Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control Study

Objective: The objectives of this study were to investigate associations between micronutrient levels and diabetes and to explore the association in individuals with controlled and uncontrolled diabetes. Methods: A case–control study, matched on age and gender, was performed on participants with (ca...

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Main Authors: Nada Soliman, Ruba Almishal, Basant Elsayed, Ayaaz Ahmed, Sara Al-Amri, Aisha Al-Kuwari, Shaikha Al-Muhannadi, Muhammed Nadeer, Tawanda Chivese
Format: Article
Language:English
Published: MDPI AG 2023-11-01
Series:Biomedicines
Subjects:
Online Access:https://www.mdpi.com/2227-9059/11/11/3045
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author Nada Soliman
Ruba Almishal
Basant Elsayed
Ayaaz Ahmed
Sara Al-Amri
Aisha Al-Kuwari
Shaikha Al-Muhannadi
Muhammed Nadeer
Tawanda Chivese
author_facet Nada Soliman
Ruba Almishal
Basant Elsayed
Ayaaz Ahmed
Sara Al-Amri
Aisha Al-Kuwari
Shaikha Al-Muhannadi
Muhammed Nadeer
Tawanda Chivese
author_sort Nada Soliman
collection DOAJ
description Objective: The objectives of this study were to investigate associations between micronutrient levels and diabetes and to explore the association in individuals with controlled and uncontrolled diabetes. Methods: A case–control study, matched on age and gender, was performed on participants with (cases) and without diabetes (controls), who were Qatari or long-term residents (≥15 years of residence). Participants with diabetes were divided into those with controlled and uncontrolled diabetes using an HbA1c cutoff of 7%. Levels of micronutrients were measured from serum and categorized into normal and abnormal levels. Results: A total of 1118 participants (374 cases and 744 controls) were included with a mean age of 41.7 years (SD 9.9), of whom 53.9% were female. Of those with diabetes, 229 had controlled diabetes and 145 had uncontrolled diabetes. Compared to those without diabetes, participants with diabetes had significantly lower mean magnesium (0.80 mmol/L (SD 0.07) vs. 0.84 mmol/L (SD 0.06), respectively, <i>p</i> < 0.001). Lower magnesium and iron were observed in participants with uncontrolled compared to participants with controlled diabetes. After multivariable logistic regression, diabetes was associated with hypomagnesemia (OR 3.2, 95% CI 3.4–213.9) and low iron (OR 1.49, 95% CI 1.03–2.15). Uncontrolled diabetes showed stronger odds of association with hypomagnesemia (OR 5.57, 95% CI 3.65–8.52). Conclusion: In an affluent setting in the MENA region, diabetes was associated with low magnesium and low iron, and this association was stronger in individuals with uncontrolled diabetes.
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spelling doaj.art-7b48327b615b4c2aa5177c522c17ca562023-11-24T14:31:17ZengMDPI AGBiomedicines2227-90592023-11-011111304510.3390/biomedicines11113045Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control StudyNada Soliman0Ruba Almishal1Basant Elsayed2Ayaaz Ahmed3Sara Al-Amri4Aisha Al-Kuwari5Shaikha Al-Muhannadi6Muhammed Nadeer7Tawanda Chivese8College of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarCollege of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarCollege of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarCollege of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarCollege of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarCollege of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarCollege of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarCollege of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarCollege of Medicine, QU Health, Qatar University, Doha P.O. Box 2713, QatarObjective: The objectives of this study were to investigate associations between micronutrient levels and diabetes and to explore the association in individuals with controlled and uncontrolled diabetes. Methods: A case–control study, matched on age and gender, was performed on participants with (cases) and without diabetes (controls), who were Qatari or long-term residents (≥15 years of residence). Participants with diabetes were divided into those with controlled and uncontrolled diabetes using an HbA1c cutoff of 7%. Levels of micronutrients were measured from serum and categorized into normal and abnormal levels. Results: A total of 1118 participants (374 cases and 744 controls) were included with a mean age of 41.7 years (SD 9.9), of whom 53.9% were female. Of those with diabetes, 229 had controlled diabetes and 145 had uncontrolled diabetes. Compared to those without diabetes, participants with diabetes had significantly lower mean magnesium (0.80 mmol/L (SD 0.07) vs. 0.84 mmol/L (SD 0.06), respectively, <i>p</i> < 0.001). Lower magnesium and iron were observed in participants with uncontrolled compared to participants with controlled diabetes. After multivariable logistic regression, diabetes was associated with hypomagnesemia (OR 3.2, 95% CI 3.4–213.9) and low iron (OR 1.49, 95% CI 1.03–2.15). Uncontrolled diabetes showed stronger odds of association with hypomagnesemia (OR 5.57, 95% CI 3.65–8.52). Conclusion: In an affluent setting in the MENA region, diabetes was associated with low magnesium and low iron, and this association was stronger in individuals with uncontrolled diabetes.https://www.mdpi.com/2227-9059/11/11/3045diabetes mellitusdiabetes controlmicroelementsmacroelementsvitaminsmagnesium
spellingShingle Nada Soliman
Ruba Almishal
Basant Elsayed
Ayaaz Ahmed
Sara Al-Amri
Aisha Al-Kuwari
Shaikha Al-Muhannadi
Muhammed Nadeer
Tawanda Chivese
Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control Study
Biomedicines
diabetes mellitus
diabetes control
microelements
macroelements
vitamins
magnesium
title Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control Study
title_full Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control Study
title_fullStr Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control Study
title_full_unstemmed Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control Study
title_short Association between Diabetes and Levels of Micronutrients in Qatar—A Case–Control Study
title_sort association between diabetes and levels of micronutrients in qatar a case control study
topic diabetes mellitus
diabetes control
microelements
macroelements
vitamins
magnesium
url https://www.mdpi.com/2227-9059/11/11/3045
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