PMID- 20350923 OWN - NLM STAT- MEDLINE DCOM- 20101207 LR - 20221207 IS - 1934-2403 (Electronic) IS - 1530-891X (Linking) VI - 16 IP - 4 DP - 2010 Jul-Aug TI - Pilot study to evaluate the effect of short-term improvement in vitamin D status on glucose tolerance in patients with type 2 diabetes mellitus. PG - 600-8 LID - 10.4158/EP09300.OR [doi] AB - OBJECTIVE: To study the effect of improvement in vitamin D status on glucose tolerance in Asian Indian patients with moderately controlled type 2 diabetes mellitus (T2DM). METHODS: This randomized, double-blind, placebo-controlled pilot study was conducted in 28 Asian Indian patients with T2DM. Study participants were randomly assigned to a vitamin D-treated group (group D) or a placebo group (group P). Serum 25-hydroxyvitamin D, hemoglobin A1c, and serum fructosamine levels were measured, and an oral glucose tolerance test (OGTT) was performed in all patients at baseline and 4 weeks after intervention. During the OGTT, plasma glucose and serum insulin levels were measured at 0, 30, 60, 90, and 120 minutes. The unpaired t test was used to compare the groups at baseline and to compare the differences in changes from baseline to 4 weeks between the 2 study groups. RESULTS: Group D and group P were similar with respect to their fasting plasma glucose and serum insulin concentrations, post-OGTT plasma glucose and serum insulin levels, and hemoglobin A1c and fructosamine values at baseline. Serum 25-hydroxyvitamin D levels increased significantly in group D at 4 weeks. No significant differences were found between the groups at baseline and 4 weeks with respect to serum fructosamine, fasting plasma glucose and serum insulin, post-OGTT plasma glucose and serum insulin levels, and homeostasis model assessment of insulin resistance. CONCLUSION: In this study, short-term improvement in vitamin D status was not associated with improvement in glucose tolerance, insulin secretion, or insulin sensitivity in Asian Indian patients with moderately controlled T2DM. FAU - Parekh, Deepal AU - Parekh D AD - Department of Endocrinology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Parel, Mumbai, Maharashtra, India. FAU - Sarathi, Vijaya AU - Sarathi V FAU - Shivane, Vyankatesh K AU - Shivane VK FAU - Bandgar, Tushar R AU - Bandgar TR FAU - Menon, Padma S AU - Menon PS FAU - Shah, Nalini S AU - Shah NS LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - Endocr Pract JT - Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists JID - 9607439 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Insulin) RN - 0 (hemoglobin A1c protein, human) RN - 1C6V77QF41 (Cholecalciferol) RN - 21343-40-8 (25-Hydroxyvitamin D 2) RN - 4429-04-3 (Fructosamine) RN - P6YZ13C99Q (Calcifediol) SB - IM MH - 25-Hydroxyvitamin D 2/blood MH - Adult MH - Asian People MH - Blood Glucose/analysis MH - Body Mass Index MH - Calcifediol/blood MH - Cholecalciferol/*therapeutic use MH - Diabetes Mellitus, Type 2/*blood/complications/*physiopathology MH - Dietary Supplements MH - Double-Blind Method MH - Female MH - Fructosamine/blood MH - Glucose Intolerance/*physiopathology MH - Glycated Hemoglobin/analysis MH - Homeostasis MH - Humans MH - India MH - Insulin/blood MH - Insulin Resistance MH - Male MH - Middle Aged MH - Pilot Projects MH - Vitamin D Deficiency/blood/complications/*drug therapy EDAT- 2010/03/31 06:00 MHDA- 2010/12/14 06:00 CRDT- 2010/03/31 06:00 PHST- 2010/03/31 06:00 [entrez] PHST- 2010/03/31 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] AID - S1530-891X(20)40805-5 [pii] AID - 10.4158/EP09300.OR [doi] PST - ppublish SO - Endocr Pract. 2010 Jul-Aug;16(4):600-8. doi: 10.4158/EP09300.OR.