Women with diabetes were found to be at higher risk of micronutrient deficits
Vitamin D is the most common deficiency
among diabetics, affecting over 60 per cent of people with diabetes, according
to a global analysis published in the British Medical Journal (BMJ) Nutrition
Prevention and Health.
The analysis, based on 132 studies
conducted between 1998 and 2023 involving more than 52,000 participants, also
found that magnesium deficiency affects 42 per cent of people with diabetes,
while 28 per cent suffer from iron deficiency.
Researchers, including those from the
Indian Institute of Health Management Research (IIHMR), Rajasthan, said that
the study helps assess the global prevalence of micronutrient
deficiency—whereby levels of vitamins and minerals essential for healthy bodily
function are far too low—in people with type 2 diabetes.
Women with diabetes were found to be at a
higher risk of micronutrient deficits, also termed “hidden hunger,” compared to
men, the team found.
The authors explained that risk factors
for developing diabetes include genetic tendencies, along with environmental
factors, such as a sedentary lifestyle, unhealthy diet and obesity.
Studies have shown that micronutrients
have a key role in the development of diabetes, by affecting how glucose is
metabolised and insulin pathways.
However, this study was aimed to resolve
conflicting evidence from previous studies that mainly focused on one specific
micronutrient, the authors said.
“The pooled prevalence of multiple
micronutrient deficiency (vitamins, minerals and electrolytes) was 45.30 per
cent among T2D patients,” they wrote.
Further, the prevalence was found to be
higher in women with the condition—at nearly 49 per cent—compared to men.
The analysis also found that vitamin B12
deficiency affects 29 per cent of diabetes patients globally and is even higher
among those taking metformin, a common anti-diabetes drug.
The studies included in the analyses were
hospital-based and therefore, the authors said the findings need to be
interpreted with caution due to sample selection bias.
They added that no cause-and-effect links
could be established and thus, it was not clear if the micronutrient deficiency
preceded poor glycaemic control or was a consequence of it.
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