Diabetes Patients Show Elevated Adipokines, Glucose, and Insulin Resistance Markers

  • Hussein Mohammed Abdullah Biology Department, College of Education, Kirkuk University, Kirkuk, Iraq
  • Nour Abdulehsan Dhannoon Biology Department, College of Education, Kirkuk University, Kirkuk, Iraq
  • Hana Attiya Salman Biology Department, College of Education, Kirkuk University, Kirkuk, Iraq
Keywords: Vit. D, T1DM, Leptin, Vitamin-D, Adiponectin

Abstract

This study evaluated adipokines and biochemical parameters in 70 children (44 males, 26 females, age 5-13 years, mean±SD 8.7±3.32 years) with type 1 diabetes mellitus (T1DM) and 30 healthy controls. Conducted at Azadi Teaching Hospital from December 2023 to February 2024, the study aimed to compare glucose, HbA1c, vitamin D, lactate dehydrogenase (LDH), adiponectin, and leptin levels between T1DM patients and healthy children. Results showed significant increases in glucose (321.93±89.15 vs. 85.21±9.46 mg/dL), HbA1c (12.04±1.83% vs. 5.01±0.31%), LDH (284.22±21.94 vs. 89.13±7.42 U/L), adiponectin (9.26±0.28 vs. 3.62±0.94 µg/mL), and leptin (21.84±2.62 vs. 4.48±0.62 ng/mL), and a significant decrease in vitamin D (13.93±4.93 vs. 28.72±6.08 ng/mL) in T1DM patients (P<0.05 for all). These findings highlight the importance of monitoring vitamin D and adipokine levels in children with T1DM, suggesting potential roles in disease management and complications prevention.

References

L. A. DiMeglio, C. Evans-Molina, and R. A. Oram, “Type 1 Diabetes,” Lancet, vol. 391, no. 10138, pp. 2449–2462, 2018.

R. I. G. Holt, J. H. DeVries, A. Hess-Fischl, et al., “The Management of Type 1 Diabetes in Adults. A Consensus Report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD),” Diabetes Care, vol. 44, pp. 2589-625, 2021.

K. M. Adnan and Z. Ghassan, “Investigation of Antioxidant Markers in Diabetic Patients,” Arch Razi, vol. 76, no. 5, pp. 1453–1460, 2021.

H. A. Ahmed and K. A. Abdul Majeed, “The Relationship of Chemerin with Type I and II Diabetes Patients in Kirkuk City,” HIV Nursing, vol. 23, no. 3, pp. 1244-1247, 2023.

A. M. Schmidt, “Highlighting Diabetes Mellitus,” Arterioscler. Thromb. Vasc. Biol., vol. 38, pp. e1–e8, 2018.

B. O. Roep, S. Thomaidou, R. van Tienhoven, and A. Zaldumbide, “Type 1 Diabetes Mellitus as a Disease of the β-cell (Do Not Blame the Immune System?),” Nat. Rev. Endocrinol., vol. 17, pp. 150–161, 2021.

R. N. Bone and C. Evans-Molina, “Combination Immunotherapy for Type 1 Diabetes,” Curr. Diab. Rep., vol. 17, p. 50, 2017.

R. Thomas, J. M. Carballido, J. D. Wesley, and S. T. Ahmed, “Overcoming Obstacles in the Development of Antigen-Specific Immunotherapies for Type 1 Diabetes,” Front. Immunol., vol. 12, p. 730414, 2021.

B. J. von Scholten, F. F. Kreiner, S. C. L. Gough, and M. von Herrath, “Current and Future Therapies for Type 1 Diabetes,” Diabetologia, vol. 64, pp. 1037–1048, 2021.

J. L. Felton, “Timing of Immunotherapy in Type 1 Diabetes: The Earlier, the Better?,” Immunohorizons, vol. 5, pp. 535–542, 2021.

P. Niedźwiedzka-Rystwej, M. Wołącewicz, P. Cywoniuk, M. Klak, and M. Wszoła, “Crosstalk Between Immunity System Cells and Pancreas. Transformation of Stem Cells Used in the 3D Bioprinting Process as a Personalized Treatment Method for Type 1 Diabetes,” Arch. Immunol. Ther. Exp., vol. 68, p. 13, 2020.

C. V. Harinarayan, “Vitamin D and Diabetes Mellitus,” Hormones (Athens), vol. 13, pp. 163–181, 2014.

I. Geyikli, M. Keskin, Y. Kör, and M. Akan, “Increased Resistin Serum Concentrations in Patients with Type 1 Diabetes Mellitus,” J Clin Res Pediatr Endocrinol., vol. 5, pp. 189–193, 2013.

M. G. Huerta, “Adiponectin and Leptin: Potential Tools in the Differential Diagnosis of Pediatric Diabetes?,” Rev Endocr Metab Disord., vol. 7, pp. 187–196, 2006.

S. Mohammadian, N. Fatahi, H. Zaeri, and M. A. Vakili, “Effect of Vitamin D3 Supplement in Glycemic Control of Pediatrics with Type 1 Diabetes Mellitus and Vitamin D Deficiency,” J Clin Diagn Res., vol. 9, p. SC05–7, 2015.

H. L. Gulseth, I. M. Gjelstad, A. C. Tierney, et al., “Serum Vitamin D Concentration Does Not Predict Insulin Action or Secretion in European Subjects with the Metabolic Syndrome,” Diabetes Care, vol. 33, pp. 923–925, 2010.

L. H. Griz, F. Bandeira, M. A. Gabbay, S. A. Dib, and E. F. Carvalho, “Vitamin D and Diabetes Mellitus: An Update 2013,” Arq Bras Endocrinol Metabol., vol. 58, pp. 1–8, 2014.

M. R. Abdul, S. M. Rahim, and A. H. Saleh, “Cardioprotective Activity of Costus Root Ethanol Extract in Experimentally-Induced Hypothyroidism in Female Albino Rats,” HAYATI Journal of Biosciences, vol. 30, no. 6, pp. 1054–1060, 2023.

M. Atkinson, G. Eisenbarth, and A. Michels, “Type 1 Diabetes,” The Lancet, vol. 383, no. 9911, pp. 69-82, 2014.

American Diabetes Association (ADA), “Classification and Diagnosis of Diabetes: Standards of Medical Care in Diabetes-2020,” Diabetes Care, vol. 43, pp. S14–S3, 2020.

N. Mahdi, H. Al-Abadi, L. Al-Naama, J. Mahdi, and M. Alawy, “The Role of Autoantibody and Antioxidant Enzymes in Patients with Type I Diabetes,” J Diabetes Sci Technol, vol. 23, no. 1, pp. 16-23, 2015.

H. Fahad, A. Jassim, and S. Nada, “The Effect of Glycated Haemogloin A1c and Fasting Blood Glucose in Type 1 Diabetes,” Baghdad Science Journal, vol. 1, 2014.

D. Mitchell, S. Caksa, T. Joseph, M. Bouxsein, and M. Misra, “Elevated HbA1c is Associated with Altered Cortical and Trabecular Microarchitecture in Girls with Type 1 Diabetes,” The Journal of Clinical Endocrinology & Metabolism, vol. 105, no. 4, pp. e1648-e1656, 2020.

D. Hickey, G. Joshy, P. Dunn, D. Simmons, and R. Lawrenson, “Glycaemic Control and Antibody Status among Waikato, New Zealand Patients with Newly Diagnosed Type 1 Diabetes,” NZ Med J., vol. 120, pp. 1-8, 2007.

B. Littorin, P. Blom, A. Scholin, H. J. Araqvist, G. Blohme, J. Bolinder, A. Ekbom-Schnell, J. W. Erikson, S. Gudbjornsdottir, L. Nystrom, J. Ostman, and G. Sundkvist, “Lower Levels of Plasma 25-Hydroxy Vitamin D among Young Adults at Diagnosis of Autoimmune in T1D Compared with Control Subjects: Results from the Nationwide Diabetes Incidence Study in Sweden (DISS),” Diabetologia, vol. 49, pp. 2847-2852, 2006.

R. M. Geer, M. A. Rogers, F. G. Bowling, H. M. Buhtain, M. Harris, G. M. Leong, and A. M. Cotterill, “Australian Children and Adolescents with T1D Have Low Vitamin D Levels,” Med J Aust., vol. 187, pp. 59-60, 2007.

B. Littorin, P. Blom, A. Scholin, H. J. Arnquist, G. Blohme, and J. Bolinder, “Lower Levels of Plasma 25-Hydroxyvitamin D among Young Adults at Diagnosis of Autoimmune Type 1 Diabetes Compared with Control Subjects,” Diabetologia, vol. 49, pp. 2847-2852, 2006.

P. Pozzilli, S. Manfrini, A. Crino, and A. Picardi, “Low Levels of 25-Hydroxyvitamin D3 and 1,25-Hydroxyvitamin D3 in Patients with Newly Diagnosed Type 1 Diabetes,” Horm Metab Res., vol. 37, pp. 680-683, 2005.

L. C. Stene and G. Joner, “Use of Liver Oil during the First Year of Life Is Associated with Risk of Children On

G. L. B. Gudrun, S. Gudrun, B. Thomas, S.-N. Christa, P. N. Johen, and G. S. Johen, “Prevalence and Determination of Osteoporosis in Patients with Type 1 Diabetes Mellitus,” BMC Endocrine Disorders, vol. 14, pp. 33-45, 2014.

O. Tune, S. Cetinkaya, and M. Kizilgum, “Evaluation of the Relation Between Vitamin D and Insulin Requirements and Frequency of Osteoporosis in Children with Type 1 Diabetes,” in 49th Annual Meeting of ESPE, ESPE, 2010, p. 290: 22-25.

S. Bassam, M. A. Bin-Abbas, S. D. Issa, A. H. Al-Fares, and S. Al-Muhsen, “Vitamin D Level in Saudi Children with Type 1 Diabetes,” Saudi Med J., vol. 32, no. 6, pp. 589-592, 2011.

M. Janner, P. Ballinari, E. P. Mullis, and C. E. Fluck, “High Prevalence of Vitamin D Deficiency in Children and Adolescents with Type 1 Diabetes,” Swiss Med Wkly., vol. 140, p. 13091, 2010.

H. Yang, M. Xia, Z. Liu, et al., “Nomogram for Prediction of Diabetic Retinopathy in Patients with Type 2 Diabetes Mellitus: A Retrospective Study,” J Diabetes Complications., vol. 36, no. 11, p. 108313, 2022.

M. Blüher, “Importance of Adipokines in Glucose Homeostasis,” Diabetes Management, vol. 3, pp. 389-400, 2013.

K. Kotani, K. Tsuzaki, N. Taniguchi, and N. Sakane, “Correlation Between Reactive Oxygen Metabolites and Atherosclerotic Risk Factors in Patients with Type 2 Diabetes Mellitus,” Indian J Med Res., vol. 137, pp. 742-748, 2013.

M. Al Saeed, “The Utility of Adiponectin and Nitric Oxide Metabolites as Biomarkers for Prediction and Follow-Up of Vascular Complications in Children with Type 1 Diabetes Mellitus,” Saudi J Health Sci., vol. 2, pp. 156-160, 2013.

H. C. Lo, S. C. Lin, and Y. M. Wang, “The Relationship Among Serum Cytokines, Chemokine, Nitric Oxide, and Leptin in Children with Type 1 Diabetes Mellitus,” Clin Biochem., vol. 37, pp. 666-672, 2004.

J. R. Sowers, “Obesity as a Cardiovascular Risk Factor,” Am J Med., vol. 115, no. 8, pp. 37-41, 2003

Published
2024-06-04
How to Cite
Abdullah, H. M., Dhannoon, N. A., & Salman, H. A. (2024). Diabetes Patients Show Elevated Adipokines, Glucose, and Insulin Resistance Markers. Central Asian Journal of Medical and Natural Science, 5(3), 452-458. Retrieved from https://cajmns.centralasianstudies.org/index.php/CAJMNS/article/view/2465
Section
Articles