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T2 diabetes complications increased 35-52 percent if low vitamin D – Sept 2022


Vitamin D Status, Vitamin D Receptor Polymorphisms, and Risk of Microvascular Complications Among Individuals With Type 2 Diabetes: A Prospective Study

Diabetes Care. 2022 Sep 28;dc220513. soi: 10.2337/dc22-0513
Xue Chen 1 , Zhenzhen Wan 1 , Tingting Geng 1 , Kai Zhu 1 , Rui Li 1 , Qi Lu 1 , Xiaoyu Lin 1 , Sen Liu 1 , Liangkai Chen 1 , Yanjun Guo 2 , Zhilei Shan 1 , Liegang Liu 1 , An Pan 3 , JoAnn E Manson 4 5 6 , Gang Liu 1

Objective: Evidence is limited regarding the associations between vitamin D status and microvascular complications in individuals with type 2 diabetes (T2D), among whom vitamin D deficiency or insufficiency is particularly common. In this study we aimed to prospectively investigate the associations of serum 25-hydroxyvitamin D []25(OH)D] and vitamin D receptor (VDR) polymorphisms with risk of diabetic microvascular complications.

Research design and methods: This analysis included 14,709 participants with T2D who were free of microvascular complications from the UK Biobank. Incidence of diabetic microvascular complications was ascertained via electronic health records. Cox proportional hazards regression models were used to estimate hazard ratios (HRs) and 95% CIs.

Results: Median serum 25(OH)D concentration was 40.7 nmol/L (interquartile range 27.5, 56.4). During a median of 11.2 years of follow-up, 1,370 people developed diabetic microvascular complications.
Compared with participants with 25(OH)D <25 nmol/L, individuals with 25(OH)D ≥75 nmol/L had a multivariable-adjusted HR of

  • 0.65 (95% CI 0.51, 0.84) for composite diabetic microvascular complications,
  • 0.62 (0.40, 0.95) for diabetic retinopathy,
  • 0.56 (0.40, 0.79) for diabetic nephropathy, and
  • 0.48 (0.26, 0.89) for diabetic neuropathy.

In addition, in comparisons with participants with 25(OH)D <25 nmol/L and minor allele homozygotes (TT of rs1544410 and GG of rs731236), the multivariable-adjusted HRs of composite diabetic microvascular complications were 0.54 (0.38, 0.78) and 0.55 (0.38, 0.80) for participants with serum 25(OH)D ≥50 nmol/L and major allele homozygotes (CC and AA), respectively, although no significant interaction was observed.

Conclusions: Higher serum 25(OH)D concentrations were significantly associated with lower risk of diabetic microvascular complications, including diabetic retinopathy, diabetic nephropathy, and diabetic neuropathy. Our findings suggest a potential beneficial role of maintaining adequate vitamin D status in the prevention of diabetic microvascular complications.
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This study incorrectly assumes that Vitamin D levels will not change in 11 years

Vitamin D Life - Overview Diabetes and vitamin D contains

  • Diabetes is 5X more frequent far from the equator
  • Children getting 2,000 IU of vitamin D are 8X less likely to get Type 1 diabetes
  • Obese people get less sun / Vitamin D - and also vitamin D gets lost in fat
  • Sedentary people get less sun / Vitamin D
  • Worldwide Diabetes increase has been concurrent with vitamin D decrease and air conditioning
  • Elderly get 4X less vitamin D from the same amount of sun
        Elderly also spend less time outdoors and have more clothes on
  • All items in category Diabetes and Vitamin D 537 items: both Type 1 and Type 2

Vitamin D appears to both prevent and treat diabetes

Number of articles in both categories of Diabetes and:
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  • Dark Skin 24;   Intervention 56;   Meta-analysis 38;   Obesity 35;  Pregnancy 44;   T1 (child) 39;  Omega-3 11;  Vitamin D Receptor 24;  Genetics 12;  Magnesium 27    Click here to see details

Some Diabetes studies

50 ng of Vitamin D fights Diabetes

T1 Diabetes

Pre-Diabetes

Diabetes, Metabolic Syndrome and Magnesium - many studies

Diabetic Epidemic

  • Step back to 1994. Suppose an epidemic struck the United States, causing blindness, kidney failure, and leg amputations in steadily increasing numbers.
    Suppose that in less than a decade's time, the epidemic had victimized one out of every eight people
    That epidemic is real, and its name is diabetes, now the nation's sixth leading cause of death.
    Chart from the web (2018?)
    Image

Vitamin D Life - 24 studies in both categories Diabetes and Vitamin D Receptor

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The risk of 44 diseases at least double with poor Vitamin D Receptor as of Oct 2019__


Vitamin D Life - Vitamin D Receptor activation can be increased in many ways

Resveratrol,  Omega-3,  MagnesiumZinc,   Quercetin,   non-daily Vit D,  Curcumin,   Berberine,  intense exercise, Butyrate   Sulforaphane   Ginger,   Essential oils, etc  Note: The founder of Vitamin D Life uses 10 of the 16 known VDR activators


Vitamin D Life - 5 studies in both categories Diabetes and Vitamin D Binding (GC)

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Vitamin D Life Diabetes pages with NEUROPATHY in title (14 as of Aug 2022)

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Items found: 14


Created by admin. Last Modification: Friday January 5, 2024 13:17:22 GMT-0000 by admin. (Version 9)

Attached files

ID Name Comment Uploaded Size Downloads
18510 T2D compliczations.pdf admin 29 Sep, 2022 595.57 Kb 152