Magnesium deficiency as a contributing factor to type 2 diabetes: a review of the literature

Asal Radmanesh, Setare Choromzade, E. Akade, Mohamad Bahadoram, G. Kaydani
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Abstract

Magnesium deficiency is a vital contributing factor to the happening and arising of insulin resistance, metabolic syndrome, and type 2 diabetes mellitus. Magnesium has a critical function in controlling the level of glucose in the blood and insulin sensitivity, acting as a cofactor for various enzymes such as enzymes involved in carbohydrate oxidation, glucose transport mechanisms of the cell membrane, cell replication, and lipid metabolism. Studies have indicated that reduced magnesium levels in the blood are connected with a significant decline in insulin-mediated glucose uptake which is a vital part of the cell’s metabolism. In people with type 2 diabetes, plasma magnesium concentration was inversely associated with markers of insulin resistance. This means as magnesium levels in plasma decrease, the risk of insulin resistance increases. Additionally, magnesium deficiency can play a role in the development of diabetes by affecting the activity of the Na/K-ATPase enzyme, pancreas inflammation, reactive oxygen species (ROS) modification, lipid metabolism, and causing genetic instability, as the main contributors to type 2 diabetes. Therefore, early detection of magnesium deficiency can help prevent further complications. Physicians should be aware of the connection between magnesium deficiency and diabetes and monitor patients with magnesium deficiency for diabetes symptoms and make sure that the patient is getting adequate amounts of magnesium from their diet. Further research is needed to reveal the exact mechanisms underlying magnesium deficiency-induced type 2 diabetes and the curative effects of magnesium supplementation.
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镁缺乏是导致2型糖尿病的一个因素:文献综述
镁缺乏是胰岛素抵抗、代谢综合征和2型糖尿病发生和发展的重要因素。镁在控制血液中葡萄糖水平和胰岛素敏感性方面具有关键作用,作为各种酶的辅助因子,如涉及碳水化合物氧化,细胞膜葡萄糖运输机制,细胞复制和脂质代谢的酶。研究表明,血液中镁含量的降低与胰岛素介导的葡萄糖摄取显著下降有关,而葡萄糖摄取是细胞代谢的重要组成部分。在2型糖尿病患者中,血浆镁浓度与胰岛素抵抗标志物呈负相关。这意味着随着血浆中镁含量的降低,胰岛素抵抗的风险增加。此外,缺镁可通过影响Na/ k - atp酶的活性、胰腺炎症、活性氧(ROS)修饰、脂质代谢和引起遗传不稳定,在糖尿病的发展中发挥作用,是2型糖尿病的主要诱因。因此,早期发现缺镁有助于预防进一步的并发症。医生应该意识到缺镁和糖尿病之间的联系,监测缺镁患者的糖尿病症状,并确保患者从饮食中摄取足量的镁。镁缺乏诱导2型糖尿病的确切机制和镁补充剂的疗效有待进一步研究。
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