Effects of Zinc Supplementation on Glycemic Control in Patients with Type 1 Diabetes

Document Type : Original Article

Authors

1 Department of Endocrinilogist, Diabetes Research Center, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran.

2 Department of Endocrinilogist, Diabetes Research Center, Ahvaz Jundishapur University of Medical Science, Ahvaz, Iran

Abstract

Background and Objective: For many years, a large number of studies showed that zinc has major role in biosynthesis, storage and function of insulin. The aim of this study is assessment of effects of zinc supplementation on glycemic control in patients with type 1 diabetes
Subjects and Methods: Body mass index (BMI), serum levels of zinc and HbA1c of 29 patients with type 1 diabetes at baseline were measured. Then patients received 50 mg/day elemental zinc for 3 months. At the end of the treatment period serum levels of zinc and HbA1c were investigated again.
Results: After treatment, mean serum zinc level did not differ significantly with before levels. But the mean HbA1c levels from 8.5±.7 reached to 8.1 ± .7 after treatment with zinc supplementation (P<.001). HbA1c levels decrease mainly occured in women with a BMI < 25 and men with BMI > 25. As The higher the BMI, the percentage of reduction in HbA1c level was lower.
Conclusion: The results of this study suggest that administration of zinc can reduce the levels of HbA1c in patients with type 1 diabetes. However, this effects is dependent upon both gender and BMI of the patient.

Keywords


1-Nath R, Minocha J, Lyall V, Sunder S, Kumar V, Kapoor S,  et al. Assessment of chromium metabolism in maturity onset and juvenile diabetes using chromium-51 and therapeutic response of chromium administration on plasma lipids, glucose tolerance and insulin levels. Developments in nutrition and metabolism.1979; 2: 213-221.
2-Taylor CG. Zinc, the pancreas, and diabetes: insights from rodent studies and future directions. Biometals 2005;18(4):305-12.
3-Niewoehner CB, Allen JI, Boosalis M, Levine AS, Morley JE. Role of zinc supplementation in type II diabetes mellitus. Am J Med 1986;81(1):63-8.
4-Sun Q, van Dam RM, Willett WC, Hu FB. Prospective study of zinc intake and risk of type 2 diabetes in women. Diabetes Care 2009;32(4):629-34. 
5-Soinio M, Marniemi J, Laakso M, Pyörälä K, Lehto S, Rönnemaa T. Serum zinc level and coronary heart disease events in patients with type 2 diabetes. Diabetes Care 2007;30(3):523-8.
6-Duzguner V, Kaya S. Effect of zinc on the lipid peroxidation and the antioxidant defense systems of the alloxan-induced diabetic rabbits. Free Radic Biol Med 2007;42(10):1481-6.
7-Cunningham JJ, Fu A, Mearkle PL, Brown RG. Hyperzincuria in individuals with insulin-dependent diabetes mellitus: concurrent zinc status and the effect of high-dose zinc supplementation. Metabolism 1994;43(12):1558-62.
8-de Sena KCM, Arrais RF,  Brito TNS, Almeida MG, Pedrosa FCL. Effect of zinc supplementation on urinary zinc excretion of patients with type 1 diabetes. Arq Bras Endocrinol Metab 2003 (47) 5:572-577.
9-Arquilla ER, Packer S, Tarmas W, Miyamoto S. The effect of zinc on insulin metabolism. Endocrinology 1978;103(4):1440-9.
10-Beletate V, El Dib RP, Atallah AN. Zinc supplementation for the prevention of type 2 diabetes mellitus. Cochrane Database Syst Rev 2007;(1):CD005525.
11-Niewoehner CB, Allen JI, Boosalis M, Levine AS, Morley JE. Role of zinc supplementation in type II diabetes mellitus. Am J Med 1986;81(1):63-8.
12-Al-Maroof RA, Al-Sharbatti SS. Serum zinc levels in diabetic patients and effect of zinc supplementation on glycemic control of type 2 diabetics. Saudi Med J 2006;27(3):344-50.
13-de Sena KC, Arrais RF, das Graças Almeida M, de Araújo DM, dos Santos MM, de Lima VT, et al. Effects of zinc supplementation in patients with type 1 diabetes. Biol Trace Elem Res 2005;105(1-3):1-9.
14-Raz I, Karsai D, Katz M. The influence of zinc supplementation on glucose homeostasis in NIDDM. Diabetes Res 1989;11(2):73-9.
15-Mateo MC, Bustamante JB, Cantalapiedra MA. Serum, zinc, copper and insulin in diabetes mellitus. Biomedicine 1978;29(2):56-8.
16-Navai L, Zerafati-Shoae N, Assadin H. Serum zinc concentration in obese and non-obese patients with non-insulin dependent diabetes mellitus. J Iran Chem Soc 2009;6(Suppl):S144-50.