Level of Micronutrients Affects Pathophysiology of Diabetes Mellitus: A Scoping Review
Article Main Content
Currently, 463 million adults across the globe are living with diabetes. If undeterred, this figure is projected to rise to 700 million by 2045. About 79% of adult diabetics live in Africa; majority of whom are undiagnosed. Several interventions are already available, but the disease prevalence seems steady on an upward trajectory. The economic cost of managing diabetes is overwhelming considering that type II cases have overly and audaciously continues to rise. This underpins the need for exploration of more feasible and relatively inexpensive interventions. We profiled the role of micronutrients in the pathophysiology of diabetes mellitus (DM). Findings from 10 studies published in highly refereed journals and indexed in Research Gate, PubMed, and Elsevier were synthesized, collated, and reported. Guidelines such as year of publication, conflict of interest, type of journal, research design among others, informed the process of study selection. The level of Selenium (Se) and Copper (Cu) was higher when HBA1C was higher. Further, the level of Mg, P, K, & Vitamin D correlated inversely with HBA1C. Some studies reported increased levels of Zinc (Zn) in DM subjects while others reported a decrease. Diabetes mellitus subjects should reduce intake of Se and Cu and increase intake of Mg, P, K, & Vitamin D.
References
-
F. O. O. Olabiyi, “Role of nutrition in the management of diabetes mellitus,” Forum Nutr, 56, 170–174, 2013. https://doi.org/10.21276/apjhs.2016.3.1.1
Google Scholar
1
-
World Health Organization. Global report on diabetes. file:///C:/Users/ICTSERVICES/Downloads/9789241565257_eng.pdf. 2016.
Google Scholar
2
-
International Diabetes Federation. International Diabetes Federation. In The Lancet, 266(6881), 2019. https://doi.org/10.1016/S0140-6736(55)92135-8.
Google Scholar
3
-
W. Yang, T. M. Dall, K. Beronjia, J. Lin, A. P. Semilla, R. Chakrabarti, P. F. Hogan, and M. P. Petersen, “Economic costs of diabetes in the U.S. in 2017,” Diabetes Care, 41(5), 917–928, 2018. https://doi.org/10.2337/dci18-0007.
Google Scholar
4
-
International Diabetes Federation. International Diabetes Federation. In The Lancet, 266(6881), 2019. https://doi.org/10.1016/S0140-6736(55)92135-8.
Google Scholar
5
-
International Diabetes Federation. IDF DIABETES ATLAS. https://www.diabetesatlas.org/upload/resources/previous/files/7/IDF Diabetes Atlas 7th.pdf. 2015.
Google Scholar
6
-
World Health Organization. World Health Statistics 2009. World Health Organization. https://www.who.int/gho/publications/world_health_statistics/EN_WHS09_Full.pdf. 2009.
Google Scholar
7
-
International Diabetes Federation. International Diabetes Federation Anual Report, 2016.
Google Scholar
8
-
A. D. Kurnia, A. Amatayakul, and S. Karuncharernpanit, “Predictors of diabetes self-management among type 2 diabetics in Indonesia: Application theory of the health promotion model,” International Journal of Nursing Sciences, 4(3), 260–265, 2017. https://doi.org/10.1016/j.ijnss.2017.06.010.
Google Scholar
9
-
World Health Organization. Global report on diabetes. file:///C:/Users/ICTSERVICES/Downloads/9789241565257_eng.pdf. 2016.
Google Scholar
10
-
M. J. Franz, J. P. Bantle, C. A. Beebe, J. D. Brunzell, J. Chiasson, A. Garg, L. Ann Holzmeister, B. Hoogwerf, E. Mayer-davis, A. D. Mooradian, J. Q. Purnell, and M. Wheeler, “Evidence-Based Nutrition Principles and Recommendations for the Treatment and Prevention of Diabetes and Related Complications,” Diabetes Care, 25(1), 148-198, 2002.
Google Scholar
11
-
A. D. Mooradian, B. Hoogwerf, M. Maryniuk, and J. Wylie-Rosett, “Selected Vitamins and Minerals in Diabetes,” Diabetes Care, 7(5), 464-479, 1994.
Google Scholar
12
-
M. Vrabel, “Preferred Reporting Items for Systematic Reviews and Meta-Analyses,” Oncology Nursing Forum, 42(5), 552–554, 2015. https://doi.org/10.1188/15.ONF.552-554.
Google Scholar
13
-
G. Guyatt, A. D. Oxman, E. A. Akl, R. Kunz, G. Vist, J. Brozek, S. Norris, Y. Falck-Ytter, P. Glasziou, H. Debeer, R. Jaeschke, D. Rind, J. Meerpohl, P. Dahm, and H. J. Schünemann, “GRADE guidelines: 1. Introduction - GRADE evidence profiles and summary of findings tables,” Journal of Clinical Epidemiology, 64(4), 383–394, 2011. https://doi.org/10.1016/j.jclinepi.2010.04.026.
Google Scholar
14
-
H. Zhang, C. Yan, Z. Yang, W. Zhang, Y. Niu, X. Li, L. Qin, and Q. Su, “Alterations of serum trace elements in patients with type 2 diabetes,” Journal of Trace Elements in Medicine and Biology, 40, 91–96, 2017. https://doi.org/10.1016/j.jtemb.2016.12.017.
Google Scholar
15
-
N. Parsaeyan, and H. Mozaffari–Khosravi, “Effect of Chromium Supplementation on Blood Glucose, Hemoglobin A1c, Lipid Profile and Lipid Peroxidation in Type 2 Diabetic Patients,” Iranian Journal of Diabetes and Obesity, 4(4), 178–184, 2012.
Google Scholar
16
-
A. Nsonwu-Anyanwu, E. Egbe, J. Offor, and C. Usoro, “Glycemic control, micronutrients and some metabolic enzyme activity in type 2 diabetes,” International Journal of Research in Medical Sciences, 2757–2764, 2015. https://doi.org/10.18203/2320-6012.ijrms20150827.
Google Scholar
17
-
L. N. Kohler, A. Florea, C. P. Kelley, S. Chow, P. Hsu, K. Batai, K. Saboda, P. Lance, and E. T. Jacobs, “Higher plasma selenium concentrations are associated with increased odds of prevalent type 2 diabetes,” Journal of Nutrition, 148(8), 1333–1340, 2018. https://doi.org/10.1093/jn/nxy099.
Google Scholar
18
-
P. N. Brandão-Lima, G. B. De Carvalho, R. K. F. Santos, B. da C. Santos, N. L. Dias-Vasconcelos, V. de S. Rocha, K. B. F. Barbosa, and L. V. Pires, “Intakes of Zinc, Potassium, Calcium, and Magnesium of individuals with type 2 diabetes mellitus and the relationship with glycemic control,” Nutrients, 10(12), 2018. https://doi.org/10.3390/nu10121948.
Google Scholar
19
-
M. Saif-Elnasr, I. M. Ibrahim and M. M. Alkady, “Role of vitamin D on glycemic control and oxidative stress in type 2 diabetes mellitus,” Journal of Research in Medical Sciences, 22(1), 2017. https://doi.org/10.4103/1735-1995.200278.
Google Scholar
20
-
J. Wei, C. Zeng, Q. Y. Gong, H. B. Yang, X. X. Li, G. H. Lei, and T. B. Yang, “The association between dietary selenium intake and diabetes: A cross-sectional study among middle-aged and older adults,” Nutrition Journal, 14(1), 2015. https://doi.org/10.1186/s12937-015-0007-2.
Google Scholar
21
-
S. Praveeena, S. Pasula, and K. Sameera, “Trace elements in diabetes mellitus,” Journal of Clinical and Diagnostic Research, 7(9), 1863–1865, 2013. https://doi.org/10.7860/JCDR/2013/5464.3335.
Google Scholar
22
-
A. F. Hansen, A. Simić, B. O. Åsvold, P. R. Romundstad, K. Midthjell, T. Syversen, and T. P. Flaten, “Trace elements in early phase type 2 diabetes mellitus—A population-based study,” The HUNT study in Norway. Journal of Trace Elements in Medicine and Biology, 40, 46–53, 2017. https://doi.org/10.1016/j.jtemb.2016.12.008.
Google Scholar
23
-
I. Kostoglou-Athanassiou, P. Athanassiou, A. Gkountouvas, and P. Kaldrymides, “Vitamin D and glycemic control in diabetes mellitus type 2,” Therapeutic Advances in Endocrinology and Metabolism, 4(4), 122–128, 2013. https://doi.org/10.1177/2042018813501189.
Google Scholar
24
-
M. Ware, “Health Benefits and Risks of Copper Medical News Today,” Medical News Today, 1–16, 2017. www. medicalnewstoday.com.
Google Scholar
25
-
New Delhi Television. Copper Water May Be An Effective Way To Manage Diabetes Naturally. https://www.ndtv.com/food/diabetes-management-copper-water-may-be-an-effective-way-to-manage-diabetes-naturally-1911893. Retrieved on 19 th August, 2021: 2018.
Google Scholar
26
-
J. Chehade, M. Sheikh-Ali, and A. D. Mooradian, “The role of micronutrients in managing diabetes,” Diabetes Spectrum, 22(4), 214–218, 2009. https://doi.org/10.2337/diaspect.22.4.214.
Google Scholar
27
-
D. Farooq, A. Alamri, B. Alwhahabi, A. Metwally, and K. Kareem, “The status of zinc in type 2 diabetic patients and its association with glycemic control,” Journal of Family and Community Medicine, 27(1), 29–36, 2020. https://doi.org/10.4103/jfcm.JFCM_113_19.
Google Scholar
28
-
C. Wong, K. Braun, J. Bouranis, E. Davis, T. Sharpton, and E. Ho, “Effects of Zinc Status and Aging on Age-Related Immune Dysfunction and Chronic Inflammation,” Current Developments in Nutrition, 4(Supplement_2), 1854-1854.
Google Scholar
29
-
M. A. Youssef, S. A. El-Khodery and H. M. M. Ibrahim, “Effect of selenium and vitamin C on clinical outcomes, trace element status, and antioxidant enzyme activity in horses with acute and chronic lower airway disease. A randomized clinical trial,” Biological Trace Element Research, 152(3), 333–342, 2013. https://doi.org/10.1007/s12011-013-9636-5.
Google Scholar
30
-
J. Bleys, A. Navas-Acien, E. Guallar, “Annals of Internal Medicine Editorial Selenium and Diabetes : More Bad News for Supplements,” Annals of Internal Medicine, 9, 50–52, 2007.
Google Scholar
31
-
M. Navarro-Alarcón, H. López-Garcia De La Serrana, V. Pérez-Valero and C. López-Martínez, “Sevum and urine selenium concentrations in patients with cardiovascular diseases and relationship to other nutritional indexes,” Annals of Nutrition and Metabolism, 43(1), 30–36, 1999. https://doi.org/10.1159/000012764.
Google Scholar
32
-
M. Navarro-Alarcón, H. López-Garcia De La Serrana, V.Pérez-Valero, V., & López-Martínez, C. Sevum and urine selenium concentrations in patients with cardiovascular diseases and relationship to other nutritional indexes. Annals of Nutrition and Metabolism, 1999:43(1), 30–36. https://doi.org/10.1159/000012764.
Google Scholar
33
-
V. Higuera, “Magnesium and Diabetes : How Are They Related?” 1–10, 2019.
Google Scholar
34
-
M. Barbagallo, “Magnesium and type 2 diabetes,” World Journal of Diabetes, 6(10), 1152, 2015. https://doi.org/10.4239/wjd.v6.i10.1152.
Google Scholar
35
-
U.S National Library of Medicine. Phosphorus in diet. Medline Plus. http://www.nlm.nih.gov/medlineplus/ency/article/002424.htm. Retrieved on 19 th August, 2021.
Google Scholar
36
-
M. C. Khattab, Abi-Rashed, H. Ghattas, S. Hlais, and O. Obeid, “Phosphorus ingestion improves oral glucose tolerance of healthy male subjects: A crossover experiment,” Nutrition Journal, 14(1), 1–8, 2015. https://doi.org/10.1186/s12937-015-0101-5.
Google Scholar
37
-
Stephanie, W. The link between diabetes and potassium. WebMD. https://www.webmd.com/diabetes/potassium-diabetes. 2020.
Google Scholar
38
-
American Diabetics Association. Nutrition recomndations and interventions for diabetes. Diabetes Care. Jan; 31(Supplement 1): S61-S78. https://doi.org/10.2337/dc08-S061. 2008.
Google Scholar
39
-
Centers for Disease Control & Prevention. Facts about bromine. https://emergency.cdc.gov/agent/bromine/basics/facts.asp. 2018.
Google Scholar
40
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