Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control Study

<h3>Objective</h3><p dir="ltr">The objectives of this study were to investigate associations between micronutrient levels and diabetes and to explore the association in individuals with controlled and uncontrolled diabetes. </p><h3>Methods</h3><p dir=...

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Main Author: Nada Soliman (17714553) (author)
Other Authors: Ruba Almishal (17714556) (author), Basant Elsayed (17714559) (author), Ayaaz Ahmed (17714562) (author), Sara Al-Amri (17714565) (author), Aisha Al-Kuwari (17714568) (author), Shaikha Al-Muhannadi (17714571) (author), Muhammed Nadeer (17714574) (author), Tawanda Chivese (801864) (author)
Published: 2023
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Summary:<h3>Objective</h3><p dir="ltr">The objectives of this study were to investigate associations between micronutrient levels and diabetes and to explore the association in individuals with controlled and uncontrolled diabetes. </p><h3>Methods</h3><p dir="ltr">A case–control study, matched on age and gender, was performed on participants with (cases) and without diabetes (controls), who were Qatari or long-term residents (≥15 years of residence). Participants with diabetes were divided into those with controlled and uncontrolled diabetes using an HbA1c cutoff of 7%. Levels of micronutrients were measured from serum and categorized into normal and abnormal levels. </p><h3>Results</h3><p dir="ltr">A total of 1118 participants (374 cases and 744 controls) were included with a mean age of 41.7 years (SD 9.9), of whom 53.9% were female. Of those with diabetes, 229 had controlled diabetes and 145 had uncontrolled diabetes. Compared to those without diabetes, participants with diabetes had significantly lower mean magnesium (0.80 mmol/L (SD 0.07) vs. 0.84 mmol/L (SD 0.06), respectively, p < 0.001). Lower magnesium and iron were observed in participants with uncontrolled compared to participants with controlled diabetes. After multivariable logistic regression, diabetes was associated with hypomagnesemia (OR 3.2, 95% CI 3.4–213.9) and low iron (OR 1.49, 95% CI 1.03–2.15). Uncontrolled diabetes showed stronger odds of association with hypomagnesemia (OR 5.57, 95% CI 3.65–8.52). </p><h3>Conclusion</h3><p dir="ltr">In an affluent setting in the MENA region, diabetes was associated with low magnesium and low iron, and this association was stronger in individuals with uncontrolled diabetes.</p><h2>Other Information</h2><p dir="ltr">Published in: Biomedicines<br>License: <a href="https://creativecommons.org/licenses/by/4.0/" target="_blank">https://creativecommons.org/licenses/by/4.0/</a><br>See article on publisher's website: <a href="https://dx.doi.org/10.3390/biomedicines11113045" target="_blank">https://dx.doi.org/10.3390/biomedicines11113045</a></p>