PMID- 33402917 OWN - NLM STAT- MEDLINE DCOM- 20210222 LR - 20221207 IS - 1729-0503 (Electronic) IS - 1680-6905 (Print) IS - 1680-6905 (Linking) VI - 20 IP - 1 DP - 2020 Mar TI - Trace elements in type 2 diabetes mellitus and their association with glycemic control. PG - 287-293 LID - 10.4314/ahs.v20i1.34 [doi] AB - BACKGROUND: Alterations in serum levels of trace elements reported in type 2 diabetes mellitus (T2DM) have been linked with induction of T2DM and associated complications. OBJECTIVES: To assess serum levels of copper (Cu), zinc (Zn) and selenium (Se) in T2DM patients with adequate and poor glycemic control. PATIENTS AND METHODS: This study was performed at King Khalid University Hospital, Riyadh. A total of 100 consenting T2DM patients comprising of 50 patients with glycated hemoglobin (HbA1c) less than 6.5% and 50 patients with HbA1c more than 6.5% along with a group of 50 normal healthy individuals were included in the study. Serum levels of Cu, Zn and Se were measured by inductively coupled plasma-mass spectrometry (ICP-MS) instrument. RESULTS: Among T2DM patients with HbA1c <6.5%, mean serum Cu levels (13.4+4.3micromol/L) were not different from the controls (14.5+1.92micromol/L) whereas Zn (9.9+2.7micromol/Lvs15+3.2micromol/L;p<0.0001) and Se levels (1+0.2micromol/Lvs1.62+0.2micromol/L; p<0.0004) were lower than the controls. Among T2DM patients with HbA1c >6.5% mean serum Cu (18.1+4.1micromol/Lvs14.5+1.9micromol/L; p<0.0001), Zn (15+3.2micromol/Lvs13.5+1.9micromol/L; p<0.009) and Se (1.62+0.2micromol/Lvs1.17+0.16micromol/L;p<0.0001) were significantly higher than the controls. HbA1c% negatively correlated with HbA1c >6.5% (r = -0.302; p<0.03). CONCLUSION: Cu, Zn and Se homeostasis was altered in T2DM patients and varied with glycemic control. CI - (c) 2020 Hasanato RMW. FAU - Hasanato, Rana Mw AU - Hasanato RM AD - Department of Pathology, College of Medicine and University Hospitals, King Saud University, Riyadh, Kingdom of Saudi Arabia. LA - eng PT - Journal Article PL - Uganda TA - Afr Health Sci JT - African health sciences JID - 101149451 RN - 0 (Blood Glucose) RN - 0 (Glycated Hemoglobin A) RN - 0 (Trace Elements) RN - 789U1901C5 (Copper) RN - H6241UJ22B (Selenium) RN - J41CSQ7QDS (Zinc) SB - IM MH - Adult MH - Blood Glucose/metabolism MH - Case-Control Studies MH - Copper/blood/*metabolism MH - Diabetes Mellitus/blood/*metabolism MH - Diabetes Mellitus, Type 2/blood/*metabolism MH - Female MH - Glycated Hemoglobin/*metabolism MH - Glycemic Control MH - Humans MH - Insulin Resistance MH - Male MH - Middle Aged MH - Selenium/blood MH - Trace Elements/*blood MH - Zinc/blood/*metabolism PMC - PMC7750058 OTO - NOTNLM OT - Copper OT - Selenium OT - Zinc OT - diabetes mellitus OT - trace elements EDAT- 2021/01/07 06:00 MHDA- 2021/02/23 06:00 PMCR- 2020/03/01 CRDT- 2021/01/06 05:52 PHST- 2021/01/06 05:52 [entrez] PHST- 2021/01/07 06:00 [pubmed] PHST- 2021/02/23 06:00 [medline] PHST- 2020/03/01 00:00 [pmc-release] AID - jAFHS.v20.i1.pg287 [pii] AID - 10.4314/ahs.v20i1.34 [doi] PST - ppublish SO - Afr Health Sci. 2020 Mar;20(1):287-293. doi: 10.4314/ahs.v20i1.34.