RISK ASSESSMENT OF NON-CONVENTIONAL CONTRIBUTORY FACTORS IN ONSET OF DIABETES MELLITUS TYPE II

Authors

  • HRZ Chudhary Bahria International Hospital, Lahore, Pakistan
  • A Amin Bahria International Hospital, Lahore, Pakistan
  • MH Malik Institute of Molecular Biology and Biotechnology, The University of Lahore, Lahore, Pakistan
  • MM Hafeez Institute of Molecular Biology & Biotechnology, University of Lahore, Lahore, Pakistan
  • MA Rana Bahria International Hospital, Lahore, Pakistan
  • A Malik Institute of Molecular Biology & Biotechnology, University of Lahore, Lahore, Pakistan

DOI:

https://doi.org/10.54112/bcsrj.v2020i1.36

Keywords:

calcium, vitamin D, Diabetes mellitus, risk factor

Abstract

The aim of current study is the risk assessment of biochemical variables of medical importance, vitamin D and calcium, in pathogenesis of Diabetes Mellitus Type II (T2DM) human beings and the risk assessment due to variation of these biochemical variables in diabetic patients. One hundred subjects (n=100) were recruited from different hospitals in Lahore (31.5204° N, 74.3587° E) after taken informed consents individually. This study was approved by the ethical committee of Institute of Molecular Biology and Biotechnology (IMBB), The University of Lahore, Lahore. Subjects were equally divide in two groups; diabetic (case group; n=50) and non-diabetic (control; n=50). Calcium and vitamin D levels were measured by the biochemical laboratory of Hospitals. Finally the data was statistically analyzed by using SPSS software (Version 16). A total of 52 % males and 48 % females were investigated for changes in serum calcium and vitamin D in relation to their biochemical importance in Diabetes Mellitus. Both calcium and vitamin D levels were significantly low in diabetic group (p=0.003 and p=0.001 respectively) as compare to control group. Persons correlation showed calcium and vitamin D were directly proportional to each other (R2= 0.577). Odds ratio showed that the low vitamin D and low Calcium levels were 3.47 and 3.17 time more prevalent in diabetic group as compare to the non- diabetic group. Diabetes Mellitus is an increasing health issue in world causing severe morbidity and mortality. So it is important to investigate the non-conventional risk factors of Diabetes Mellitus. Thus, the current study illuminates the risk assessment of altered levels of vitamin D and calcium, their possible pathogenesis in Diabetes Mellitus. It can be concluded from this study that supplementation of vitamin D and calcium till to the normal physiological limits can help not only lowering the risk of diabetes but may also prevent its progression.

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References

Al-Qahtani, A. M. (2020). Frequency and factors associated with inadequate self-care behaviors in patients with type 2 diabetes mellitus in Najran, Saudi Arabia. Based on diabetes self-management questionnaire. Saudi Medical Journal 41, 955-964. DOI: https://doi.org/10.15537/smj.2020.9.25339

Arnold, S. E., Arvanitakis, Z., Macauley-Rambach, S. L., Koenig, A. M., Wang, H.-Y., Ahima, R. S., Craft, S., Gandy, S., Buettner, C., and Stoeckel, L. E. (2018). Brain insulin resistance in type 2 diabetes and Alzheimer disease: concepts and conundrums. Nature Reviews Neurology 14, 168-181. DOI: https://doi.org/10.1038/nrneurol.2017.185

Bendik, I., Friedel, A., Roos, F. F., Weber, P., and Eggersdorfer, M. (2014). Vitamin D: a critical and essential micronutrient for human health. Frontiers in physiology 5, 248. DOI: https://doi.org/10.3389/fphys.2014.00248

Bukhsh, A., Khan, T. M., Nawaz, M. S., Ahmed, H. S., Chan, K. G., and Goh, B.-H. (2019). Association of diabetes knowledge with glycemic control and self-care practices among Pakistani people with type 2 diabetes mellitus. Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy 12, 1409. DOI: https://doi.org/10.2147/DMSO.S209711

Hruby, A., Manson, J. E., Qi, L., Malik, V. S., Rimm, E. B., Sun, Q., Willett, W. C., and Hu, F. B. (2016). Determinants and consequences of obesity. American journal of public health 106, 1656-1662. DOI: https://doi.org/10.2105/AJPH.2016.303326

Kahanovitz, L., Sluss, P. M., and Russell, S. J. (2017). Type 1 diabetes–a clinical perspective. Point of care 16, 37. DOI: https://doi.org/10.1097/POC.0000000000000125

Khan, I., Samson, S. E., and Grover, A. K. (2017). Antioxidant supplements and gastrointestinal diseases: a critical appraisal. Medical Principles and Practice 26, 201-217. DOI: https://doi.org/10.1159/000468988

Malik, A., Khan, M., Hafeez, Z., and Zubair, A. H., MM Chaudhary, HRZ Nazar, W Waqar, S (2020). Role of vitamin D and oxidative stress markers in the development and progression type II diabetes mellitus. International Journal of Biology, Pharmacy and Allied Sciences 9, 613-626. DOI: https://doi.org/10.31032/IJBPAS/2020/9.4.4978

Malik, R., Farooq, R., Mehta, P., Ishaq, S., Din, I., Shah, P., and Majid, S. (2018). Association of Vitamin D receptor gene polymorphism in adults with type 2 diabetes in the Kashmir Valley. Canadian journal of diabetes 42, 251-256. DOI: https://doi.org/10.1016/j.jcjd.2017.06.003

Marjanac, I., Lovrić, R., and Barbić, J. (2019). Serum levels of the high-mobility group box 1 protein (HMGB1) in children with type 1 diabetes mellitus: case-control study. Central-European journal of immunology 44, 33. DOI: https://doi.org/10.5114/ceji.2019.84012

Masri, O. A., Chalhoub, J. M., and Sharara, A. I. (2015). Role of vitamins in gastrointestinal diseases. World Journal of Gastroenterology: WJG 21, 5191. DOI: https://doi.org/10.3748/wjg.v21.i17.5191

Mathieu, C., Gysemans, C., Giulietti, A., and Bouillon, R. (2005). Vitamin D and diabetes. Diabetologia 48, 1247-1257. DOI: https://doi.org/10.1007/s00125-005-1802-7

Mitri, J., Dawson-Hughes, B., Hu, F. B., and Pittas, A. G. (2011). Effects of vitamin D and calcium supplementation on pancreatic β cell function, insulin sensitivity, and glycemia in adults at high risk of diabetes: the Calcium and Vitamin D for Diabetes Mellitus (CaDDM) randomized controlled trial. The American journal of clinical nutrition 94, 486-494. DOI: https://doi.org/10.3945/ajcn.111.011684

Norris, K. C., Olabisi, O., Barnett, M. E., Meng, Y.-X., Martins, D., Obialo, C., Lee, J. E., and Nicholas, S. B. (2018). The role of vitamin D and oxidative stress in chronic kidney disease. International Journal of Environmental Research and Public Health 15, 2701. DOI: https://doi.org/10.3390/ijerph15122701

Rodrigues, K. F., Pietrani, N. T., Bosco, A. A., de Sousa, M. C. R., Silva, I. d. F. O., Silveira, J. N., and Gomes, K. B. (2019). Lower vitamin D levels, but not VDR polymorphisms, influence type 2 diabetes mellitus in Brazilian population independently of obesity. Medicina 55, 188. DOI: https://doi.org/10.3390/medicina55050188

Umeda, E., Shimizu, Y., and Kawai, N. (2020). Difficulties in daily life and the association with self‐care ability in adults with type 1 diabetes mellitus in Japan: A cross‐sectional study. Nursing Open. DOI: https://doi.org/10.1002/nop2.466

Van Belle, T. L., Gysemans, C., and Mathieu, C. (2013). Vitamin D and diabetes: the odd couple. Trends in Endocrinology & Metabolism 24, 561-568. DOI: https://doi.org/10.1016/j.tem.2013.07.002

VanAmerongen, B., Dijkstra, C., Lips, P., and Polman, C. (2004). Multiple sclerosis and vitamin D: an update. European journal of clinical nutrition 58, 1095-1109. DOI: https://doi.org/10.1038/sj.ejcn.1601952

Zheng, Y., Manson, J. E., Yuan, C., Liang, M. H., Grodstein, F., Stampfer, M. J., Willett, W. C., and Hu, F. B. (2017). Associations of weight gain from early to middle adulthood with major health outcomes later in life. Jama 318, 255-269. DOI: https://doi.org/10.1001/jama.2017.7092

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Published

2020-12-12

How to Cite

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Chudhary H, Amin A, Malik M, Hafeez M, Rana M, Malik A. RISK ASSESSMENT OF NON-CONVENTIONAL CONTRIBUTORY FACTORS IN ONSET OF DIABETES MELLITUS TYPE II. Biol Clin Sci Res J [Internet]. 2020 Dec. 12 [cited 2026 Jun. 24];2020(1). Available from: https://bcsrj.com/ojs/index.php/bcsrj/article/view/36

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