Prediabetes, Vitamin D Deficiency
Conditions
Keywords
vitamin D, Cholecalciferol, Insulin sensitivity, MinMod Millennium, FSIGT, modified frequently sampled IV glucose tolerance test
Brief summary
This study was intended to evaluate the effect of vitamin D supplementation on insulin sensitivity and pancreatic islet beta-cell function. Our hypothesis was that vitamin D supplementation to normal levels in patients with impaired fasting glucose will result in improved insulin sensitivity and improved beta cell function.
Detailed description
A modified frequently sampled intravenous glucose tolerance (mFSIGT) test was used. On day 0, baseline 22 time point mFSIGT was performed. Subjects were then treated with cholecalciferol (vitamin D3) supplementation - 10,000 IU/day - for 28 consecutive days. mFSIGT was then repeated measuring glucose, insulin and c-peptide at all time points. 25-OH vitamin D, PTH, and calcium were also measured at time point 0 pre and post vitamin D supplementation. Data was analyzed using the Bergman/Boston minimal model for insulin homeostasis with MinMod Millennium software.
Interventions
Oral capsules of cholecalciferol, 5000 IU/ capsule, two capsules daily for one month.
Sponsors
Study design
Eligibility
Inclusion criteria
* Impaired fasting glucose * Adult, age between 18 and 65 * Serum vitamin D level below 30 ng/mL
Exclusion criteria
* History of nephrolithiasis * Any medications that can effect insulin sensitivity or beta cell function (i.e. antipsychotics, metformin) * Pregnancy * Liver disease * Renal disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Assessment of insulin sensitivity before and after oral vitamin D3 supplementation with 10,000 IU/day for one month. | At baseline and after 4 weeks of vitamin D supplementation |
Secondary
| Measure | Time frame |
|---|---|
| Monitor effect of vitamin D supplementation with 10,000 IU/day for one month on serum calcium and parathyroid hormone levels. | One month |
| Assess effect of vitamin D supplementation on beta cell function as measured by analysis of data collected through a modified FSIGT test. | One month |
Countries
United States