Comparative Evaluation of Macro Minerals Status in Serum  of Diabetes Mellitus Patients and Healthy Individuals

Authors

  • Muhammad Ahmad Department of General Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Farzana Hakim Department of Biochemistry, Foundation University Rawalpindi Pakistan
  • Rabia Parveen Department of General Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Sana Department of Nutrition, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Ayesha Rafiq Department of General Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan
  • Muhammad Iqbal Department of General Medicine, Pak Emirates Military Hospital/National University of Medical Sciences (NUMS), Rawalpindi Pakistan

DOI:

https://doi.org/10.51253/pafmj.v76iSUPPL-5.13313

Keywords:

Calcium, Diabetes mellitus, glycosylated hemoglobin, hypoglycemics, Magnesium, Potassium, Phosphate, Sodium, Vitamin B12, Vitamin D, Zinc

Abstract

Objective: To compare Vitamin B12, Vitamin D, Zinc, Calcium, Sodium, Potassium, Folate, Magnesium and Phosphate levels in Diabetes mellitus patients on oral hypoglycemics (OHG) with healthy population

Study Design: Comparative cross sectional study

Place and Duration of Study: Outdoor Patient Department, Pak Emirates Military Hospital Rawalpindi, Pakistan from Jan to Dec 2024

Methodology: Patients were selected into Group-1 (diabetic) and Group-2 (non-diabetic) according to inclusion and exclusion criteria using non-probability consecutive sampling method. A questionnaire drafted to collect additional information from patients about demographics and treatment being taken was used. Blood samples were collected on spot for Vitamin B12, Vitamin D, Zinc, Calcium, Sodium, Potassium, Folate, Magnesium, Phosphate and HbA1C levels. WHO classification of Diabetes mellitus was taken as case definition of Diabetes mellitus for Group-1 while persons who did not have the Diabetes mellitus (type-2) were enrolled as non-diabetic cases for Group-2. Comparison of the vitamin and mineral parameters between two groups was done using independent sample t-test and Mann Whitney U test for respective sample types at a p-value of <0.05 as significant.

Result: p values of Vitamin B12 and Zinc were significant between Group-1 and Group-2 while insignificant for other minerals and vitamins studied.

Conclusion: Patients with Diabetes mellitus on treatment have significantly low Vitamin B12 and Zinc values in comparison to healthy population

Downloads

Download data is not yet available.

References

1. Sapra A, Bhandari P. Diabetes. [Updated 2023 Jun 21]. In: StatPearls [Internet]. Treasure Island (FL): Stat Pearls Publishing; 2026.

2. Available from: https://www.ncbi.nlm.nih.gov/books/NBK551501/health

3. International Diabetes Federation. Diabetes Mellitus Type 2. 2024 [Cited April 2024]. Available from: https://idf.org/about-Diabetes mellitus/type-2-Diabetes mellitus/

4. World Health Organization. Diabetes Mellitus 2024[cited April 2024]. Available from: https://www.who.int/news-room/fact-sheets/detail/Diabetes mellitus

5. The Nutrition Source. Minerals: What They Do, Where to Get Them. 2024 [cited April 2024] Available from: https://www.texasheart.org/heart-health/heart-information-center/topics/minerals-what-they-do-where-to-get-them/

6. Farag MA, Abib B, Qin Z, Ze X, Ali SE., Dietary macrominerals: Updated review of their role and orchestration in human nutrition throughout the life cycle with sex differences. Curr Res Food Sci 2023;6:100450. https://doi.org/10.1016/j.crfs.2023.100450

7. Niafar M, Hai F, Porhomayon J, Nader ND. The role of metformin on Vitamin B12 deficiency: a meta-analysis review. Intern Emerg Med 2015;10(1):93-102 https://doi.org/10.1007/s11739-014-1157-5

8. Szymczak-Pajor I, Śliwińska A, Analysis of Association between Vitamin D Deficiency and Insulin Resistance. Nutrients 2019;11(4):794. https://doi.org/10.3390/nu11040794

9. Dubey P, Thakur V , ChattopadhyayM. Role of Minerals and Trace Elements in Diabetes mellitus and Insulin Resistance. Nutrients 2020;12(6):1864 https://doi.org/10.3390/nu12061864

10. Iftikhar R, Kamran SM, Qadir A, Iqbal Z, bin Usman H. Prevalence of Vitamin B12 deficiency in patients of type 2 Diabetes mellitus on metformin: a case control study from Pakistan. Pan Afr Med J 2013;16: 67. https://doi.org/10.11604/pamj.2013.16.67.2800

11. Emory University Rollins School of Public Health. OpenEpi: Open Source Epidemiologic Statistics for Public Health. 2013. Available from: https://www.openepi.com/Menu/OE_Menu.htm

12. World Health Organization. Definition, diagnosis and classification of diabetes mellitus and its complications. Geneva: World Health Organization; 1999. [Cited April 2024]. Available from: https://iris.who.int/bitstream/handle/10665/66040/WHO_NCD_NCS_99.2.pdf?sequence=1&isAllowed=y.

13. Hasanato M. Trace elements in type 2 Diabetes mellitus and their association with glycemic control. Afr Health Sci 2020;20(1): 287-293. https://doi.org/10.4314/ahs.v20i1.34

14. Ogunleye Z, Asaolu M. Evaluation of Macro Minerals in Patients with Type II Diabetes mellitus in Southern Nigeria. Int J Biochem Res Rev 2015;9(2):1-9.

https://doi.org/10.9734/IJBCRR/2016/14378

15. Ramasamy R, Gopal N, Joseph S, Murugaiyan S, Joseph M, Jose D, et al. Status of Micro and Macro Nutrients in Patients with Type 2 Diabetes mellitus Suggesting the Importance of Cation Ratios. J Diabetes Mell 2016;6(3):191-196. https://doi.org/10.4236/jdm.2016.63021

16. Bjørklund G, Dadar M, Pivina L, Doşa MD, Semenova Y, Aaseth J. The Role of Zinc and Copper in Insulin Resistance and Diabetes Mellitus. Curr Med Chem 2020;27(39):6643-6657 https://doi.org/10.2174/0929867326666190902122155

17. Li D, Cai Z, Pan Z, Yang Y, Zhang J. The effects of vitamin and mineral supplementation on women with gestational diabetes mellitus. BMC Endocr Disord 2021;21(1):106. https://doi.org/10.1186/s12902-021-00712-x

18. Sivaprasad M, Shalini T, Sahay M, Sahay R, Satyanarayanan M, Reddy GB. Plasma levels and dietary intake of minerals in patients with type 2 diabetes and chronic kidney disease: A case-control study. J Trace Elem Med Biol 2024;84:127425. https://doi.org/10.1016/j.jtemb.2024.127425

19. Thomas B, Kumari S, Ramitha K, Ashwini Kumari MB. Comparative evaluation of micronutrient status in the serum of Diabetes mellitus patients and healthy individuals with periodontitis. J Indian Soc Periodontol 2010;14(1):46-49. https://doi.org/10.4103/0972-124x.65439

20. Moore ZE, Corcoran MA, Patton D. Nutritional interventions for treating foot ulcers in people with diabetes. Cochrane Database Syst Rev 2020;7(7):CD011378.

https://doi.org/10.1002/14651858.CD011378.pub2

21. Xia J, Yu J, Xu H, Zhou Y, Li H, Yin S et al. Comparative effects of vitamin and mineral supplements in the management of type 2 diabetes in primary care: A systematic review and network meta-analysis of randomized controlled trials. Pharmacol Res 2023;188:106647.https://doi.org/10.1016/j.phrs.2023.106647

22. Suksomboon N, Poolsup N, Yuwanakorn A. Systematic review and meta-analysis of the efficacy and safety of chromium supplementation in diabetes. J Clin Pharm Ther 2014;39(3):292-306. https://doi.org/10.1111/jcpt.12147

Downloads

Published

28-05-2026

Issue

Section

Original Articles

Categories

How to Cite

1.
Ahmad M, Farzana Hakim, Rabia Parveen, Sana, Ayesha Rafiq, Muhammad Iqbal. Comparative Evaluation of Macro Minerals Status in Serum  of Diabetes Mellitus Patients and Healthy Individuals. Pak Armed Forces Med J [Internet]. 2026 May 28 [cited 2026 Jun. 7];76(SUPPL-5):S830-S834. Available from: https://www.pafmj.org/PAFMJ/article/view/13313