The Association between 25-Hydroxyvitamin D and Hemoglobin A1c Levels in Patients with Type 2 Diabetes and Stage 1–5 Chronic Kidney Disease

Aim. To examine the relationship between plasma 25-hydroxyvitamin D (25(OH)D) levels and blood hemoglobin A1c (HbA1c) levels in diabetic patients at various stages of chronic kidney disease (CKD). Methods. We screened for data collected between 2003 and 2012. The correlation between 25(OH)D and HbA1...

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Main Authors: Farshad Kajbaf, Romuald Mentaverri, Momar Diouf, Albert Fournier, Said Kamel, Jean-Daniel Lalau
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2014/142468
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author Farshad Kajbaf
Romuald Mentaverri
Momar Diouf
Albert Fournier
Said Kamel
Jean-Daniel Lalau
author_facet Farshad Kajbaf
Romuald Mentaverri
Momar Diouf
Albert Fournier
Said Kamel
Jean-Daniel Lalau
author_sort Farshad Kajbaf
collection DOAJ
description Aim. To examine the relationship between plasma 25-hydroxyvitamin D (25(OH)D) levels and blood hemoglobin A1c (HbA1c) levels in diabetic patients at various stages of chronic kidney disease (CKD). Methods. We screened for data collected between 2003 and 2012. The correlation between 25(OH)D and HbA1c levels was studied in patients categorized according to the severity of CKD and their vitamin D status. A multivariate linear regression model was used to determine whether 25(OH)D and HbA1c levels were independently associated after adjustment for a number of covariates (including erythrocyte metformin levels). Results. We identified 542 reports from 245 patients. The mean HbA1c value was 6.7±1.0% in vitamin D sufficiency, 7.3±1.5% in insufficiency, and 8.4±2.0% in deficiency (P<0.0001). There was a negative correlation between 25(OH)D and HbA1c levels for the population as a whole (r=-0.387, P<0.0001) and in the CKD severity subgroups (r=-0.384, P<0.0001 and r=-0.333, P<0.0001 for CKD stages 1–3 and 4-5, resp.). In the multivariate analysis, the 25(OH)D level was the only factor associated with HbA1c (P<0.0001). Conclusion. 25(OH)D levels were negatively correlated with HbA1c levels independently of study covariates.
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spelling doaj-art-d2249cfa4af442938c2e7556030380832025-02-03T01:00:04ZengWileyInternational Journal of Endocrinology1687-83371687-83452014-01-01201410.1155/2014/142468142468The Association between 25-Hydroxyvitamin D and Hemoglobin A1c Levels in Patients with Type 2 Diabetes and Stage 1–5 Chronic Kidney DiseaseFarshad Kajbaf0Romuald Mentaverri1Momar Diouf2Albert Fournier3Said Kamel4Jean-Daniel Lalau5Department of Endocrinology and Nutrition, University Hospital of Amiens, 80054 Amiens, FranceINSERM Unit 1088, Jules Verne University of Picardie, 80037 Amiens, FranceClinical Research Center, University Hospital of Amiens, 80054 Amiens, FranceDepartment of Clinical Nephrology, University Hospital of Amiens, 80054 Amiens, FranceBone Biology and Endocrine Division, University Hospital of Amiens, 80054 Amiens, FranceDepartment of Endocrinology and Nutrition, University Hospital of Amiens, 80054 Amiens, FranceAim. To examine the relationship between plasma 25-hydroxyvitamin D (25(OH)D) levels and blood hemoglobin A1c (HbA1c) levels in diabetic patients at various stages of chronic kidney disease (CKD). Methods. We screened for data collected between 2003 and 2012. The correlation between 25(OH)D and HbA1c levels was studied in patients categorized according to the severity of CKD and their vitamin D status. A multivariate linear regression model was used to determine whether 25(OH)D and HbA1c levels were independently associated after adjustment for a number of covariates (including erythrocyte metformin levels). Results. We identified 542 reports from 245 patients. The mean HbA1c value was 6.7±1.0% in vitamin D sufficiency, 7.3±1.5% in insufficiency, and 8.4±2.0% in deficiency (P<0.0001). There was a negative correlation between 25(OH)D and HbA1c levels for the population as a whole (r=-0.387, P<0.0001) and in the CKD severity subgroups (r=-0.384, P<0.0001 and r=-0.333, P<0.0001 for CKD stages 1–3 and 4-5, resp.). In the multivariate analysis, the 25(OH)D level was the only factor associated with HbA1c (P<0.0001). Conclusion. 25(OH)D levels were negatively correlated with HbA1c levels independently of study covariates.http://dx.doi.org/10.1155/2014/142468
spellingShingle Farshad Kajbaf
Romuald Mentaverri
Momar Diouf
Albert Fournier
Said Kamel
Jean-Daniel Lalau
The Association between 25-Hydroxyvitamin D and Hemoglobin A1c Levels in Patients with Type 2 Diabetes and Stage 1–5 Chronic Kidney Disease
International Journal of Endocrinology
title The Association between 25-Hydroxyvitamin D and Hemoglobin A1c Levels in Patients with Type 2 Diabetes and Stage 1–5 Chronic Kidney Disease
title_full The Association between 25-Hydroxyvitamin D and Hemoglobin A1c Levels in Patients with Type 2 Diabetes and Stage 1–5 Chronic Kidney Disease
title_fullStr The Association between 25-Hydroxyvitamin D and Hemoglobin A1c Levels in Patients with Type 2 Diabetes and Stage 1–5 Chronic Kidney Disease
title_full_unstemmed The Association between 25-Hydroxyvitamin D and Hemoglobin A1c Levels in Patients with Type 2 Diabetes and Stage 1–5 Chronic Kidney Disease
title_short The Association between 25-Hydroxyvitamin D and Hemoglobin A1c Levels in Patients with Type 2 Diabetes and Stage 1–5 Chronic Kidney Disease
title_sort association between 25 hydroxyvitamin d and hemoglobin a1c levels in patients with type 2 diabetes and stage 1 5 chronic kidney disease
url http://dx.doi.org/10.1155/2014/142468
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