Friday, January 23, 2009

Vitamin D - who knew?

If you are an AADE member, perhaps you've already read the article "Vitamin D and Diabetes. Let the Sunshine In" in the Nov/Dec 2008 issue of The Diabetes Educator.

I think the intro paragraph sums it up pretty well ... "This is an important area of study because many individuals with diabetes have decreased levels of vitamin D. And, evidence suggests that lack of vitamin D may be associated with hyperglycemia, increased hemoglobin A1c, insulin resistance, progression of diabetes, as well as hypertension, and cardiovascular disease. Treatment of low vitamin D by diet and oral supplements may be an easy and cost-effective method to improve metabolic control and prevent the serious complications associated with diabetes."

The conclusion states "It appears that diet alone will not provide sufficient amounts of vitamin D, and that treatment with supplements is probably necessary for most individuals with diabetes. However, given the possible benefit, it may be an easy and cost-effective therapy which could improve their long-term health outcomes as well as their quality of life."

Interesting article - 7 pages of information between the intro and conclusion I quoted above. Do you know your vitamin D level? Do you check your patient's levels of vitamin D?

Seems like I just read an article the other day about how much to supplement -- 1000-2000IU/day. Apparently at this dose it would be hard to become toxic. This article gave a wider range of recommendations. Have you read other recommendations. Are you currently recommending Vitamin D supplements. Why or why not?

Thanks for sharing
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