당뇨병과 비타민 D |
박진희, 김미경 |
|
Diabetes and Vitamin D. |
Jin Hee Park, Mee Kyoung Kim |
Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. makung@catholic.ac.kr |
|
Abstract |
Recent cross-sectional and prospective studies suggest an association between vitamin D deficiency and type 2 diabetes mellitus risk. Vitamin D metabolism may play a role in diabetes mellitus pathogenesis independently of known risk factors. The decrease in vitamin D levels may occur through several mechanisms such as a decrease in the calcium concentration, an increase in parathyroid hormones, or a direct effect of vitamin D on worsening insulin resistance and secretion, thus augmenting the risk of developing type 2 diabetes. However, doubt remains as to whether low vitamin D levels are causal or merely a marker of worse disease or worse health status. Interventional studies have provided conflicting and inconclusive results due to the different populations studies, dose and time frame of vitamin D supplementation. Further studies are required. |
Key Words:
Vitamin D, Diabetes mellitus, Obesity |
|