Estimation of magnesium level in type 2 diabetes mellitus and its correlation with HbA1c level

Hajar Saeed, Safer Haj, Bayar Qasim, Hajar Saeed, Safer Haj, Bayar Qasim

Abstract

Background: Type 2 diabetes mellitus (T2DM) is a common disease; the total number of diabetes patients is expected to reach 366 million by 2030. Magnesium has received considerable attention for its potential role in improving insulin sensitivity and preventing diabetes and its cardiovascular complications. Hypomagnesaemia is linked to poor control of type 2 diabetes mellitus, and depletion of serum magnesium occurs exponentially with duration of disease. The aim of this study was to measure serum magnesium level and the correlation of magnesium level with HbA1c in type 2 diabetes mellitus.

Methods: In this cross-sectional study, we included 100 diabetic patients; blood is taken for measurement of both magnesium and HbA1c levels. Patients with risk factors of magnesium deficiency were not included.

Results: Of the total 100 patients recruited in our study, majority had diabetes for 8.0 years duration. The mean age of the patients was 53.97 ± 10.65 years, most of them were on oral hypoglycaemic agents (84.9%) followed by combination of oral hypoglycaemic agents and insulin (10.5%), and a small percentage were on insulin alone (4.7%). The mean of serum magnesium and HbA1c levels was 1.88 ± 0.25 mg/dL and 8.38% ± 1.53%, respectively. The majority of the patients had a normal level of magnesium (95.0%); however, most of them had uncontrolled blood glucose (82.0%). The study showed that the serum magnesium level and HbA1c are not significantly correlated (P = 0.462).

Conclusion: Normal magnesium levels were observed in majority of patients, there is no significant correlation between serum magnesium and HbA1c levels in patients with T2DM, but larger-scale clinical trials are needed in future.

Keywords: HbA1c; magnesium; type 2 DM.

Figures

Figure 1
Figure 1
Correlation of serum magnesium level with HbA1c in type 2 diabetes patients (the correlation was not significant, P = 0.462)

References

    1. Wu Y, Ding Y, Tanaka Y, Zhang W. Risk factors contributing to type 2 diabetes and recent advances in the treatment and prevention. Int J Med Sci. 2014;11(11):1185‐1200.
    1. Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004;27(5):1047‐1053.
    1. Shaw JE, Sicree RA, Zimmet PZ. Global estimates of the prevalence of diabetes for 2010 and 2030. Diabetes Res Clin Pract. 2010;87(1):4‐14.
    1. Forouhi NG, Luan J, Cooper A, Boucher BJ, Wareham NJ. Baseline serum 25‐hydroxy vitamin d is predictive of future glycemic status and insulin resistance: the Medical Research Council Ely Prospective Study 1990–2000. Diabetes. 2008;57(10):2619‐2625.
    1. Yang W, Lu J, Weng J, et al. Prevalence of diabetes among men and women in China. N Engl J Med. 2010;362(12):1090‐1101.
    1. Mangou A, Grammatikopoulou MG, Mirkopoulou D, Sailer N, Kotzamanidis C, Tsigga M. Associations between diet quality, health status and diabetic complications in patients with type 2 diabetes and comorbid obesity. Endocrinol Nutr. 2012;59(2):109‐116.
    1. Saudek CD, Derr RL, Kalyani RR. Assessing glycemia in diabetes using self‐monitoring blood glucose and hemoglobin A1c. JAMA. 2006;295(14):1688‐1697.
    1. Pfab T, Slowinski T, Godes M, Halle H, Priem F, Hocher B. Low birth weight, a risk factor for cardiovascular diseases in later life, is already associated with elevated fetal glycosylated hemoglobin at birth. Circulation. 2006;114(16):1687‐1692.
    1. Agrawal P, Arora S, Singh B, Manamalli A, Dolia PB. Association of macrovascular complications of type 2 diabetes mellitus with serum magnesium levels. Diabetes Metab Syndr. 2011;5(1):41‐44.
    1. Kousa A, Puustinen N, Karvonen M, Moltchanova E. The regional association of rising type 2 diabetes incidence with magnesium in drinking water among young adults. Environ Res. 2012;112:126‐128.
    1. Rodriguez‐Moran M, Simental Mendia LE, Zambrano Galvan G, Guerrero‐Romero F. The role of magnesium in type 2 diabetes: a brief based‐clinical review. Magnes Res. 2011;24(4):156‐162.
    1. Shaikh S, Karira KA. Magnesium deficiency in heart failure patients with diabetes mellitus. J Pak Med Assoc. 2011;61(9):901‐903.
    1. Kim DJ, Xun P, Liu K, et al. Magnesium intake in relation to systemic inflammation, insulin resistance, and the incidence of diabetes. Diabetes Care. 2010;33(12):2604‐2610.
    1. Xu B, Sun J, Deng X, et al. Low serum magnesium level is associated with microalbuminuria in chinese diabetic patients. Int J Endocrinol. 2013;2013:580685.
    1. Ramadass S, Basu S, Srinivasan AR. SERUM magnesium levels as an indicator of status of Diabetes Mellitus type 2. Diabetes Metab Syndr. 2015;9(1):42‐45.
    1. Jayaraman S, Rajendran K, Suthakaran PK, et al. Study on serum magnesium levels and glycemic status in newly detected type 2 diabetes patients. Int J Adv Med. 2017;3(1):11‐14.
    1. Barbagallo M, Dominguez LJ. Magnesium and type 2 diabetes. World J Diabetes. 2015;6(10):1152‐1157.
    1. Tosiello L. Hypomagnesemia and diabetes mellitus. A review of clinical implications. Arch Intern Med. 1996;156(11):1143‐1148.
    1. Masood N, Baloch GH, Ghori RA, Memon IA, Memon MA, Memon MS. Serum zinc and magnesium in type‐2 diabetic patients. J Coll Physicians Surg Pak. 2009;19(8):483‐486.
    1. Walter RM Jr, Uriu‐Hare JY, Olin KL, et al. Copper, zinc, manganese, and magnesium status and complications of diabetes mellitus. Diabetes Care. 1991;14(11):1050‐1056.
    1. Walti MK, Zimmermann MB, Spinas GA, Hurrell RF. Low plasma magnesium in type 2 diabetes. Swiss Med Wkly. 2003;133(19–20):289‐292.
    1. Seedahmed T‐H, Ahmed SM. Correlation between the plasma magnesium levels and glycated haemoglobin in Sudanese patients with type 2 diabetes mellitus in Khartoum State. Adv Diabetes Metab. 2013;1(1):1‐5.
    1. Andrade CS, Ribeiro GS, Santos C, Neves R, Moreira ED Jr. Factors associated with high levels of glycated haemoglobin in patients with type 1 diabetes: a multicentre study in Brazil. BMJ Open. 2017;7(12):e018094.
    1. Al‐Timimi DJ, Ali AF. Serum 25(OH) D in diabetes mellitus type 2: relation to glycaemic control. J Clin Diagn Res. 2013;7(12):2686‐2688.
    1. Rao YS, V DR. Serum magnesium levels in type 2 diabetes. Int J Res Med Sci. 2016;4:991‐994.
    1. Siddiqui MU, Ali I, Zakariya M, Asghar SP, Ahmed MR, Ibrahim GH. Frequency of hypomagnesemia in patients with uncontrolled type ii diabetes mellitus. Pak Armed Forces Med J. 2016;66(6).
    1. Navarrete‐Cortes A, Ble‐Castillo JL, Guerrero‐Romero F, et al. No effect of magnesium supplementation on metabolic control and insulin sensitivity in type 2 diabetic patients with normomagnesemia. Magnes Res. 2014;27(2):48‐56.

Source: PubMed

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