EVALUATE AND ANALYZE OF TRACE ELEMENTS IN TYPE 2 DIABETES MELLITUS

Main Article Content

Harjeet Singh
Dr Jaya Jain
Dr Ashutosh Jain
Dr Chaudhary Devendra

Keywords

Diabetes Mellitus, zinc, copper, selenium, Iron

Abstract

Background: As Diabetes Mellitus is a metabolic disorder, where metabolism of various trace elements is being altered. Present study has been carried out to find out the association between Diabetes Mellitus and alteration in the level of trace elements.


Aim: To analyse the level of trace elements  in type 2 DM patients in comparison with healthy controls.


Materials and Methods: The present cross sectional study was carried out in 122 patient of Type 2 Diabetes Mellitus. The study was carried out in Clinical biochemistry, central Laboratory, IMCH and RC, Department of Biochemistry, Indore. FBS was estimated by GOD-POD method. Serum Copper and Serum Zinc levels were assessed colorimetrically.


Results: In our study, serum copper level was found high in Type 2 DM patients and serum Zinc level is decrease ed in the patients of Type 2 DM.


Conclusion: Alteration in levels of Copper and Zinc are found to be important predisposing factors for patients of diabetes mellitus for developing complications. From the present study it may be concluded that alteration in levels of trace elements like Cu and Zn may have a role in the pathogenesis and progression of Diabetes Mellitus.

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References

1. American Diabetes Association Professional Practice Committee; 2. Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes—2022. Diabetes Care 1 January 2022; 45 (Supplement_1): S17–S38.
2. Burtis, C. A., Bruns, D.E, (2016) Tietz Fundamental of Clinical Chemistry & Molecular Diagnostics: Diabetes (7th Edition). Elsevier
3. International Diabetes Federation, Atlas 2021 – 10th edition, www.diabetesatlas.org
4. Kaveeshwar, S. A., & Cornwall, J. (2014). The current state of diabetes mellitus in India. The Australasian medical journal, 7(1), 45–48.
5. Stanimirovic J, Radovanovic J, Banjac K, Obradovic M, Essack M, Zafirovic S, Gluvic Z, Gojobori T, Isenovic ER. Role of C-Reactive Protein in Diabetic Inflammation. Mediators Inflamm. 2022 May 17;2022:3706508.
6. Sobczak, A. I. S., Stefanowicz, F., Pitt, S. J., Ajjan, R. A., & Stewart, A. J. (2019). Total plasma magnesium, zinc, copper and selenium concentrations in type-I and type-II diabetes. BioMetals
7. Ruíz C, Alegría A, Barberá R, Farré R, Lagarda J. Selenium, zinc and copper in plasma of patients with type 1 diabetes mellitus in different metabolic control states. J Trace Elem Med Biol. 1998 Jul;12(2):91-5.
8. Yakout S, Faqeeh F, Al-Attas O, Hussain SD, Saadawy GM, Al-Daghri NM, Alokail MS. Patterns of essential trace elements (Cr, Mn, Ni, and Se) in Saudi patients with type 2 diabetes mellitus. Am J Transl Res. 2022 Nov 15;14(11):8175-8182.
9. Kazi, T. G., Afridi, H. I., Kazi, N., Jamali, M. K., Arain, M. B., Jalbani, N., &Kandhro, G. A. (2008). Copper, Chromium, Manganese, Iron, Nickel, and Zinc Levels in Biological Samples of Diabetes Mellitus Patients. Biological Trace Element Research, 122(1), 1–18.
10. Chausmer AB. Zinc, Insulin and Diabetes. J Am Coll Nutr. 1998;17(2):109–115.
11. Arquilla ER, Packer S, Tarmas W, Miyamoto S. The Effect of Zinc on Insulin Metabolism*. Endocrinol. 1978;103(4):1440–1449
12. Zheng Y, Li XK, Wang Y, Cai L. The role of zinc, copper and iron in the pathogenesis of diabetes and diabetic complications: therapeutic effects by chelators. Hemoglobin. 2008;32:135–145.
13. Park K, Gross M, Lee DH, Holvoet P, Himes JH, et al. Oxidative Stress and Insulin Resistance: The Coronary Artery Risk Development in Young Adults study. Diabetes Care. 2009;32(7):1302–1307.
14. Mooradian AD, Morley JE. Micronutrient status in diabetes mellitus. Am J Clin Nutr. 1987;45(5):877–895. doi:10.1093/ajcn/45.5.877.
15. Dormonday TL. Trace element analysis of hair. BMJ. 1986;293:975– 976.World health Organisation document. Diabetes. 2005.
16. Walter RM, Uriu-Hare JY, Olin KL, Oster MH, Anawalt BD, et al. Copper, Zinc, Manganese, and Magnesium Status and Complications of Diabetes Mellitus. Diabetes Care. 1991;14(11):1050–1056.
17. Fujimoto S. Studies on the relationship between blood trace metal concentration and the clinical status of patients with cerebrovascular disease, gastric cancer and diabetes mellitus. Hokoido Igaku Zasshi. 1987;62:913–932.
18. Salwen M. Vitamins and trace elements, McPherson: Henry’s Clinical Diagnosis and Management by Laboratory Methods. vol. 22nd edn. ; 2011,. p. 417–428.
19. Chausmer AB. Zinc, Insulin and Diabetes. J Am Coll Nutr. 1998;17(2):109–115.
20. Saharia GK, Goswami RK. Evaluation of serum zinc status and glycated hemoglobin of type 2 diabetes mellitus patients in a tertiary care hospital of Assam. J Lab Physicians. 2013;5:30–3.
21. Saha-Roy S, Swati B, Choudhury Kanika M, Santasmita L, Aruna B, Gargi S, et al. Status of serum magnesium, zinc and copper in patients suffering from type-2 diabetes mellitus. J Drug Deliv Ther. 2014;4:70–2.
22. Masood N, Baloch GH, Ghori RA, Memon IA, Memon MA, Memon MS. Serum zinc and magnesium in type-2 diabetic patients. J Coll Physicians Surg Pak. 2009;19:483–6.
23. Marchesini G, Bugianesi E, Ronchi M, Flamia R, Thomaseth K, Pacini G. Zinc supplementation improves glucose disposal in patients with cirrhosis. Metabolism. 1998;47:792–8.
24. Zargar AH, Shah NA, Masoodi SR, Laway BA, Dar FA, Khan AR, et al. Copper, zinc, and magnesium levels in non-insulin dependent diabetes mellitus. Postgrad Med J. 1998;74:665–8.
25. Mamza YP, Abdullahi ZA, Gali RM, Mshelia DS, Genesis RY, Habu SA. Status of serum zinc and magnesium among type 2 diabetic subjects in Maiduguri. J Dent Med Sci. 2016;15:66–70. Benakova S., Holendova B., Plecita-Hlavata L. Redox homeostasis in pancreatic beta-cells: from development to failure. Antioxidants. 2021;10(4)
26. Steinbrenner H. Interference of selenium and selenoproteins with the insulin-regulated carbohydrate and lipid metabolism. Free Radic. Biol. Med. 2013;65:1538–1547.
27. Tiedge M., Lortz S., Drinkgern J., Lenzen S. Relation between antioxidant enzyme gene expression and antioxidative defense status of insulin-producing cells. Diabetes. 1997;46(11):1733–1742.
28. Liu J, Li Q, Yang Y, Ma L. Iron metabolism and type 2 diabetes mellitus: A meta-analysis and systematic review. J Diabetes Investig. 2020 Jul;11(4):946-955.
29. Abdul hamidzargar, Nissar ahmad shah, Shariq rashidmasoodi,et al. Copper, Zinc, and Magnesium levels in non-insulin dependent Diabetes mellitus 1998;74:665-668
30. Nataraj, N., Karthik, G., Shantha Kumari, N., & Srinivasa, K. V. (2021). Comparative study of copper, zinc levels in uncontrolled type 2 diabetes mellitus with normal subjects. International Journal of Health Sciences, 6(S4), 11748–11753.
31. Zheng Y, Li XK, Wang Y, Cai L. The role of zinc, copper and iron in the pathogenesis of diabetes and diabetic complications: therapeutic effects by chelators. Hemoglobin. 2008;32:135–145.
32. Maggini S, Wintergerst ES, Beveridge S, Hornig DH. Selected vitamins and trace elements support immune function by strengthening epithelial barriers and cellular and humoral immune responses. British Journal of Nutrition. 2007;98(S1):S29–S35.
33. Cunninghamn J, Leffell M, Mearkle P, Harmatz P. Elevated plasma ceruloplasmin in insulin-dependent diabetes mellitus: Evidence for increased oxidative stress as a variable complication. Metabolism. 1995;44(8):996–999..
34. Abou-Seif MA, Youssef AA. Evaluation of some biochemical changes in diabetic patients. Clin Chim Acta. 2004;346(2):161–170.
35. Annan M, Raines DA. Urinary excretion of chromium, copper and manganese in diabetes mellitus and associated disorders. Diabetes Care. 1991;18:129–134.