Association between dietary mineral intake and new onset diabetes/pre-diabetes after chronic pancreatitis

Background and aimsAs the main type of pancreatic diabetes, patients with new diabetes after chronic pancreatitis are often difficult to manage and have poor prognosis. This study aimed to figure out the association between dietary mineral intake and glucose metabolism with chronic pancreatitis.Meth...

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Main Authors: Bingqing Li, Shan Guo, Wenlu Zong, Yuning Chu, Qi Zhang, Xiaoyan Yin, Tao Mao, Xiaoyu Li
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-01-01
Series:Frontiers in Nutrition
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Online Access:https://www.frontiersin.org/articles/10.3389/fnut.2024.1461468/full
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author Bingqing Li
Shan Guo
Wenlu Zong
Yuning Chu
Qi Zhang
Xiaoyan Yin
Tao Mao
Xiaoyu Li
author_facet Bingqing Li
Shan Guo
Wenlu Zong
Yuning Chu
Qi Zhang
Xiaoyan Yin
Tao Mao
Xiaoyu Li
author_sort Bingqing Li
collection DOAJ
description Background and aimsAs the main type of pancreatic diabetes, patients with new diabetes after chronic pancreatitis are often difficult to manage and have poor prognosis. This study aimed to figure out the association between dietary mineral intake and glucose metabolism with chronic pancreatitis.MethodThe study included 114 patients with chronic pancreatitis, who were grouped based on the sequence of onset for chronic pancreatitis and diabetes: normoglycaemia after chronic pancreatitis (NCP), type 2 diabetes (T2DM), and new-onset diabetes or pre-diabetes after chronic pancreatitis (NODCP). The habitual intake of 10 minerals (calcium, chlorine, iodine, iron, magnesium, phosphorus, potassium, selenium, sodium, and zinc) was assessed using a dietary health questionnaire. The differences in mineral intake between the groups were compared, and the relationship between mineral intake and key glucose metabolism markers, including fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), and fasting insulin, was analyzed using regression models.ResultsCompared with normal glycaemic status after chronic pancreatitis, the intake of iron and phosphorus in patients with new diabetes/pre-diabetes after chronic pancreatitis (NODCP) has changed significantly. In the NODCP group, FPG levels were significantly negatively correlated with magnesium intake, while HbA1c levels were significantly negatively correlated with average phosphorus intake. In addition, there is a correlation between fasting insulin and average magnesium intake in the NODCP group. No correlation was found between the intake of other minerals and glucose metabolism in chronic pancreatitis.ConclusionThe intake of minerals in the diet affects the glycaemic status after chronic pancreatitis. It is necessary to further explore the possible causal relationship and mechanism between mineral intake and diabetes after chronic pancreatitis, so as to provide evidence for nutritional intervention of high-risk patients.
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spelling doaj-art-9c620440de4243178d1862792cc9166d2025-01-07T06:50:33ZengFrontiers Media S.A.Frontiers in Nutrition2296-861X2025-01-011110.3389/fnut.2024.14614681461468Association between dietary mineral intake and new onset diabetes/pre-diabetes after chronic pancreatitisBingqing Li0Shan Guo1Wenlu Zong2Yuning Chu3Qi Zhang4Xiaoyan Yin5Tao Mao6Xiaoyu Li7Department of Gastroenterology, The Affiliated Hospital to Qingdao University, Qingdao, ChinaDepartment of Gastroenterology, The Affiliated Hospital to Qingdao University, Qingdao, ChinaDepartment of Gastroenterology, The Affiliated Hospital to Qingdao University, Qingdao, ChinaDepartment of Gastroenterology, The Affiliated Hospital to Qingdao University, Qingdao, ChinaDepartment of Gastroenterology, The Affiliated Hospital to Qingdao University, Qingdao, ChinaDepartment of Gastroenterology, The Affiliated Hospital to Qingdao University, Qingdao, ChinaDepartment of Gastroenterology, The Affiliated Hospital to Qingdao University, Qingdao, ChinaDepartment of Gastroenterology, The Affiliated Hospital to Qingdao University, Qingdao, ChinaBackground and aimsAs the main type of pancreatic diabetes, patients with new diabetes after chronic pancreatitis are often difficult to manage and have poor prognosis. This study aimed to figure out the association between dietary mineral intake and glucose metabolism with chronic pancreatitis.MethodThe study included 114 patients with chronic pancreatitis, who were grouped based on the sequence of onset for chronic pancreatitis and diabetes: normoglycaemia after chronic pancreatitis (NCP), type 2 diabetes (T2DM), and new-onset diabetes or pre-diabetes after chronic pancreatitis (NODCP). The habitual intake of 10 minerals (calcium, chlorine, iodine, iron, magnesium, phosphorus, potassium, selenium, sodium, and zinc) was assessed using a dietary health questionnaire. The differences in mineral intake between the groups were compared, and the relationship between mineral intake and key glucose metabolism markers, including fasting plasma glucose (FPG), glycated hemoglobin (HbA1c), and fasting insulin, was analyzed using regression models.ResultsCompared with normal glycaemic status after chronic pancreatitis, the intake of iron and phosphorus in patients with new diabetes/pre-diabetes after chronic pancreatitis (NODCP) has changed significantly. In the NODCP group, FPG levels were significantly negatively correlated with magnesium intake, while HbA1c levels were significantly negatively correlated with average phosphorus intake. In addition, there is a correlation between fasting insulin and average magnesium intake in the NODCP group. No correlation was found between the intake of other minerals and glucose metabolism in chronic pancreatitis.ConclusionThe intake of minerals in the diet affects the glycaemic status after chronic pancreatitis. It is necessary to further explore the possible causal relationship and mechanism between mineral intake and diabetes after chronic pancreatitis, so as to provide evidence for nutritional intervention of high-risk patients.https://www.frontiersin.org/articles/10.3389/fnut.2024.1461468/fullmineral intakenutritionchronic pancreatitispancreatogenic diabetestrace elements
spellingShingle Bingqing Li
Shan Guo
Wenlu Zong
Yuning Chu
Qi Zhang
Xiaoyan Yin
Tao Mao
Xiaoyu Li
Association between dietary mineral intake and new onset diabetes/pre-diabetes after chronic pancreatitis
Frontiers in Nutrition
mineral intake
nutrition
chronic pancreatitis
pancreatogenic diabetes
trace elements
title Association between dietary mineral intake and new onset diabetes/pre-diabetes after chronic pancreatitis
title_full Association between dietary mineral intake and new onset diabetes/pre-diabetes after chronic pancreatitis
title_fullStr Association between dietary mineral intake and new onset diabetes/pre-diabetes after chronic pancreatitis
title_full_unstemmed Association between dietary mineral intake and new onset diabetes/pre-diabetes after chronic pancreatitis
title_short Association between dietary mineral intake and new onset diabetes/pre-diabetes after chronic pancreatitis
title_sort association between dietary mineral intake and new onset diabetes pre diabetes after chronic pancreatitis
topic mineral intake
nutrition
chronic pancreatitis
pancreatogenic diabetes
trace elements
url https://www.frontiersin.org/articles/10.3389/fnut.2024.1461468/full
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