Metabolic Disruptions in Serum Calcium and Phosphate Levels Among Pre-Diabetic and Type 2 Diabetic Patients

Serum Calcium and Phosphate Levels in Diabetes Mellitus

Authors

  • Abroo Fatima Qazi Department of Physiology, Isra University, Hyderabad, Pakistan https://orcid.org/0000-0003-3386-5089
  • Najeeb ur Rahman Institute of Kidney Diseases Hayatabad, Peshawar, Pakistan
  • Saira Mushtaq Aziz Fatima Medical and Dental Collage, Faisalabad, Pakistan
  • Roomisa Anis Department of Biochemistry, National University of Sciences and Technology School of Health Science, Islamabad, Pakistan
  • Mahvesh Mahmud Department of Nephrology, Watim Medical College, Rawalpindi, Pakistan
  • Mudasar Pervaiz Department of Community Medicine, Al-Nafees Medical College, Islamabad, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v5i07.1680

Keywords:

Diabetes Mellitus, Prediabetes, Fasting Blood Glucose, Serum Calcium

Abstract

Diabetes mellitus is a metabolic disorder classified by persistently raised blood sugar levels. Objective: To identify diabetes mellitus disturbances in serum calcium and phosphate levels. However, the exact mechanisms underlying this association were not fully understood. Methods:  It was a cross sectional study. It was conducted at Isra University Hospital, Hyderabad from March 2023 to August 2023. 170 patients were selected with 85 patients in each group. Group A included patients with diabetes and Group B included patients with prediabetes with fasting blood glucose levels of 101-125 mg/dl or HbA1c levels of 5.7-6.4%. Fasting blood glucose levels, HbA1c levels, total serum calcium levels and serum phosphate levels were compared. Data were assessed by using SPSS version 24.0. P-values of ≤0.05 will be statistically significant. Results:  This study has shown that in both in Group A and Group B, the mean age was 47.2 ± 8.4 years and 48.5 ± 7.6 respectively (p value=0.62). Group A exhibited a mean fasting plasma glucose level of 109.34 mg/dl ± 17.92 and Group B 140.59 mg/dl ± 31.03. Group A displayed a mean serum phosphate level of 3.79 mg/dl ± 1.31, while Group B exhibited mean level of 4.43 mg/dl ± 1.04 (p=0.03). Group A demonstrated a mean serum calcium level of 8.41 mg/dl ± 1.03, whereas Group B had serum calcium level of 8.01 mg/dl ± 0.98 (p=0.02). Conclusions: The findings underscore the intricate relationship between metabolic disorders and mineral homeostasis, highlighting the potential implications for clinical management and risk stratification in diabetic patients.

References

Kharroubi AT and Darwish HM. Diabetes mellitus: The epidemic of the century. World J Diabetes. 2015 July; 6(6): 850–67. DOI:10.4239/wjd.v6.i6.850. DOI: https://doi.org/10.4239/wjd.v6.i6.850

Atlas D. International diabetes federation. IDF Diabetes Atlas, 7th Edition. Brussels, Belgium: International Diabetes Federation; 2015.

Liu J, Ren ZH, Qiang H, Wu J, Shen M, Zhang L et al. Trends in the incidence of diabetes mellitus: results from the Global Burden of Disease Study 2017 and implications for diabetes mellitus prevention. BioMed Central Public Health. 2020 Dec; 20: 1-2. doi: 10.1186/s12889-020-09502-x. DOI: https://doi.org/10.1186/s12889-020-09502-x

Chandrasekaran P and Weiskirchen R. The role of obesity in type 2 diabetes mellitus—An overview. International Journal of Molecular Sciences. 2024 Feb; 25(3):1882. doi: 10.3390/ijms25031882. DOI: https://doi.org/10.3390/ijms25031882

Singh K, Khubchandani A, Singh S. Alternations in serum vitamin D, calcium, phosphorus and lipid profile levels in newly diagnosed type 2 diabetic patients of North-West India. Biomedicine. 2021 Jul; 41(2): 189-93. doi: 10.51248/.v41i2.781. DOI: https://doi.org/10.51248/.v41i2.781

Zhu J, Xun P, Bae JC, Kim JH, Kim DJ, Yang K et al. Circulating calcium levels and the risk of type 2 diabetes: a systematic review and meta-analysis. British Journal of Nutrition. 2019 Aug; 122(4): 376-87. doi: 10.1017/S0007114519001430. DOI: https://doi.org/10.1017/S0007114519001430

Awan TF, Anwar M, Haroon ZH, Bibi A, Younas M, Kirmani SI. Disturbances in Serum Calcium and Phosphate Levels in Pre-Diabetes and Type 2 Diabetes Mellitus. Pakistan Journal of Pathology. 2022 Dec; 33(4): 134-8. doi: 10.55629/pakjpathol.v33i4.728. DOI: https://doi.org/10.55629/pakjpathol.v33i4.728

Das S and Choudhuri D. Dietary calcium regulates the insulin sensitivity by altering the adipokine secretion in high fat diet induced obese rats. Life Sciences. 2020 Jun; 250: 117560. doi: 10.1016/j.lfs.2020.117560. DOI: https://doi.org/10.1016/j.lfs.2020.117560

Zhang Q, Ji L, Zheng H, Li Q, Xiong Q, Sun W et al. Low serum phosphate and magnesium levels are associated with peripheral neuropathy in patients with type 2 diabetes mellitus. Diabetes Research and Clinical Practice. 2018 Dec; 146: 1-7. doi: 10.1016/j.diabres.2018.09.015. DOI: https://doi.org/10.1016/j.diabres.2018.09.015

Lorenzo C, Hanley AJ, Rewers MJ, Haffner SM. Calcium and phosphate concentrations and future development of type 2 diabetes: The insulin resistance atherosclerosis study. Diabetologia. 2014; 57(7): 1366–74. doi: 10.1007/s00125-014-3241-9. DOI: https://doi.org/10.1007/s00125-014-3241-9

Barghi M, Ranjbar AS, Moazen H, Eskandari-Roozbahani N. Serum levels of vitamin D, calcium, phosphorus, and oxidative parameters in healthy and diabetic people. Functional Foods in Health and Disease. 2021 May; 11(5): 238-45. doi: 10.31989/ffhd.v11i5.787. DOI: https://doi.org/10.31989/ffhd.v11i5.787

Hamad N, Bashier L, Brair SL, Bakheit K, Hamdan H, Omer W. A clinical study of serum calcium, phosphorus, and alkaline phosphates level in type II diabetes mellitus among Sudanese population in Khartoum State. 2012. NMJ; 2013; 3: 42-50.

Basit A, Fawwad A, Qureshi H, Shera AS. Prevalence of diabetes, pre-diabetes and associated risk factors: Second National Diabetes Survey of Pakistan2016–2017.BMJ Open. 2018; 8(8): e020961. doi: 10.1136/bmjopen-2017-020961. DOI: https://doi.org/10.1136/bmjopen-2017-020961

Naidoo K, Ngubane PS, Khathi A. Investigating the Effects of Diet-Induced Pre-Diabetes on the Functioning of Calcium-Regulating Organs in Male Sprague Dawley Rats: Effects on Selected Markers. Front Endocrinol (Lausanne). 2022 Jul; 13: 914189. doi: 10.3389/fendo.2022.914189. DOI: https://doi.org/10.3389/fendo.2022.914189

Wongdee K, Krishnamra N, Charoenphandhu N. Derangement of calcium metabolism in diabetes mellitus: negative outcome from the synergy between impaired bone turnover and intestinal calcium absorption. The Journal of Physiological Sciences. 2017 Jan; 67(1): 71-81. doi: 10.1007/s12576-016-0487-7. DOI: https://doi.org/10.1007/s12576-016-0487-7

Taher ZM and Ahmed SN. Estimation of serum calcitonin, phosphate, and calcium in type 2 diabetes mellitus. Zanco Journal of Medical Sciences. 2023 Aug; 27(2): 205-12. doi: 10.15218/zjms.2023.023. DOI: https://doi.org/10.15218/zjms.2023.023

Faysal MR, Akter T, Hossain MS, Begum S, Banu M, Tasnim J et al. Study of Serum Calcium and Magnesium Levels in Type 2 Diabetes Mellitus Patients. Mymensingh Medical Journal. 2023 Jan; 32(1): 54-60.

Lyubimova N. V. and N. E. Kushlinskiy. Biochemical Markers of Bone Metastasis. Advances in Molecular Oncology. 2015 Jun; 2(1). doi:10.17650/2313-805X.2015.2.1.061-075. DOI: https://doi.org/10.17650/2313-805X.2015.2.1.061-075

Knudsen JK, Leutscher P, Sørensen S. Gut microbiota in bone health and diabetes. Current Osteoporosis Reports. 2021 Aug; 19(4): 462-479. doi: 10.1007/s11914-020-00629-9. DOI: https://doi.org/10.1007/s11914-020-00629-9

Zheleznyakova AV, Volodicheva VL, Vikulova OK, Serkov AA, Eremkina AK, Shestakova MV et al. Evaluation of calcium level in patients with diabetes mellitus according to the examination in the mobile medical center (Diamodule). Consilium Medicum. 2021 Apr; 23(4): 382-8. doi: 10.26442/20751753.2021.4.200834. DOI: https://doi.org/10.26442/20751753.2021.4.200834

Huttunen-Lenz M, Hansen S, Raben A, Westerterp-Plantenga M, Adam T, Macdonald I et al. Hybrid Evaluation of a Lifestyle Change Program to Prevent the Development of Type 2 Diabetes Among Individuals with Prediabetes: Intended and Observed Changes in Intervening Mechanisms. Journal Of Primary Care & Community Health. 2024 Jun; 15: 21501319241248223. doi: 10.1177/21501319241248223 DOI: https://doi.org/10.1177/21501319241248223

Downloads

Published

2024-07-31
CITATION
DOI: 10.54393/pjhs.v5i07.1680
Published: 2024-07-31

How to Cite

Qazi, A. F., Rahman, N. ur, Mushtaq, S., Anis, R., Mahmud, M., & Pervaiz, M. (2024). Metabolic Disruptions in Serum Calcium and Phosphate Levels Among Pre-Diabetic and Type 2 Diabetic Patients: Serum Calcium and Phosphate Levels in Diabetes Mellitus. Pakistan Journal of Health Sciences, 5(07), 191–195. https://doi.org/10.54393/pjhs.v5i07.1680

Issue

Section

Original Article

Plaudit