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The Effects of Vitamin D Supplementation on Metabolic and Oxidative Stress Markers in Patients With Type 2 Diabetes: A 6-Month Follow Up Randomized Controlled Study.

Frontiers in endocrinology
January 1, 2021
Milena Cojic et al. (4 authors)
Journal ArticleRandomized Controlled TrialResearch Support, Non-U.S. Gov'tHuman StudyClinical
Study Details

Study Goal

The researchers aimed to determine whether Vitamin D supplementation could improve glycemic control, insulin resistance, and cardiovascular risk markers in patients with type 2 diabetes mellitus (T2DM) on standard metformin therapy.

Results Summary

The study monitored potential benefits of Vitamin D supplementation on glycemia, HbA1c, insulin resistance (HOMA-IR), and lipid risk indices (Castelli Risk Index I and Triglycerides/Thiobarbituric acid), suggesting possible positive effects, though specific outcomes are not detailed in the abstract.

Population

Patients with type 2 diabetes mellitus (T2DM) on standard metformin therapy (n=130).

Effective Dosage

Not specified in the abstract.

Duration

Not specified in the abstract.

Interactions

None mentioned

Extracted Claims (10)
InterventionDirectionEndpointPopulationDosageImpactClaim #
Vitamin D
neutral
pancreatic insulin secretion
-
-
may alter
#1
Vitamin D
neutral
peripheral insulin resistance
-
-
may alter
#2
Vitamin D
neutral
persistence of systemic 'sterile' inflammation
-
-
may alter
#3
Vitamin D
neutral
immune activation
-
-
may alter
#4
Vitamin D
neutral
antioxidant effect
-
-
may have
#5
Vitamin D supplementation
neutral
glycemia level
patients with T2DM on standard metformin therapy
-
monitored through the influence on
#6
Vitamin D supplementation
neutral
glycated haemoglobin (HbA1c)
patients with T2DM on standard metformin therapy
-
monitored through the influence on
#7
Vitamin D supplementation
neutral
insulin resistance index (calculated as homeostatic model assessment; HOMA-IR)
patients with T2DM on standard metformin therapy
-
monitored through the influence on
#8
Vitamin D supplementation
neutral
Castelli Risk Index I
patients with T2DM on standard metformin therapy
-
monitored through the influence on
#9
Vitamin D supplementation
neutral
Tryglicerides/Thiobarbituric acid
patients with T2DM on standard metformin therapy
-
monitored through the influence on
#10
Abstract

Vitamin D deficiency could play an important role in the pathogenesis of type 2 diabetes mellitus (T2DM) as it may alter several crucial processes in the development of diabetes and its complications, such as pancreatic insulin secretion, peripheral insulin resistance, persistence of systemic "sterile" inflammation and immune activation. Vitamin D may also have an antioxidant effect through the inhibition of free radicals generation. The reported study was designed with eligible consecutively recruited patients with T2DM on standard metformin therapy (n=130), randomized in 1:1 ratio, considered to have undergone Vitamin D supplementation according to the guidelines proposed by the Endocrine Society, or to have continued with metformin only. The potential benefit was monitored through the influence on glycemia level, glycated haemoglobin (HbA1c), insulin resistance index (calculated as homeostatic model assessment; HOMA-IR), Castelli Risk Index I and Tryglicerides/Thiobarbituric acid

Medical Subject Headings (MeSH)
AntioxidantsBiomarkersBlood GlucoseDiabetes Mellitus, Type 2Dietary SupplementsDrug Therapy, CombinationFemaleFollow-Up StudiesGlycated HemoglobinHumansHypoglycemic AgentsInsulin ResistanceMaleMetforminMiddle AgedOxidative StressPrognosisProspective StudiesVitamin D
Study Links
Quality Scores
SafetyNot Assessed
Efficacy75/10
Quality85/10
Citation Metrics
Total Citations61
Citations/Year15.3
Relative Citation Ratio6.13
NIH Percentile95%
Research Impact Scores
APT Score0.95
Weight Score2.92
Normalized Score0.67
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