Type 2 Diabetes
Conditions
Keywords
vitamin D fortification, yogurt drink, type 2 diabetes, efficacy
Brief summary
The aim of this study is to evaluate the possible effects of daily intake of yogurt drink fortified with vitamin D alone or with vitamin D + calcium on some selected glycemic, metabolic, inflammatory and oxidative stress markers in patients with type 2 diabetes (T2DM).
Detailed description
ninety diabetic patients will be selected. Patients who are receiving vitamin D, calcium or omega-3 supplements within the last three months will be excluded. Patients will be assigned randomly to one of the three intervention groups. 1. Plain yogurt drink 2. Vitamin D-fortified yogurt drink 3. Vitamin D-calcium fortified yogurt drink. Each patient will consume 2 servings of yogurt drink every day for 3 months with lunch and dinner. At the first and last visits, dietary and laboratory assessments will be performed for all patients. Primary outcomes are improvement in glycemic, inflammatory and immunity markers and secondary outcome is prevention of long-term diabetic complications.
Interventions
daily intake of two bottle of plain yogurt drink
daily intake of two bottle of yogurt drink fortified with 500 IU vitamin D/250 mL
daily intake of two bottle of yogurt drink fortified with 500 IU vitamin D and 250 mg calcium/250 ml package
Sponsors
Study design
Eligibility
Inclusion criteria
Age: * 30 to 50 years, * Fasting blood glucose ≥ 126 mg/dl
Exclusion criteria
* Receiving vitamin D or calcium or omega-3 supplements within the last three months, * On any medication which could potentially influence vitamin D metabolism (notably estrogens, and calcitonin) within the last three months, * Any other concomitant disease such as renal, hepatic, and other endocrinological disorders, and malignancies, which could influence vitamin D metabolism. * Receiving insulin or any change in the type and/or dose of the current hypoglycemic medications
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Serum 25-hydroxyvitamin D | 12-week |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Insulin | 12-week | fasting serum insulin concentration |
| Hemoglobin A1c (HbA1c) | 12-week | — |
| Serum Triglyceride (TG) | 12-week | — |
| Fasting Serum Glucose (FSG) | 12-week | — |
| Serum Low Density Lipoprotein (LDL) | 12-week | — |
| Serum High Density Lipoprotein (HDL) | 12-week | — |
| Serum Total Cholesterol (Tchol) | 12-week | — |
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| Plain Yogurt Drink daily intake of two bottle (250 mL) plain yogurt drink | 30 |
| Vitamin D-fortified Yogurt Drink daily intake of two bottle yogurt drink fortified with 500 IU vitamin D/250 mL | 30 |
| Vitamin D-calcium Yogurt Drink daily intake of two bottle of yogurt drink fortified with 500 IU vitamin D and 250 mg calcium/250 mL | 30 |
| Total | 90 |
Baseline characteristics
| Characteristic | Plain Yogurt Drink | Vitamin D-fortified Yogurt Drink | Vitamin D-calcium Yogurt Drink | Total |
|---|---|---|---|---|
| 25-hydroxyvitamin D | 50 nmol/L STANDARD_DEVIATION 26 | 47.5 nmol/L STANDARD_DEVIATION 27 | 51.3 nmol/L STANDARD_DEVIATION 43 | 48.8 nmol/L STANDARD_DEVIATION 38.4 |
| Age Continuous | 50.8 years STANDARD_DEVIATION 6.6 | 51.4 years STANDARD_DEVIATION 5.4 | 49.9 years STANDARD_DEVIATION 6.2 | 50.7 years STANDARD_DEVIATION 6.1 |
| Fasting serum glucose (FSG) | 187 mg/dL STANDARD_DEVIATION 57.1 | 184.1 mg/dL STANDARD_DEVIATION 63.8 | 184 mg/dL STANDARD_DEVIATION 57.3 | 185 mg/dL STANDARD_DEVIATION 58.8 |
| HbA1c | 7.5 percent STANDARD_DEVIATION 1.5 | 7.4 percent STANDARD_DEVIATION 1.8 | 7.8 percent STANDARD_DEVIATION 1.9 | 7.6 percent STANDARD_DEVIATION 1.7 |
| HDL | 50.8 mg/dL STANDARD_DEVIATION 8.2 | 46 mg/dL STANDARD_DEVIATION 9.6 | 47.2 mg/dL STANDARD_DEVIATION 9.4 | 48 mg/dL STANDARD_DEVIATION 9.2 |
| Insulin | 7.7 mU/L STANDARD_DEVIATION 3.2 | 7.7 mU/L STANDARD_DEVIATION 4.6 | 7.6 mU/L STANDARD_DEVIATION 4.6 | 7.6 mU/L STANDARD_DEVIATION 4.1 |
| LDL | 88.6 mg/dL STANDARD_DEVIATION 25.9 | 87.2 mg/dL STANDARD_DEVIATION 25.1 | 90.2 mg/dL STANDARD_DEVIATION 27.9 | 88.7 mg/dL STANDARD_DEVIATION 26 |
| Sex: Female, Male Female | 18 Participants | 16 Participants | 9 Participants | 43 Participants |
| Sex: Female, Male Male | 12 Participants | 14 Participants | 21 Participants | 47 Participants |
| Tchol | 187.5 mg/dL STANDARD_DEVIATION 43.3 | 177.5 mg/dL STANDARD_DEVIATION 41.9 | 187.7 mg/dL STANDARD_DEVIATION 46.6 | 182.4 mg/dL STANDARD_DEVIATION 43.8 |
| TG | 160.5 mg/dL STANDARD_DEVIATION 100.7 | 155.4 mg/dL STANDARD_DEVIATION 65.9 | 176.6 mg/dL STANDARD_DEVIATION 91 | 164.2 mg/dL STANDARD_DEVIATION 86.6 |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — | — / — |
| other Total, other adverse events | 0 / 30 | 0 / 30 | 0 / 30 |
| serious Total, serious adverse events | 0 / 30 | 0 / 30 | 0 / 30 |
Outcome results
Serum 25-hydroxyvitamin D
Time frame: 12-week
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Plain Yogurt Drink | Serum 25-hydroxyvitamin D | 45.6 nmol/L | Standard Deviation 45.4 |
| Vitamin D-fortified Yogurt Drink | Serum 25-hydroxyvitamin D | 76.2 nmol/L | Standard Deviation 28.4 |
| Vitamin D-calcium Fortified Yogurt Drink | Serum 25-hydroxyvitamin D | 78.4 nmol/L | Standard Deviation 40.8 |
Fasting Serum Glucose (FSG)
Time frame: 12-week
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Plain Yogurt Drink | Fasting Serum Glucose (FSG) | 203.3 mg/dL | Standard Deviation 64.4 |
| Vitamin D-fortified Yogurt Drink | Fasting Serum Glucose (FSG) | 171.2 mg/dL | Standard Deviation 59.2 |
| Vitamin D-calcium Fortified Yogurt Drink | Fasting Serum Glucose (FSG) | 174.3 mg/dL | Standard Deviation 50 |
Hemoglobin A1c (HbA1c)
Time frame: 12-week
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Plain Yogurt Drink | Hemoglobin A1c (HbA1c) | 8.7 percent | Standard Deviation 1.4 |
| Vitamin D-fortified Yogurt Drink | Hemoglobin A1c (HbA1c) | 7 percent | Standard Deviation 2.3 |
| Vitamin D-calcium Fortified Yogurt Drink | Hemoglobin A1c (HbA1c) | 7.8 percent | Standard Deviation 1.9 |
Insulin
fasting serum insulin concentration
Time frame: 12-week
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Plain Yogurt Drink | Insulin | 10.8 mU/L | Standard Deviation 5.5 |
| Vitamin D-fortified Yogurt Drink | Insulin | 6.5 mU/L | Standard Deviation 3.3 |
| Vitamin D-calcium Fortified Yogurt Drink | Insulin | 6.4 mU/L | Standard Deviation 3.1 |
Serum High Density Lipoprotein (HDL)
Time frame: 12-week
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Plain Yogurt Drink | Serum High Density Lipoprotein (HDL) | 51.8 mg/dL | Standard Deviation 9.6 |
| Vitamin D-fortified Yogurt Drink | Serum High Density Lipoprotein (HDL) | 46.1 mg/dL | Standard Deviation 10 |
| Vitamin D-calcium Fortified Yogurt Drink | Serum High Density Lipoprotein (HDL) | 48 mg/dL | Standard Deviation 6.8 |
Serum Low Density Lipoprotein (LDL)
Time frame: 12-week
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Plain Yogurt Drink | Serum Low Density Lipoprotein (LDL) | 93.5 mg/dL | Standard Deviation 24.9 |
| Vitamin D-fortified Yogurt Drink | Serum Low Density Lipoprotein (LDL) | 91.1 mg/dL | Standard Deviation 19.8 |
| Vitamin D-calcium Fortified Yogurt Drink | Serum Low Density Lipoprotein (LDL) | 96.3 mg/dL | Standard Deviation 27.8 |
Serum Total Cholesterol (Tchol)
Time frame: 12-week
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Plain Yogurt Drink | Serum Total Cholesterol (Tchol) | 197.3 mg/dL | Standard Deviation 48.1 |
| Vitamin D-fortified Yogurt Drink | Serum Total Cholesterol (Tchol) | 182.8 mg/dL | Standard Deviation 43 |
| Vitamin D-calcium Fortified Yogurt Drink | Serum Total Cholesterol (Tchol) | 178.5 mg/dL | Standard Deviation 42.4 |
Serum Triglyceride (TG)
Time frame: 12-week
| Arm | Measure | Value (MEAN) | Dispersion |
|---|---|---|---|
| Plain Yogurt Drink | Serum Triglyceride (TG) | 181.3 mg/dL | Standard Deviation 91.8 |
| Vitamin D-fortified Yogurt Drink | Serum Triglyceride (TG) | 155.2 mg/dL | Standard Deviation 55.1 |
| Vitamin D-calcium Fortified Yogurt Drink | Serum Triglyceride (TG) | 161.1 mg/dL | Standard Deviation 64.3 |