PMID- 30160617 OWN - NLM STAT- MEDLINE DCOM- 20200401 LR - 20221207 IS - 1541-1087 (Electronic) IS - 0731-5724 (Linking) VI - 38 IP - 1 DP - 2019 Jan TI - Association Between Magnesium Status, Dietary Magnesium Intake, and Metabolic Control in Patients with Type 2 Diabetes Mellitus. PG - 31-39 LID - 10.1080/07315724.2018.1476194 [doi] AB - BACKGROUND: Hypomagnesemia could worsen glycemic control by impairing insulin release and promoting insulin resistance. On the contrary, type 2 diabetes mellitus (T2DM) may induce and/or exacerbate low serum magnesium levels, and this could, in turn, worsen glycemic control of diabetes. OBJECTIVE: The aim of this study was to investigate the relationship between serum magnesium level, dietary magnesium intake, and metabolic control parameters in patients with T2DM. METHODS: The study included 119 patients with T2DM (26 male, 93 female; mean age 54.7 +/- 8.4 years). Serum magnesium level was measured by spectrophotometric method. Magnesium intake was assessed by food frequency questionnaire. Anthropometric measurements were taken. The General Linear Model procedure was applied to determine the relationship of serum magnesium with quantitative variables. RESULTS: Of the 119 patients, 23.5% of the patients had inadequate magnesium intake (lower than 67% of the recommended daily allowance), and 18.5% had hypomagnesemia. In patients with hypomagnesemia (< 0.75 mmol/l), serum levels of fasting plasma glucose (FPG), postprandial plasma glucose (PPG), and serum glycosylated hemoglobin (HbA1c) were higher compared to patients with normomagnesemia. FPG levels were significantly higher in patients with hypomagnesemia in Model 1 (179.0 +/- 64.9 vs. 148.7 +/- 52.0 mg/dl, p = 0.009) but the significance disappeared in other models. PPG levels were significantly higher in patients with hypomagnesemia in all models (287.9 +/- 108.4 vs. 226.8 +/- 89.4 mg/dl, p = 0.006 for Model 1, p = 0.027 for Model 2, p = 0.016 for Model 3). Serum HbA1c levels were significantly higher in patients with hypomagnesemia, and this significance proceeded (8.0 +/- 1.9% vs. 6.5 +/- 1.2%, p = 0.000 for all models). Body fat mass was significantly higher in patients with hypomagnesemia as compared to patients with normomagnesemia in model 3 (35.4 +/- 9.4 kg, 34.6 +/- 10.2 kg; p = 0.034). Dietary magnesium intake was not significantly associated with either metabolic parameters or anthropometric measurements. CONCLUSION: Hypomagnesemia in T2DM is directly associated with poor metabolic control. Clinical assessment should, therefore, focus on augmentation of magnesium status and adequate magnesium intake in patients with T2DM. FAU - Ozcaliskan Ilkay, Hatice AU - Ozcaliskan Ilkay H AD - a Department of Nutrition and Dietetics , Erciyes University , Melikgazi, Kayseri , Turkey. FAU - Sahin, Habibe AU - Sahin H AD - a Department of Nutrition and Dietetics , Erciyes University , Melikgazi, Kayseri , Turkey. FAU - Tanriverdi, Fatih AU - Tanriverdi F AD - b Department of Endocrinology and Metabolism , Erciyes University , Melikgazi, Kayseri , Turkey. FAU - Samur, Gulhan AU - Samur G AD - c Department of Nutrition and Dietetics , Hacettepe University , Sihhiye, Ankara , Turkey. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20180830 PL - United States TA - J Am Coll Nutr JT - Journal of the American College of Nutrition JID - 8215879 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - I38ZP9992A (Magnesium) SB - IM MH - Blood Glucose/metabolism MH - Body Composition/physiology MH - Cross-Sectional Studies MH - Diabetes Mellitus, Type 2/blood/*complications MH - *Diet MH - Female MH - Glycated Hemoglobin/metabolism MH - Humans MH - Insulin Resistance/physiology MH - Magnesium/administration & dosage/*blood MH - Magnesium Deficiency/blood/*complications MH - Male MH - Middle Aged MH - Nutritional Status MH - Surveys and Questionnaires OTO - NOTNLM OT - Type 2 diabetes mellitus OT - dietary magnesium intake OT - magnesium status OT - metabolic control EDAT- 2018/08/31 06:00 MHDA- 2020/04/02 06:00 CRDT- 2018/08/31 06:00 PHST- 2018/08/31 06:00 [pubmed] PHST- 2020/04/02 06:00 [medline] PHST- 2018/08/31 06:00 [entrez] AID - 10.1080/07315724.2018.1476194 [doi] PST - ppublish SO - J Am Coll Nutr. 2019 Jan;38(1):31-39. doi: 10.1080/07315724.2018.1476194. Epub 2018 Aug 30.