The Influence of Oral Multivitamins Supplementation on Selected Oxidative Stress Parameters and Lipid Profiles among Sudanese Patients with Type-2 Diabetes

Authors

  • Abd Elgadir A. Altoum Department of Medical Laboratory Sciences, College of Health Sciences, Gulf Medical University, Ajman, UAE
  • Mohammed Y. Abbas Medical Laboratory Sciences, Allied Health Department, College of Health Sciences, University of Bahrain, Kingdom of Bahrain
  • Ahmed L. Osman Department of Medical Laboratory Sciences, College of Health Sciences, Gulf Medical University, Ajman, UAE
  • Sharique Ahmed Medical Laboratory Sciences, Allied Health Department, College of Health Sciences, University of Bahrain, Kingdom of Bahrain
  • Asaad MA Babker Department of Medical Laboratory Sciences, College of Health Sciences, Gulf Medical University, Ajman, UAE

DOI:

https://doi.org/10.3889/oamjms.2019.137

Keywords:

Multivitamins supplementation, Oxidative Stress, Lipid profile, Type 2 diabetic mellitus, Random blood glucose

Abstract

AIM: The objective of the current study was to assess the influence of oral multivitamins supplementation on some oxidative stress parameters (serum Vitamin A, C, E, Zinc, Malondialdehyde (MDA)) and lipid profile among Sudanese patients with type- 2 diabetes mellitus (T2DM).

MATERIAL AND METHOD: Three hundred Sudanese patients with T2DM and Hundred healthy subjects (control group) were enrolled in this cross-sectional study. Blood was collected after overnight fasting for 10-12 hrs. Fasting plasma glucose (FBG), lipid profiles, Glycosylated haemoglobin (HbA1c%), Serum zinc, Malondialdehyde (MDA), Vitamins A, E, and C levels were measured using standardised laboratory techniques. Data was collected with the help of a structured questionnaire and direct interview.

RESULTS: Biochemical parameters of the study population were shown a highly significant difference (P value < 0.05), between the means of serum vitamin A, C, E, Zinc, MDA, HbA1c, triglycerides, HDL, FBG, total cholesterol and LDL. Significant differences in serum vitamin A, C, E, Zinc, MDA, triglycerides, HDL and FBG between people with diabetes who used multivitamins and diabetics who did not use it (P-value < 0.05).

CONCLUSION: The study observed a significant increase in serum levels of vitamin A, C & E and other biomarkers parameters in patients with T2DM who take oral multivitamins supplements; such improvement may lead to minimising the diabetic complications. Further studies are needed to explore the possible therapeutic role of multivitamins supplements for T2DM patients.

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References

International Diabetes Federation. IDF diabetes atlas 8th edition, 2017.

Eltom MA, Babiker Mohamed AH, Elrayah-Eliadarous H, Yassin K, Noor SK, Elmadhoun WM, Ahmed MH. The increasing prevalence of type 2 diabetes mellitus and the impact of ethnicity in north Sudan. Diabetes. Res Clin Pract. 2018; 136: 93-99. https://doi.org/10.1016/j.diabres.2017.11.034 PMid:29203255

Elbagir MN, Eltom MA, Elmahadi EM, Kadam IM, Berne C. A high prevalence of diabetes mellitus and impaired glucose tolerance in the Danagla community in northern Sudan. Diabet Med. 1998; 15:164–9. https://doi.org/10.1002/(SICI)1096-9136(199802)15:2<164::AID-DIA536>3.0.CO;2-A

Zatalia SR, Sanusi H. The role of antioxidants in the pathophysiology, complications, and management of diabetes mellitus. Acta Med Indones. 2013;45(2):141–147. PMid:23770795

Fardoun, RZ.The use of vitamin E in type 2 diabetes mellitus. Clinical and Experimental Hypertension. 2007; 29(3): 135-148. https://doi.org/10.1080/10641960701361601 PMid:17497341

Afkhami-Ardekani M, Mohiti J, Amirchaghmaghi E, Modarresi M. The effect of vitamins C and E supplementation on insulin level, HbA1C and blood glucose in type 2 diabetic patients. J Beh Kerm Univ Med Sci. 2009; 11: 8-12.

Martini LA, Catania AS, Ferreira SR. Role of vitamins and minerals in prevention and management of type 2 diabetes mellitus. Nutrition reviews. 2010; 68(6):341-54. https://doi.org/10.1111/j.1753-4887.2010.00296.x PMid:20536779

Singh RB, Niaz MA, Rastogi SS, Bajaj S, Gaoli Z, Shoumin Z. Current zinc intake and risk of diabetes and coronary artery disease and factors associated with insulin resistance in rural and urban populations of north India. J Am Coll Nutr. 1998; 17: 564–570. https://doi.org/10.1080/07315724.1998.10718804 PMid:9853535

Djurhuus MS, Henriksen JE, Klitgaard NA, Blaabjerg O, Thye-Rønn P, Altura BM, Altura BT, Beck-Nielsen H. Effect of moderate improvement in metabolic control on magnesium and lipid concentrations in patients. Diabetes Care. 1999; 22(4):546-54. https://doi.org/10.2337/diacare.22.4.546 PMid:10189530

Ganjifrockwala FA, Joseph JT, George G. Decreased total antioxidant levels and increased oxidative stress in South African type 2 diabetes mellitus patients. Journal of Endocrinology, Metabolism and Diabetes of South Africa. 2017; 22(2):21-25. https://doi.org/10.1080/16089677.2017.1324590

Benrebai M, Abidli N, Nasr SM, et al. Oxidative stress status in type 2 diabetic patients in Eastern Algeria. World Appl Sci J. 2008;4(5):714–19.

Pasupathi P, Bakthavathsalam G, Saravanan G, et al. Evaluation of oxidative stress and antioxidant status in patients with diabetes mellitus. J Appl Sci Res. 2009;5(7):770–5.

Vergès B. Pathophysiology of diabetic dyslipidaemia: where are we? Diabetologia. 2015; 58(5):886-99. https://doi.org/10.1007/s00125-015-3525-8 PMid:25725623 PMCid:PMC4392164

García OP, Ronquillo D, del Carmen Caama-o M, Martínez G, Camacho M, López V, Rosado JL. Zinc, Iron and Vitamins A, C and E Are Associated with Obesity, Inflammation, Lipid Profile and Insulin Resistance in Mexican School-Aged Children. Nutrients. 2013; 5(12):5012–5030. https://doi.org/10.3390/nu5125012 PMid:24335710 PMCid:PMC3875915

Khanam A. Antioxidant vitamins in diabetes. Medical Journal of The Islamic Republic of Iran (MJIRI). 1999; 13(3):175-177.

Ferrari CK. Antioxidant defenses in diabetes mellitus: a clinical and molecular approach. Pharmaceuticals. 2017; 14:16.

Gazis A, White DJ, Page SR, Cockcroft JR. Effect of oral vitamin E (alpha-tocopherol) supplementation on vascular endothelial function in Type 2 diabetes mellitus. Diabetic Medicine. 1999; 16(4):304-311. https://doi.org/10.1046/j.1464-5491.1999.00049.x PMid:10220204

Prajapat R, Bhattacharya I, Jakhalia A. Combined Effect of Vitamin C and E Dose on Type 2 Diabetes Patients. Adv in Diabetes and Metabolism. 2017; 5(2):21-5.

Hegazi SM, Ahmed SS, Mekkawy AA. Effect of zinc supplementation on serum glucose, insulin, glucagon, glucose-6- phosphatase and mineral levels in diabetics. Journal of Clinical Biochemistry and Nutrition.1992; 12(3):209–215. https://doi.org/10.3164/jcbn.12.209

Nweke I, Ohaeri O, Ezeala C. Effect Of Vitamin On Malondialdehyde And Glutathione Levels In Type 2 Diabetic Nigerians. The Internet Journal of Nutrition and Wellness. 2008; 7(2).

Polidori MC, Mecocci P, Stahl W, Parente B, Cecchetti R, Cherubini A, Cao P, Sies H, Senin U. Plasma levels of lipophilic antioxidants in very old patients with type 2 diabetes. Diabetes Metab Res Rev. 2000; 16(1):15-19. https://doi.org/10.1002/(SICI)1520-7560(200001/02)16:1<15::AID-DMRR71>3.0.CO;2-B

Barringer TA, Kirk JK, Santaniello AC, Foley KL, Michielutte R. Effect of a multivitamin and mineral supplement on infection and quality of life. A randomized, doubleblind, placebo-controlled trial. Ann Intern Med. 2003; 138(5):365-371. https://doi.org/10.7326/0003-4819-138-5-200303040-00005 PMid:12614088

Published

2019-03-16

How to Cite

1.
Altoum AEA, Abbas MY, Osman AL, Ahmed S, Babker AM. The Influence of Oral Multivitamins Supplementation on Selected Oxidative Stress Parameters and Lipid Profiles among Sudanese Patients with Type-2 Diabetes. Open Access Maced J Med Sci [Internet]. 2019 Mar. 16 [cited 2024 Apr. 25];7(5):775-8. Available from: https://oamjms.eu/index.php/mjms/article/view/oamjms.2019.137

Issue

Section

B - Clinical Sciences

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