The Relationship Between Hemoglobin Glycation Variation Index and Vitamin D in Type 2 Diabetes Mellitus

Abstract

Objective This study aimed to investigate the relationship between hemoglobin glycation variation index (HGI) and vitamin D in patients with type 2 diabetes mellitus (T2DM). Materials and Methods This is a cross-sectional study that recruited 347 patients with T2DM. The subjects were divided into no vitamin D deficiency group (25(OH)D ≥20 ng/mL) and vitamin D deficiency group (25(OH)D < 20 ng/mL). HGI was calculated as the difference between the measured and predicted values of HbA1c using the linear relationship between HbA1c level and fasting plasma glucose levels. All study participants were divided into high HGI and low HGI groups using the median of HGI as the boundary. At last, the subjects were divided into male group and female group, and these groups were further subdivided into vitamin D deficiency group and no vitamin D deficiency group. Results The levels of HGI were significantly higher in the vitamin D deficiency group compared with the no vitamin D deficiency group for all patients. The same was true for female patients but not for male patients. The prevalence of vitamin D deficiency in the high HGI group was higher than that in the low HGI group. The high HGI group had lower vitamin D levels compared to the low HGI group. Compared to the male group, the female group had lower vitamin D levels but higher HGI levels. A negative correlation existed between 25(OH) D and HGI in all subjects, as well as in the female-only subgroups. In the male-only subgroups, there was no correlation between them, and this positive correlation still existed after adjusting for other factors in multilinear regression analysis. Conclusion Our study showed for the first time that HGI is inversely associated with vitamin D in all patients with T2DM, and the correlation was also found in female patients, but not in male patients.

Correlation Between Hemoglobin Glycosylation Index and Nerve Conduction Velocity in Patients with Type 2 Diabetes Mellitus

“… 9 , 30 Previously, one of our studies found that T2DM patients with high HGI levels were more susceptible to vitamin D deficiency and that HGI levels were inversely associated with vitamin D levels. 31 This study also found that the NCVN group had lower vitamin D levels and a higher prevalence of vitamin D deficiency than the NCVA group. Vitamin D is a potent neurotrophic factor, and it is involved in the formation of neurotransmitters.…”

The Relationship Between Triglyceride Glucose Index and Vitamin D in Type 2 Diabetes Mellitus

“…Because both 1-a-hydroxylase and vitamin D receptors are found in pancreatic beta cells, 25(OH)D has essential functions in the synthesis and release of insulin. 17 Moreover, vitamin D deficiency is independently associated with the high risk of diabetic peripheral neuropathy (DPN) and diabetic nephropathy (DN) in patients with T2DM. It can be a potential predictor of the occurrence and severity of DPN and DN, 18 and it might be responsible for elevated cancer risk development in T2DM patients.…”

Association between Vitamin D Deficiency and Clinical Parameters in Men and Women Aged 50 Years or Older: A Cross-Sectional Cohort Study

“…Several mechanisms have been proposed to explain the connection between vitamin D levels and glucose metabolism. Vitamin D receptors (VDRs) present in the pancreas, muscles, and adipocytes can influence insulin secretion, glucose uptake, and insulin resistance [26]. The activation of VDRs within pancreatic β cells directly influences the secretion of insulin [27], while in skeletal muscle, it enhances glucose uptake through the SIRT1/IRS1/GLUT4 axis [28].…”