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The use of dietary supplements, and the association between supplemental vitamin D and glycaemic control in adult individuals with type 1 diabetes.
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- Author(s): Ahola, Aila J.; Harjutsalo, Valma; Groop, Per‐Henrik
- Source:
Diabetic Medicine. May2024, Vol. 41 Issue 5, p1-9. 9p. - Source:
- Additional Information
- Subject Terms: THERAPEUTIC use of vitamin D; TYPE 1 diabetes; CROSS-sectional method; GLYCOSYLATED hemoglobin; MAGNESIUM; RESEARCH funding; GLYCEMIC control; SCIENTIFIC observation; QUESTIONNAIRES; DESCRIPTIVE statistics; VITAMINS; CONFIDENCE intervals; MINERALS; DIETARY supplements; VITAMIN D; GLOMERULAR filtration rate; ADULTS
- Abstract: Aims: To assess the dietary supplement use in adult individuals with type 1 diabetes, and to study the association between vitamin D supplementation and glycaemic control in an observational cross‐sectional study. Methods: The study subjects were participants of the Finnish Diabetic Nephropathy Study. Data were included from all individuals with type 1 diabetes with estimated glomerular filtration rate ≥60 mL/min/1.73 m2, who had completed a diet questionnaire. In the questionnaire, the participants reported dietary supplement use for the past 30 days. A thorough investigation with an assessment of the blood panel was conducted at the study visit. Results: Data were available from 1181 individuals (43% men, mean ± SD age 45 ± 13 years). Altogether 62% of the sample reported supplement use; 56% reported some vitamin or mineral and 27% reported non‐vitamin and non‐mineral supplement use. Supplement use was more frequent among women and those supplementing had better overall health. In the study sample, of the vitamins and minerals, vitamin D (45%) and magnesium (31%), respectively, were the most frequently reported. In the multivariable models, vitamin D supplementation was associated with better glycaemic control. Starting from a daily dose of ≥30 μg, there was evidence of improving glycaemic control with higher doses of supplemental vitamin D (e.g., for 30 μg: B [Wald Confidence Internal], p‐value, −2.76 [−5.03 to −0.49], 0.017). Conclusions: Supplement use was frequent in this sample of adult individuals with type 1 diabetes. Due to potential drug–supplement interactions, the attending physicians should be aware of their patients' supplement use. The causality between vitamin D supplementation and glycaemic control should be assessed in a randomized controlled trial. [ABSTRACT FROM AUTHOR]
- Abstract: Copyright of Diabetic Medicine is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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