Correlation of serum magnesium with HbA1c in patients with diabetes mellitus

F. Ahmed, N. Sultana, T. Akter
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Abstract

Background and objectives: Diabetes mellitus (DM) is a leading cause of death and disability world wide. Magnesium acts as a cofactor in glucose metabolism and its decreased level causes insulin resistance and many complications in diabetic patients. The present study evaluated the correlation of serum magnesium with HbA1c in DM patients. Materials and methods: This cross sectional study was conducted in the Department of Biochemistry, Dhaka Medical College, Dhaka from July 2016 to June 2017. A total number of 100 individuals with and without diabetes mellitus were included in the study. HbA1c was measured by high performance liquid chromatography and estimation of serum magnesium was done by automatic biochemistry analyzer. Results: Out of 100 enrolled participants, 50 were diagnosed patients of DM (Group-A) and 50 were age and sex matched apparently healthy individuals (Group-B). The mean age of Group-A and B individuals was 50.5 ± 6.0 and 50.4 ± 5.1 years respectively. Group-A had significantly (p < 0.001) lower serum magnesium concentration compared to Group-B (1.5 ± 0.6 mg/dl vs 2.3 ± 0.5 mg/dl). Serum magnesium levels showed significant negative correlations with HbA1c (r = -0.511, p < 0.001). Conclusion: DM patients showed significant negative correlation of serum magnesium with HbA1c level. Routine screening for serum magnesium status would be helpful for the better management of diabetic cases. IMC J Med Sci. 2023. 17(1): 005. DOI: https://doi.org/10.55010/imcjms.17.005 *Correspondence: Farzana Ahmed, Department of Biochemistry, Ibrahim Medical College, 1/A Ibrahim Sarani, Shegunbagicha, Dhaka, Bangladesh. Email: tanvy1108@gmail.com
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糖尿病患者血清镁与HbA1c的相关性
背景和目的:糖尿病(DM)是世界范围内死亡和残疾的主要原因。镁作为葡萄糖代谢的辅助因子,其水平降低会引起糖尿病患者的胰岛素抵抗和许多并发症。本研究评估了糖尿病患者血清镁与HbA1c的相关性。材料与方法:本横断面研究于2016年7月至2017年6月在达卡医学院生物化学系进行。共有100名患有或不患有糖尿病的人被纳入研究。采用高效液相色谱法测定HbA1c,全自动生化分析仪测定血清镁含量。结果:100名受试者中,50名诊断为糖尿病患者(a组),50名年龄和性别匹配的明显健康个体(b组)。a组和B组的平均年龄分别为50.5±6.0岁和50.4±5.1岁。a组血清镁浓度显著低于b组(1.5±0.6 mg/dl vs 2.3±0.5 mg/dl) (p < 0.001)。血清镁水平与HbA1c呈显著负相关(r = -0.511, p < 0.001)。结论:DM患者血清镁与HbA1c水平呈显著负相关。常规筛查血清镁水平有助于糖尿病患者更好的治疗。中华医学会医学杂志。2023。17(1): 005。DOI: https://doi.org/10.55010/imcjms.17.005*Correspondence: Farzana Ahmed, Ibrahim医学院生物化学系,1/A Ibrahim Sarani, Shegunbagicha,孟加拉国达卡。电子邮件:tanvy1108@gmail.com
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