The effects of calcitriol and nicotinamide on residual pancreatic β‐cell function in patients with recent‐onset Type 1 diabetes (IMDIAB XI)

作者: D. Pitocco , A. Crino , E. Di Stasio , S. Manfrini , C. Guglielmi

DOI: 10.1111/J.1464-5491.2006.01921.X

关键词:

摘要: Background  A number of recent studies underline the importance vitamin D in pathogenesis Type 1 diabetes (T1D). Aims  The aim this study was to investigate whether supplementation with active form (calcitriol) subjects recent-onset T1D protects residual pancreatic β-cell function and improves glycaemic control (HbA1c insulin requirement). Methods  In open-label randomized trial, 70 T1D, mean age 13.6 years ± 7.6 sd were calcitriol (0.25 µg on alternate days) or nicotinamide (25 mg/kg daily) followed up for 1 year. Intensive therapy implemented three daily injections regular insulin + NPH at bedtime. Results  No significant differences observed between groups respect baseline/stimulated C-peptide HbA1c 1 year after diagnosis, but dose 3 6 months significantly reduced group. Conclusions  At dosage used, has a modest effect only temporarily reduces dose.

参考文章(18)
P Pozzilli, D Pitocco, N Visalli, Maria Gisella Cavallo, Raffaella Buzzetti, A Crino, S Spera, C Suraci, G Multari, M Cervoni, ML Manca Bitti, MC Matteoli, G Marietti, F Ferrazzoli, MR Cassone Faldetta, C Giordano, M Sbriglia, E Sarugeri, G Ghirlanda, IMDIAB Group, No effect of oral insulin on residual beta-cell function in recent-onset Type I diabetes (the IMDIAB VII) Diabetologia. ,vol. 43, pp. 1000- 1004 ,(2000) , 10.1007/S001250051482
Margherita T. Cantorna, Carey Munsick, Candace Bemiss, Brett D. Mahon, 1,25-Dihydroxycholecalciferol Prevents and Ameliorates Symptoms of Experimental Murine Inflammatory Bowel Disease Journal of Nutrition. ,vol. 130, pp. 2648- 2652 ,(2000) , 10.1093/JN/130.11.2648
William B. Grant, Epidemiology of disease risks in relation to vitamin D insufficiency. Progress in Biophysics & Molecular Biology. ,vol. 92, pp. 65- 79 ,(2006) , 10.1016/J.PBIOMOLBIO.2006.02.013
M. W. Steffes, S. Sibley, M. Jackson, W. Thomas, β-Cell Function and the Development of Diabetes-Related Complications in the Diabetes Control and Complications Trial Diabetes Care. ,vol. 26, pp. 832- 836 ,(2003) , 10.2337/DIACARE.26.3.832
Daniel Zehnder, Rosemary Bland, Mary C. Williams, Robert W. McNinch, Alexander J. Howie, Paul M. Stewart, Martin Hewison, Extrarenal Expression of 25-Hydroxyvitamin D3-1α-Hydroxylase1 The Journal of Clinical Endocrinology and Metabolism. ,vol. 86, pp. 888- 894 ,(2001) , 10.1210/JCEM.86.2.7220
C. Mathieu, C. Gysemans, A. Giulietti, R. Bouillon, Vitamin D and diabetes. Diabetologia. ,vol. 48, pp. 1247- 1257 ,(2005) , 10.1007/S00125-005-1802-7
M. T. Cantorna, C. E. Hayes, H. F. DeLuca, 1,25-Dihydroxyvitamin D3 reversibly blocks the progression of relapsing encephalomyelitis, a model of multiple sclerosis Proceedings of the National Academy of Sciences of the United States of America. ,vol. 93, pp. 7861- 7864 ,(1996) , 10.1073/PNAS.93.15.7861
T. Inukai, R. Matsutomo, K. Tayama, Y. Aso, Y. Takemura, Relation between the serum level of C-peptide and risk factors for coronary heart disease and diabetic microangiopathy in patients with type-2 diabetes mellitus Experimental and Clinical Endocrinology & Diabetes. ,vol. 107, pp. 40- 45 ,(2009) , 10.1055/S-0029-1212071
Rosemary Bland, Danijela Markovic, Claire E. Hills, Susan V. Hughes, Susan L.F. Chan, Paul E. Squires, Martin Hewison, Expression of 25-hydroxyvitamin D3-1α-hydroxylase in pancreatic islets The Journal of Steroid Biochemistry and Molecular Biology. ,vol. 89, pp. 121- 125 ,(2004) , 10.1016/J.JSBMB.2004.03.115