Influence of Supplementary Vitamin D on the Prognostic Pathway of Type1 Diabetes Among Children

Mostafa Hassan Ragab¹, Eman Monir Sherif ², Nadia Badawy Abd- El Gawad³, Safaa Mohamed Elserougy³, Eman Essam Shaban⁴ and Elham Mohamed Mostafa⁴  

¹Environmental and Occupational medicine, department of medical science, Institute of Environmental Studies and Research, Ain Shams University, Cairo, Egypt

²Department of Pediatrics, Pediatric and adolescence diabetes unit, Ain Shams University Egypt

³Environmental and Occupational medicine, National Research Centre, Cairo, Egypt

⁴Department of  Environmental and Occupational medicine, National Research Centre Egypt

Corresponding Author E-mail: elhammostafa@hotmail.com

Abstract: Diabetes is one of the commonest chronic diseases worldwide. Vitamin D deficiency showed to be increasing, and have a potential role in autoimmune diseases among which in type 1 diabetes. The aim The aim of the study was to assess the impact of oral vitamin D supplementation on blood glucose (HbA1C) in T1DM patients and to find out the role of vitamin D as a biomarker for follow of T1DM patients compared to HbA1C. Subjects and methods: A randomized interventional clinical study was designed. The study enrolled 60 children patients with T1DM. Only 45 children continued to the end of study. Initial (pre-intake) assessment included history taking, clinical examination, and measurement of serum 25-OH vitamin D3 and serum HbA1C. These children received oral vitamin D supplements for 3 months then post-intake assessment were done again. Results: The study showed that serum vitamin D was deficient among Egyptian children and adolescents with T1DM (mean 11.4±3.4 ng/ml). , 53.33% of the patients had vitamin D deficiency with a 35.6% had insufficiency and 11.11% were VD sufficient.   Patients received oral vitamin D supplementation for 3 months after which marked improvement in the levels of serum vitamin D levels and HA1C, 87.5% and 86.5% respectively.

Keywords: Diabetes - Type1 diabetes mellitus (T1DM) -Vitamin D -Ultra-Violet Index

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