OBJECTIVES: Iron overload can cause or contribute to the pathogenesis of type 2 diabetes mellitus (T2DM), but how the major parameters of iron metabolism change in different settings of diabetes are still unclear. The aim of this study was to determine the relationship between iron, ferritin, and hepcidin levels in diabetic patients and the effect of insulin treatment. METHODS: The study included 80 subjects, 60 with T2DM and 20 without (control group). Serum hepcidin, insulin, ferritin, and iron levels were determined as well as other clinical parameters. The associations between these parameters were analyzed between both groups. RESULTS: Hepcidin levels expressed as mean± standard deviation between groups showed no significant changes (14.4±6.7 ng/mL for the control group, and 18.4±7.9 ng/mL for patients with diabetes, p = 0.069). Parameters of iron metabolism showed modest correlation with the parameters of glucose metabolism. However, the correlation between ferritin and insulin in both groups was statistically significant (p = 0.032; ρ = 0.480 vs. p = 0.011; ρ = 0.328). CONCLUSIONS: Our study showed that hepcidin levels in patients with T2DM on insulin therapy do not change, which might be a result of treatment with insulin. In this context, insulin treatment can be used as a novel method for correction of hepcidin levels. By correcting hepcidin levels, we can prevent cellular iron overload and reduce the risk of diabetes.
OBJECTIVES:Iron overload can cause or contribute to the pathogenesis of type 2 diabetes mellitus (T2DM), but how the major parameters of iron metabolism change in different settings of diabetes are still unclear. The aim of this study was to determine the relationship between iron, ferritin, and hepcidin levels in diabeticpatients and the effect of insulin treatment. METHODS: The study included 80 subjects, 60 with T2DM and 20 without (control group). Serum hepcidin, insulin, ferritin, and iron levels were determined as well as other clinical parameters. The associations between these parameters were analyzed between both groups. RESULTS:Hepcidin levels expressed as mean± standard deviation between groups showed no significant changes (14.4±6.7 ng/mL for the control group, and 18.4±7.9 ng/mL for patients with diabetes, p = 0.069). Parameters of iron metabolism showed modest correlation with the parameters of glucose metabolism. However, the correlation between ferritin and insulin in both groups was statistically significant (p = 0.032; ρ = 0.480 vs. p = 0.011; ρ = 0.328). CONCLUSIONS: Our study showed that hepcidin levels in patients with T2DM on insulin therapy do not change, which might be a result of treatment with insulin. In this context, insulin treatment can be used as a novel method for correction of hepcidin levels. By correcting hepcidin levels, we can prevent cellular iron overload and reduce the risk of diabetes.
Authors: J M Fernández-Real; W Ricart-Engel; E Arroyo; R Balançá; R Casamitjana-Abella; D Cabrero; M Fernández-Castañer; J Soler Journal: Diabetes Care Date: 1998-01 Impact factor: 19.112
Authors: Albert Lecube; Cristina Hernández; Joan Genescà; Joan I Esteban; Rosend Jardí; Lydia García; Rafael Simó Journal: Diabetes Care Date: 2004-11 Impact factor: 19.112
Authors: A H Sam; M Busbridge; A Amin; L Webber; D White; S Franks; N M Martin; M Sleeth; N A Ismail; N Mat Daud; D Papamargaritis; C W Le Roux; R S Chapman; G Frost; S R Bloom; K G Murphy Journal: Diabet Med Date: 2013-08-19 Impact factor: 4.359
Authors: Fransina Ndevahoma; Munyaradzi Mukesi; Phiwayinkosi V Dludla; Bongani B Nkambule; Elina P Nepolo; Tawanda M Nyambuya Journal: Heliyon Date: 2021-03-11