Insulin Sensitivity, Intraocular Pressure
Conditions
Brief summary
In this study the investigators want to compare glucose handling (insulin secretion and insulin sensitivity) in 100 persons with low and 50 persons with normal-high levels of vitamin D, using a hyperglycemic clamp technique, were sugar is given intravenously for 3 hours in order to keep the blood sugar level at 10 mmol/L. Those with low vitamin D levels will be randomized to treatment with vitamin D3 (cholecalciferol) 40 000 IU/week or placebo for 6 months before a new clamp is performed. The study hypothesis is that persons with low vitamin D levels have impaired glucose handling which might be improved by vitamin D supplementation.
Interventions
capsules, 20 000IU, twice a week, 6 months duration
Sponsors
Study design
Eligibility
Inclusion criteria
* generally: Subjects are recruited from the 6th Tromsø Study * cases: serum 25-hydroxyvitamin D-levels below the 10 percentile; low levels confirmed with new serum analyses. * controls: serum 25-hydroxyvitamin D levels 80-95 percentile, normal-high levels confirmed with new serum analyses.
Exclusion criteria
* diabetes * myocardial infarction or apoplexia * active cancer during last 5 years * history of kidney stone * pregnancy or premenopausal without safe anticonception * primary hyperparathyroidism * systolic blood pressure \>175 or diastolic blood pressure \>105
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| insulin secretion and sensitivity as assessed by an hyperglycemic clamp | 6 months |
| intraocular pressure | 6 months |
Secondary
| Measure | Time frame |
|---|---|
| telomer length | 6 months |
| 25-hydroxyvitamin D and 1,25-dihydroxyvitamin D-levels | 6 months |
| serum calcium, PTH, phosphate | 6 months |
| inflammatory markers and lipids | 6 months |
Countries
Norway