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Selenium, zinc, and copper levels and their relation with HbA1c status in children with type 1 diabetes mellitus

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Abstract

In recent years, the oxidative stress-induced free radicals have been implicated in the pathogenesis of type 1 diabetes mellitus (DM). It has been also reported that elements like selenium (Se), zinc (Zn), and copper (Cu) involved in lipid peroxidation may play a role in the pathogenesis and exacerbation of this disease. The aim of the present study was to evaluate the antioxidant status and micronutrient levels in children with type 1 DM. The study included 35 children with type 1 DM (16 girls and 19 boys) with a mean age of 13.8 ± 4.5 years and a mean disease duration of 3.6 ± 2.8 years and 26 age-matched healthy children (11 girls and 15 boys) with a mean age of 12.8 ± 3.3 years. The Se and Zn levels of children with type 1 DM were significantly lower than those of controls. Glycosylated hemoglobin (HbA1c) levels were found to be inversely correlated with Se and Zn levels. There was no any statistically significant difference between serum Cu levels of patients with type 1 DM and controls. Glutathione peroxidase (GSH-Px) levels were lower in patients with type 1 DM when compared with those of controls, and there was a negative correlation between HbA1c and GSH-Px levels. We believe that the increased oxidative stress may be originated from low levels of glutathione peroxidase resulted from decreased levels of Se. The negative correlation between Se, Zn, GSH-Px, and HbA1c levels may show poor metabolic control of the disease and effect of oxidative injury. Those elements should be closely monitored during the course of type 1 DM, and supplementation of these elements may be beneficial both for controlling diabetes and preventing long-term oxidative injury related to diabetic complications.

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Authors and Affiliations

  1. Department of Family Medicine, Gulhane Military Medical Academy, Ankara, Turkey

    Salim Özenç & Şirzat Yeşilkaya

  2. Department of Pediatrics, Gulhane Military Medical Faculty, Gülhane Askeri Tıp Akademisi, Çocuk Sağlığı ve Hastalıkları AD, 06018, Etlik, Ankara, Turkey

    Mehmet Saldir, Oğuzhan Babacan, Kürşat Fidancı & Necati Balamtekin

  3. Department of Pediatric Endocrinology, Gulhane Military Medical Academy, Ankara, Turkey

    Erkan Sarı & Ediz Yesilkaya

  4. Dr. Sami Ulus Children’s Hospital, Ankara, Turkey

    Semra Çetinkaya

  5. Department of Pharmacology, Gulhane Military Medical Academy, Ankara, Turkey

    Ahmet Sayal

Authors
  1. Salim Özenç
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  2. Mehmet Saldir
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  3. Erkan Sarı
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Correspondence to Mehmet Saldir.

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Özenç, S., Saldir, M., Sarı, E. et al. Selenium, zinc, and copper levels and their relation with HbA1c status in children with type 1 diabetes mellitus. Int J Diabetes Dev Ctries 35, 514–518 (2015). https://doi.org/10.1007/s13410-015-0327-y

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  • DOI: https://doi.org/10.1007/s13410-015-0327-y

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