The role of micronutrients on the treatment of diabetes

IF 1.9 Q3 ENDOCRINOLOGY & METABOLISM Human Nutrition and Metabolism Pub Date : 2024-01-19 DOI:10.1016/j.hnm.2023.200238
Samer Younes
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Abstract

In the last two decades, there has been a significant increase in the number of individuals worldwide who are affected by diabetes. This review article aims to explore the correlation between specific vitamins and diabetes. It has been observed that individuals with diabetes tend to have lower levels of certain antioxidant vitamins, namely A, C, and E. This decrease in vitamin levels is believed to be a consequence of the need to manage oxidative stress caused by issues with glucose metabolism. Additionally, retinol-binding protein plays a role in regulation and adipocytokine function. Diabetics also exhibit reduced levels of thiamine, pyridoxine, and biotin. Research has indicated that diabetes can hinder the absorption of various nutrients, including vitamins B9 and B12, necessitating frequent replenishment of these vitamins. Insufficient levels of vitamin D have been linked to an increased risk of developing diabetes and related complications such as cardiovascular disease. While some studies suggest that vitamin K supplementation may improve glucose metabolism, it remains uncertain whether it can prevent or repair oxidative damage. Excessive vitamin supplementation has been shown to have negative effects, as demonstrated by numerous studies. The review that follows will analyze the association between several nutrients, specifically vitamins A, D, C, B3, B6, B9, Zn, B12, E, B1/K, and iron, and the pathways implicated in diabetes, as well as their potential regulatory effects.

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微量营养素对治疗糖尿病的作用
在过去二十年里,全球糖尿病患者人数大幅增加。这篇综述文章旨在探讨特定维生素与糖尿病之间的相关性。据观察,糖尿病患者体内某些抗氧化维生素(即维生素 A、维生素 C 和维生素 E)的含量往往较低。这种维生素含量的降低被认为是需要控制葡萄糖代谢问题所导致的氧化应激的结果。此外,视黄醇结合蛋白在调节和脂肪细胞因子功能方面发挥作用。糖尿病患者体内的硫胺素、吡哆醇和生物素水平也会降低。研究表明,糖尿病会阻碍各种营养素的吸收,包括维生素 B9 和 B12,因此需要经常补充这些维生素。维生素 D 含量不足与罹患糖尿病和心血管疾病等相关并发症的风险增加有关。一些研究表明,补充维生素 K 可以改善糖代谢,但能否预防或修复氧化损伤仍不确定。大量研究表明,过量补充维生素会产生负面影响。接下来的综述将分析几种营养素(特别是维生素 A、D、C、B3、B6、B9、锌、B12、E、B1/K 和铁)与糖尿病相关途径之间的联系及其潜在的调节作用。
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来源期刊
Human Nutrition and Metabolism
Human Nutrition and Metabolism Agricultural and Biological Sciences-Food Science
CiteScore
1.50
自引率
0.00%
发文量
30
审稿时长
188 days
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