糖尿病患者25 羟维生素D3 水平与血脂、 胰岛素功能的相关性
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帕它木·莫合买提,E-mail :patam0616@aliyun.com ;Tel :13565988794

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国家自然科学基金(No :81360127)


Correlation study of 25-hydroxyvitamin D3 and blood lipid or β-cell function in diabetic mellitus patients
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    摘要:

    目的 分析糖尿病患者25 羟维生素D3[25-(OH)D3] 水平与血脂、胰岛素功能的关系。方法 选 取2018 年6 月—2018 年12 月在新疆医科大学第一附属医院住院治疗的1 型糖尿病(T1DM)、2 型糖尿病 (T2DM)患者,每组78 例。另选取同期78 例健康体检者作为对照组。根据[25-(OH)D3] 水平不同分为维 生素D3(VD3)<50 nmol/L 组(69 例)和VD3 ≥ 50 nmol/L 组(165 例),比较两组患者血脂、胰岛素功能 及其相关性。结果 ① 3 组年龄、体重指数(BMI)、糖化血红蛋白(HbA1c)、空腹血糖(FBG)、餐后2 h 血糖、空腹血清C 肽、餐后2 h 血清C 肽、25-(OH)D3 及胰岛β 细胞功能指数水平比较,差异有统计学 意义(P <0.05);② VD3<50 nmol/L 组总胆固醇(TC)含量低于VD3 ≥ 50 nmol/L 组,而胰岛β 细胞功能 指数高于VD3 ≥ 50 nmol/L 组(P <0.05);③相关性分析结果显示,T1DM 组患者VD3 水平、BMI 与胰岛β 细胞指数呈负相关(r =-0.259 和-0.491,P =0.025 和0.043);T2DM 组患者VD3 水平与TC 含量呈负相关 (r =-0.227,P =0.046);结论 糖尿病患者VD3 水平与TC 及胰岛素β 细胞功能密切相关。

    Abstract:

    Objective To investigated the correlation of between 25-hydroxyvitamin D3 levels and blood lipids, insulin function in diabetic mellitus patients. Methods Seventy eight patients with type 2 diabetes, seventy eight patients with type 1 diabetes and seventy eight health examiner were recruited in the present study. According to the level of 25-hydroxyvitamin D3, they were divided into VD3<50 nmol/L group (n = 69) and VD3 ≥ 50 nmol/L group (n = 165), and the blood lipid index and insulin function were compared between the two groups. Results ① The statistical differences in age, BMI, glycosylated hemoglobin, fasting blood glucose, 2-hour blood glucose, fasting c-peptide, 2-hour serum c-peptide, 25-hydroxyvitamin D3 and insulin function between the diabetic T1DM group, diabetic T2DM group and control group were significant (P < 0.05); ② Serum cholesterol was decreased and insulin function was increased in the VD3<50 nmol/L group compared to VD3≥50 nmol/L group (P < 0.05).③There were negative correlations between Vitamin D3 and BMI with islet β-cell index in type 1 diabetic patients (r = -0.259, P < 0.05; r = -0.491, P < 0.05); there was negative correlation between Vitamin D3 level and total cholesterol level (r = -0.227, P < 0.05) in type 2 diabetic patients. Conclusions 25-hydroxyvitamin D3 level is closely related to TC and insulin beta cell function in diabetic patients.

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艾扎提古丽·卡的尔,帕它木·莫合买提.糖尿病患者25 羟维生素D3 水平与血脂、 胰岛素功能的相关性[J].中国现代医学杂志,2019,(16):54-57

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  • 收稿日期:2019-02-18
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  • 在线发布日期: 2019-08-30
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