Relationship Between Vitamin D Status and the Relevant Parameters of Glucose in Patients with Type 2 Diabetes

Thanh Tung Tran Huu,1 Huu Dang Tran,2 Thua Nguyen Tran,3 Bui Bao Hoang2 1Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam; 2Department of Internal Medicine, Hue University of Medicine and Pharmacy, Hue City, Vietnam; 3Department of General Internal Medicine and Geriatrics,...

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Autores principales: Tran Huu TT, Tran HD, Tran TN, Hoang BB
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Publicado: Dove Medical Press 2021
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spelling oai:doaj.org-article:c800b2154ffa4b55ae30983138a7cba42021-12-02T18:05:05ZRelationship Between Vitamin D Status and the Relevant Parameters of Glucose in Patients with Type 2 Diabetes1178-7007https://doaj.org/article/c800b2154ffa4b55ae30983138a7cba42021-06-01T00:00:00Zhttps://www.dovepress.com/relationship-between-vitamin-d-status-and-the-relevant-parameters-of-g-peer-reviewed-fulltext-article-DMSOhttps://doaj.org/toc/1178-7007Thanh Tung Tran Huu,1 Huu Dang Tran,2 Thua Nguyen Tran,3 Bui Bao Hoang2 1Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam; 2Department of Internal Medicine, Hue University of Medicine and Pharmacy, Hue City, Vietnam; 3Department of General Internal Medicine and Geriatrics, Hue Central Hospital, Hue City, VietnamCorrespondence: Thua Nguyen TranDepartment of General Internal Medicine and Geriatrics, Hue Central Hospital, Hue City, VietnamTel +84903597695Email tranthuanguyen23@gmail.comIntroduction: Clarifying the prevalence of vitamin D deficiency in diabetic patients, and the relationship between vitamin D concentration and insulin resistance, fasting plasma glucose, and HbA1C in patients in Hue City, Vietnam.Methods: A cross-sectional study on 110 diabetic patients examined at Hue Central Hospital and Hue University of Medicine and Pharmacy Hospital. These patients were collected venous blood sampling, and the 25(OH)D test, fasting plasma glucose test, fasting insulin test, HOMA-IR and QUICKI calculation.Results: Vitamin D deficiency and insufficiency prevalence were 51.8%. The average concentration of 25(OH)D (ng/mL) was 30.67 ± 8.55; this concentration in fasting glucose level ≤ 8 mmol/l group and > 8 mmol/l group was 32.08 ± 9.26 and 28.55± 6.91 (p = 0.033); it was 32.95 ± 8.58 and 28.97 ± 8.17 in HOMA-IR ≤ 3.5 and HOMA-IR > 3.5 group, (p = 0.015); in QUICKI ≤ 0.32 group, it was 29.16 ± 8.12; in QUICKI > 0.32 group, it was 32.85 ± 8.76 (p = 0.025). Patients with an ideal exercise level have higher average levels of 25(OH)D (32.11± 8.62 vs 26.83± 7.16, p=0.003). The average levels of 25(OH)D in male patients are higher than in female patients (33.47± 0.08 vs 29.01± 8.43, p=0.008). Vitamin D deficiency and insufficiency prevalence in patients with HOMA-IR ≤ 3.5 and QUICKI > 0.32 were 36.2% and 37.8%, whereas in those with HOMA-IR > 3.5 and QUICKI ≤ 0.32 they were 63.5% and 61.5% (p = 0.007 and 0.02, respectively). 25(OH)D is negative correlation with fasting glucose level and HOMA-IR, with r = − 0.229 and − 0.192, respectively (p = 0.016 and 0.045); 25(OH)D was positively correlated with QUICKI, with r = 0.235, p = 0.008.Conclusion: Patients who have better glucose-related parameters, such as fasting blood sugar, HOMA-IR and QUICKI, have a better vitamin D status. Some blood sugar-related factors, such as exercise level and sex, are related to vitamin D status.Keywords: vitamin D, insulin resistance, diabetes, HbA1CTran Huu TTTran HDTran TNHoang BBDove Medical Pressarticlevitamin dinsulin resistancediabeteshba1cSpecialties of internal medicineRC581-951ENDiabetes, Metabolic Syndrome and Obesity: Targets and Therapy, Vol Volume 14, Pp 2489-2494 (2021)
institution DOAJ
collection DOAJ
language EN
topic vitamin d
insulin resistance
diabetes
hba1c
Specialties of internal medicine
RC581-951
spellingShingle vitamin d
insulin resistance
diabetes
hba1c
Specialties of internal medicine
RC581-951
Tran Huu TT
Tran HD
Tran TN
Hoang BB
Relationship Between Vitamin D Status and the Relevant Parameters of Glucose in Patients with Type 2 Diabetes
description Thanh Tung Tran Huu,1 Huu Dang Tran,2 Thua Nguyen Tran,3 Bui Bao Hoang2 1Hue University of Medicine and Pharmacy, Hue University, Hue City, Vietnam; 2Department of Internal Medicine, Hue University of Medicine and Pharmacy, Hue City, Vietnam; 3Department of General Internal Medicine and Geriatrics, Hue Central Hospital, Hue City, VietnamCorrespondence: Thua Nguyen TranDepartment of General Internal Medicine and Geriatrics, Hue Central Hospital, Hue City, VietnamTel +84903597695Email tranthuanguyen23@gmail.comIntroduction: Clarifying the prevalence of vitamin D deficiency in diabetic patients, and the relationship between vitamin D concentration and insulin resistance, fasting plasma glucose, and HbA1C in patients in Hue City, Vietnam.Methods: A cross-sectional study on 110 diabetic patients examined at Hue Central Hospital and Hue University of Medicine and Pharmacy Hospital. These patients were collected venous blood sampling, and the 25(OH)D test, fasting plasma glucose test, fasting insulin test, HOMA-IR and QUICKI calculation.Results: Vitamin D deficiency and insufficiency prevalence were 51.8%. The average concentration of 25(OH)D (ng/mL) was 30.67 ± 8.55; this concentration in fasting glucose level ≤ 8 mmol/l group and > 8 mmol/l group was 32.08 ± 9.26 and 28.55± 6.91 (p = 0.033); it was 32.95 ± 8.58 and 28.97 ± 8.17 in HOMA-IR ≤ 3.5 and HOMA-IR > 3.5 group, (p = 0.015); in QUICKI ≤ 0.32 group, it was 29.16 ± 8.12; in QUICKI > 0.32 group, it was 32.85 ± 8.76 (p = 0.025). Patients with an ideal exercise level have higher average levels of 25(OH)D (32.11± 8.62 vs 26.83± 7.16, p=0.003). The average levels of 25(OH)D in male patients are higher than in female patients (33.47± 0.08 vs 29.01± 8.43, p=0.008). Vitamin D deficiency and insufficiency prevalence in patients with HOMA-IR ≤ 3.5 and QUICKI > 0.32 were 36.2% and 37.8%, whereas in those with HOMA-IR > 3.5 and QUICKI ≤ 0.32 they were 63.5% and 61.5% (p = 0.007 and 0.02, respectively). 25(OH)D is negative correlation with fasting glucose level and HOMA-IR, with r = − 0.229 and − 0.192, respectively (p = 0.016 and 0.045); 25(OH)D was positively correlated with QUICKI, with r = 0.235, p = 0.008.Conclusion: Patients who have better glucose-related parameters, such as fasting blood sugar, HOMA-IR and QUICKI, have a better vitamin D status. Some blood sugar-related factors, such as exercise level and sex, are related to vitamin D status.Keywords: vitamin D, insulin resistance, diabetes, HbA1C
format article
author Tran Huu TT
Tran HD
Tran TN
Hoang BB
author_facet Tran Huu TT
Tran HD
Tran TN
Hoang BB
author_sort Tran Huu TT
title Relationship Between Vitamin D Status and the Relevant Parameters of Glucose in Patients with Type 2 Diabetes
title_short Relationship Between Vitamin D Status and the Relevant Parameters of Glucose in Patients with Type 2 Diabetes
title_full Relationship Between Vitamin D Status and the Relevant Parameters of Glucose in Patients with Type 2 Diabetes
title_fullStr Relationship Between Vitamin D Status and the Relevant Parameters of Glucose in Patients with Type 2 Diabetes
title_full_unstemmed Relationship Between Vitamin D Status and the Relevant Parameters of Glucose in Patients with Type 2 Diabetes
title_sort relationship between vitamin d status and the relevant parameters of glucose in patients with type 2 diabetes
publisher Dove Medical Press
publishDate 2021
url https://doaj.org/article/c800b2154ffa4b55ae30983138a7cba4
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