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Endocrine

1) A study found that 91% of patients with Type 2 diabetes had vitamin D deficiency or insufficiency. 2) Patients with lower vitamin D levels had higher hemoglobin A1c values, indicating worse blood sugar control over several months. 3) Black patients had higher average A1c levels and lower average vitamin D levels compared to white patients. Screening for and treating vitamin D deficiency in primary care may help improve outcomes for patients with Type 2 diabetes.

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61 views1 page

Endocrine

1) A study found that 91% of patients with Type 2 diabetes had vitamin D deficiency or insufficiency. 2) Patients with lower vitamin D levels had higher hemoglobin A1c values, indicating worse blood sugar control over several months. 3) Black patients had higher average A1c levels and lower average vitamin D levels compared to white patients. Screening for and treating vitamin D deficiency in primary care may help improve outcomes for patients with Type 2 diabetes.

Uploaded by

faithopelove26
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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]Gemshe E.

Manganaan

BSN3C

Poor Control of Diabetes May Be Linked to Low Vitamin D

ScienceDaily (June 21, 2010) — Vitamin D deficiency is highly prevalent in patients


with Type 2 diabetes and may be associated with poor blood sugar control, according to a
new study.

The results are being presented at The Endocrine Society's 92nd Annual Meeting in San
Diego.

"This finding supports an active role of vitamin D in the development of Type 2


diabetes," said study co-author Esther Krug, MD, an assistant professor of medicine at
The Johns Hopkins University School of Medicine and an endocrinologist at Sinai
Hospital, Baltimore.

Krug and her colleagues reviewed the medical charts of 124 patients with Type 2 diabetes
who came to an endocrine outpatient clinic for specialty care from 2003 to 2008. Patients'
age ranged from 36 to 89 years. All patients had a single measurement of their serum 25-
hydroxyvitamin D levels as part of their evaluation at the clinic. The researchers divided
the patients into quartiles based on vitamin D level.

Despite receiving regular primary care visits before referral to the endocrine clinic, 91
percent of patients had either vitamin D deficiency (defined as a level below 15
nanograms per deciliter, or ng/dL) or insufficiency (15 to 31 ng/dL), the authors reported.
Only about 6 percent of patients were taking vitamin D supplements at their first visit.

Additionally, the investigators found an inverse relationship between the patients' blood
levels of vitamin D and their hemoglobin A1c value, a measure of blood sugar control
over the past several months. Lower vitamin D levels were discovered in patients with
higher average blood sugars as measured by HbA1c, Krug said. Compared with whites,
blacks had a higher average A1c and lower average vitamin D level.

"Since primary care providers diagnose and treat most patients with Type 2 diabetes,
screening and vitamin D supplementation as part of routine primary care may improve
health outcomes of this highly prevalent condition," she said.

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