig Articles AIMS/INTRODUCTION: Vitamin D is suggested to influence glucose homeostasis. An inverse relationship between serum 25‐hydroxyvitamin D (25[OH]D) and glycemic control in non‐chronic kidney disease (CKD) patients with type 2 diabetes was reported. We aimed to examine this association among type 2 diabetes patients with CKD. MATERIALS AND METHODS: A total of 100 type 2 diabetes participants with stage 3–4 CKD were recruited. Blood for glycated hemoglobin (HbA(1c)), serum 25(OH)D, renal and lipid profiles were drawn at enrollment. Correlation and regression analyses were carried out to assess the relationship of serum 25(OH)D, HbA(1c) and other metabolic traits. RESULTS: A total of 30, 42, and 28% of participants were in CKD stage 3a, 3b and 4, respectively. The proportions of participants based on ethnicity were 51% Malay, 24% Chinese and 25% Indian. The mean (±SD) age and body mass index were 60.5 ± 9.0 years and 28.3 ± 5.9 kg/m(2), whereas mean HbA(1c) and serum 25(OH)D were 7.9 ± 1.6% and 37.1 ± 22.2 nmol/L. HbA(1c) was negatively correlated with serum 25(OH)D (r (s) = −0.314, P = 0.002), but positively correlated with body mass index (r (s) = 0.272, P = 0.006) and serum low‐density lipoprotein cholesterol (P = 0.006). There was a significant negative correlation between serum 25(OH)D and total daily dose of insulin prescribed (r (s) = −0.257, P = 0.042). Regression analyses showed that every 10‐nmol/L decline in serum 25(OH)D was associated with a 0.2% increase in HbA(1c). CONCLUSIONS: Lower serum 25(OH)D was associated with poorer glycemic control and higher insulin use among multi‐ethnic Asians with type 2 diabetes and stage 3–4 CKD. John Wiley and Sons Inc. 2017-06-27 2018-03 /pmc/articles/PMC5835453/ /pubmed/28519964 http://dx.doi.org/10.1111/jdi.12696 Text en © 2017 The Authors. Journal of Diabetes Investigation published by Asian Association for the Study of Diabetes (AASD) and John Wiley & Sons Australia, Ltd This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs (http://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Articles Lim, Lee Ling Ng, Yong Muh Kang, Pei San Lim, Soo Kun Association between serum 25‐hydroxyvitamin D and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease |
title | Association between serum 25‐hydroxyvitamin D and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease |
title_full | Association between serum 25‐hydroxyvitamin D and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease |
title_fullStr | Association between serum 25‐hydroxyvitamin D and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease |
title_full_unstemmed | Association between serum 25‐hydroxyvitamin D and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease |
title_short | Association between serum 25‐hydroxyvitamin D and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease |
title_sort | association between serum 25‐hydroxyvitamin d and glycated hemoglobin levels in type 2 diabetes patients with chronic kidney disease |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5835453/ https://www.ncbi.nlm.nih.gov/pubmed/28519964 http://dx.doi.org/10.1111/jdi.12696 |
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