Supplementation with cholecalciferol does not improve glycaemic control in diabetic subjects with normal serum 25-hydroxyvitamin D levels.

BACKGROUND: Studies have suggested that vitamin D may be important for both insulin sensitivity and insulin secretion, and that supplementation with vitamin D may subsequently prevent development of type 2 diabetes. AIM OF THE STUDY: The objective of the current study was to test the hypothesis that...

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Publicado en:European Journal of Nutrition Vol. 48; no. 6; pp. 349 - 355
Autores principales: Jorde R, Figenschau Y
Formato: research tables/charts Journal Article
Publicado: Springer Nature Sep2009
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Sep2009
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      pub: Springer Nature
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        atl: Supplementation with cholecalciferol does not improve glycaemic control in diabetic subjects with normal serum 25-hydroxyvitamin D levels.
      aug:
        au:
          Jorde R
          Figenschau Y
        affil: Institute of Clinical Medicine, University of Tromso, Tromso, Norway
      sug:
        subj:
          Calcitriol Blood
          Cholecalciferol Administration and Dosage
          Diabetes Mellitus, Type 2
          Glycemic Control
          Adult
          Aged
          Analysis of Covariance
          Body Weights and Measures
          Data Analysis Software
          Descriptive Statistics
          Diabetic Patients
          Dietary Supplementation
          Female
          Funding Source
          Hematologic Tests
          Insulin
          Male
          Metformin
          Middle Age
          Norway
          Power Analysis
          T-Tests
          Human
          Adult: 19-44 years
          Aged: 65+ years
          Middle Aged: 45-64 years
          Female
          Male
      ab: BACKGROUND: Studies have suggested that vitamin D may be important for both insulin sensitivity and insulin secretion, and that supplementation with vitamin D may subsequently prevent development of type 2 diabetes. AIM OF THE STUDY: The objective of the current study was to test the hypothesis that supplementation with vitamin D would improve glycaemic control in subjects with type 2 diabetes. METHODS: Thirty-six subjects with type 2 diabetes, treated with metformin and bed-time insulin, were randomised to supplementation with cholecalciferol (40,000 IU per week) versus placebo for 6 months. Thirty-two subjects participated throughout the entirety of the study. Fasting blood samples were drawn before and at the end of the 6 month study without the previous bed-time insulin injection. The insulin and metformin doses were not changed throughout the study. RESULTS: After 6 months, the fasting glucose, insulin, C-peptide, fructosamine, and HbA(1c) levels were not significantly different from baseline values. In addition, changes in these parameters (values at 6 months minus values at baseline) did not differ between the vitamin D and the placebo group. CONCLUSIONS: We were not able to demonstrate that vitamin D supplementation had a significant effect on glucose metabolism in subjects with type 2 diabetes but without vitamin D deficiency. Further studies are needed in larger groups of subjects with type 2 diabetes or impaired glucose tolerance, who also exhibit low serum 25-hydroxyvitamin D levels.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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