Serum Vitamin D Status and Its Relationship to Metabolic Parameters in Patients with Type 2 Diabetes Mellitus
10.4068/cmj.2012.48.2.108
- Author:
Jung Re YU
1
;
Sang Ah LEE
;
Jae Geun LEE
;
Gil Myeong SEONG
;
Seong Joo KO
;
Gwanpyo KOH
;
Mi Hee KONG
;
Keun Young PARK
;
Byung Joon KIM
;
Dong Mee LIM
;
Dae Ho LEE
Author Information
1. Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. drdhkso@hanmail.net
- Publication Type:Original Article
- Keywords:
Diabetes mellitus, Type2;
Fibrinogen;
25-Hydroxyvitamin D;
Vitamin D
- MeSH:
Cholesterol;
Creatinine;
Diabetes Mellitus, Type 2;
Ferritins;
Fibrinogen;
Glucose;
Hemoglobins;
Humans;
Lipoproteins;
Logistic Models;
Mass Screening;
Retrospective Studies;
Vitamin D;
Vitamins
- From:Chonnam Medical Journal
2012;48(2):108-115
- CountryRepublic of Korea
- Language:English
-
Abstract:
The potential relationship between vitamin D (VitD) status and metabolic control in patients with type 2 diabetes mellitus (T2DM) warrants further study. We aimed to evaluate the relationship between the serum 25-hydroxyvitamin D [25(OH)D] level and various parameters in patients with T2DM. We analyzed retrospectively data from 276 Korean patients with T2DM whose serum 25(OH)D level was measured in our hospital. Nondiabetic healthy subjects who visited the hospital for health screening were selected as the control group (Non-DM, n=160). Compared with control subjects, patients with T2DM had a lower serum 25(OH)D level (15.4+/-0.5 vs. 12.9+/-0.4 ng/ml, p<0.01). Eleven percent of T2DM patients were VitD "insufficient" (20-29 ng/ml) and 87% of the patients were VitD "deficient" (<20 ng/ml). The serum 25(OH)D level was significantly related to serum fibrinogen, triglyceride (TG), low-density lipoprotein cholesterol (LDL-C), ferritin, the urine albumin creatinine ratio, and hemoglobin A1C (HbA1C). In a multivariate logistic regression analysis, high levels of HbA1C, TG, and LDL-C were independently associated with VitD deficiency in T2DM patients. The results of the present study show that the majority of Koreans with T2DM are VitD deficient, and the serum 25(OH)D level in patients with T2DM is related to lipid and glucose parameters. Further studies are required of the relationship of VitD with fibrinogen and other related parameters.
