Journal name: World Journal of Pharmaceutical Research
Original article title: Thiamine supplementation in diabetes mellitus
The WJPR includes peer-reviewed publications such as scientific research papers, reports, review articles, company news, thesis reports and case studies in areas of Biology, Pharmaceutical industries and Chemical technology while incorporating ancient fields of knowledge such combining Ayurveda with scientific data.
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Subtitle: a potential therapeutic strategy
Original source:
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Addeti Rohini Sastha, Bodala Dharani, Puritipati Sai Mounika, Chinka Srinivas, Muchakayala Susmitha, Dr. Apada Reddy Gangadasu and Dr. B. Thangabalan
World Journal of Pharmaceutical Research:
(An ISO 9001:2015 Certified International Journal)
Full text available for: Thiamine supplementation in diabetes mellitus
Source type: An International Peer Reviewed Journal for Pharmaceutical and Medical and Scientific Research
Doi: 10.20959/wjpr202320-30319
Copyright (license): WJPR: All rights reserved
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Summary of article contents:
Introduction
Thiamine, also known as vitamin B1, is essential for energy metabolism and insulin-dependent cell function. There is a prevalent thiamine deficiency among individuals with diabetes mellitus, which can lead to further complications and metabolic disruptions. This article examines the relationship between thiamine levels and various metabolic parameters in diabetic patients, exploring potential benefits of thiamine supplementation as a therapeutic strategy to improve metabolic outcomes and reduce complications associated with diabetes.
Thiamine and Diabetes: An Unfavorable Relationship
Research indicates that patients with diabetes, both Type 1 and Type 2, exhibit significantly lower plasma thiamine concentrations compared to non-diabetic individuals. This deficiency is not due to inadequate dietary intake but rather an increased renal excretion of thiamine. Lower thiamine levels correlate with poor lipid profiles, elevated glucose levels, and concomitant rises in blood creatinine levels. Understanding this relationship highlights the potential for thiamine supplementation to mitigate metabolic abnormalities in diabetic individuals, suggesting that addressing thiamine deficiency could play a critical role in diabetes management.
Therapeutic Outcomes of Thiamine Supplementation
Clinical studies have shown that high-dose thiamine supplementation in individuals with Type 2 diabetes can lead to favorable metabolic changes, including improved fasting plasma glucose levels and enhanced glucose tolerance. Thiamine acts as a cofactor in critical enzyme complexes involved in glucose metabolism, particularly in the Krebs cycle. The supplementation has demonstrated potential benefits, such as a reduction in resting energy expenditure (REE) and better clinical indicators, thereby indicating thiamine's role in effectively managing diabetes and its related complications.
Thiamine Deficiency and its Complications
Thiamine deficiency can lead to serious complications, including acute lactic acidosis, especially in patients with diabetic ketoacidosis (DKA). The study identifies a pervasive occurrence of thiamine insufficiency among individuals with DKA, with a negative correlation between lactate and thiamine levels being observed. Thus, addressing thiamine levels in diabetic patients could help manage or prevent conditions such as lactic acidosis, enhancing overall patient outcomes in clinical settings focused on diabetic care.
Conclusion
Thiamine supplementation emerges as a promising adjunctive therapy in the management of diabetes mellitus, offering potential benefits through the regulation of metabolic parameters and reduction of complications. The evidence supports the need for further research to determine optimal dosage and long-term effects of thiamine therapy in diabetic patients. Establishing thiamine's role in therapy could pave the way for innovative and effective treatment strategies, ultimately improving the quality of care and outcomes for individuals living with diabetes.
FAQ section (important questions/answers):
What is thiamine and its role in diabetes management?
Thiamine, or vitamin B1, is essential for energy metabolism and insulin-related cellular functions. Supplementation may improve metabolic outcomes in diabetes by addressing deficiencies linked to enhanced renal clearance.
How does thiamine deficiency affect individuals with diabetes?
Thiamine deficiency in diabetes can lead to worsened metabolic abnormalities. Individuals with both Type 1 and Type 2 diabetes often exhibit significantly lower plasma thiamine concentrations compared to non-diabetic individuals.
What potential benefits does thiamine supplementation offer for diabetes?
Thiamine supplementation may help improve lipid profiles, enhance glucose control, and reduce the risk of complications associated with diabetes, such as nephropathy and retinopathy.
How prevalent is thiamine deficiency among diabetic patients?
Studies show a thiamine deficiency prevalence of 36% to 47% in diabetic patients, indicating a significant issue that warrants attention in diabetes management.
What connection exists between thiamine and diabetic ketoacidosis (DKA)?
Thiamine deficiency may be related to increased lactate levels in DKA. Adequate thiamine levels could potentially improve outcomes in individuals experiencing DKA.
What further research is needed regarding thiamine and diabetes?
More studies are needed to optimize thiamine supplementation protocols, evaluate long-term benefits, effective dosages, and individual patient requirements for diabetes management.
Glossary definitions and references:
Scientific and Ayurvedic Glossary list for “Thiamine supplementation in diabetes mellitus”. This list explains important keywords that occur in this article and links it to the glossary for a better understanding of that concept in the context of Ayurveda and other topics.
1) Study (Studying):
Study denotes systematic investigation to acquire knowledge or insights through research. In this context, the study of thiamine supplementation in diabetes elucidates its therapeutic potential and metabolic effects. By critically analyzing existing data, the study aims to establish a clear understanding of thiamine’s role in managing diabetes, emphasizing the need for further research.
2) Blood:
Blood is a vital fluid in the body, carrying oxygen and nutrients to cells and removing waste products. In the context of diabetes, blood glucose levels are crucial for diagnosing and monitoring the disease. Abnormal blood parameters often indicate metabolic dysfunction, highlighting blood's importance in understanding diabetes and thiamine deficiency.
3) Activity:
Activity refers to the physiological and biochemical processes occurring within living organisms. In metabolic context, the activity of enzymes linked to thiamine metabolism is significant. These activities can influence glucose regulation and energy production in individuals with diabetes, underscoring the importance of understanding enzymatic activity in shaping therapeutic interventions.
4) Disease:
Disease is a term that encompasses disorders affecting normal bodily functions, including chronic illnesses like diabetes. The prevalence of diabetes emphasizes the need for effective management strategies. Understanding the biochemical mechanisms and potential treatment options, such as thiamine supplementation, is essential for mitigating disease impact and improving patients' quality of life.
5) Observation:
Observations represent systematic data collection regarding specific variables. In the study, observations regarding thiamine levels and their relationship with diabetes markers provide insights into metabolic health. These observations guide hypotheses for future investigations, enhancing understanding of thiamine's role in diabetes complications and therapeutic strategies.
6) Discussion:
Discussion involves the examination and interpretation of findings in a research context. It allows for the integration of results with existing knowledge, providing a broader perspective. In this paper, the discussion section reflects on thiamine's implications for diabetes management, exploring insights from empirical data to propose future research avenues.
7) Rohini:
Rohini refers to one of the authors of the study, Addeti Rohini Sastha. Her contribution underscores the collaborative nature of research. The involvement of researchers such as Rohini is crucial in advancing knowledge about diabetes management and thiamine supplementation, embodying the human effort in scientific inquiry.
8) Andhra (Amdhra):
Andhra pertains to Andhra Pradesh, a state in India where the researchers are based. This geographical connection is significant as it contextualizes the study within a specific population. Local dietary practices and prevalence rates of thiamine deficiency may vary, impacting the study's relevance and applicability to the region's health landscape.
9) Animal:
Animal refers to living organisms used in research, often in preclinical studies to understand disease mechanisms. This study mentions animal models, such as diabetic rats, to explore thiamine deficiency and its metabolic consequences. Such studies are essential for predicting human responses and guiding clinical applications.
10) India:
India is the country where the research was conducted and has a growing prevalence of diabetes. The cultural and dietary context of India may influence thiamine levels and metabolic health. Understanding the local framework enriches the study's implications for diabetes management and nutritional interventions in the country.
11) Sugar:
Sugar is a carbohydrate that, in excess, contributes to diabetes and related metabolic disorders. The regulation of blood sugar levels is crucial for diabetic patients, linking the dietary intake with their health outcomes. In this study, thiamine's role in sugar metabolism highlights the vitamin's importance in managing diabetes.
12) Food:
Food encompasses the nutrients consumed, playing a pivotal role in health and disease. In diabetes management, food choices impact glucose levels and overall metabolism. The discussion on micronutrient status, particularly thiamine from food sources, emphasizes nutrition’s importance in managing chronic conditions like diabetes.
13) Malnutrition:
Malnutrition is a state of inadequate or unbalanced nutritional intake. It can occur when dietary deficiencies impede health, such as thiamine deficiency in diabetic patients. Understanding malnutrition's implications is critical in this context, as it can exacerbate disease complications and hinder effective diabetes management strategies.
14) Purification:
Purification refers to the process of removing impurities or isolating specific compounds. In metabolic studies, the purification of thiamine compounds can help in understanding their biochemical roles. This concept is particularly relevant for exploring thiamine's mechanistic effects in diabetes management and ensuring accurate measurement of its levels.
15) Measurement:
Measurement is the process of quantitatively determining an aspect of a phenomenon. In this research, measurements of thiamine levels and metabolic parameters are crucial for drawing conclusions. Accurate measurements underpin the study's reliability, enabling researchers to assess the efficacy of thiamine supplementation in diabetes management.
16) Knowledge:
Knowledge refers to the understanding and information gained through research and study. The study aims to expand knowledge about thiamine's potential benefits in diabetes care. By sharing results and insights, this research contributes to the broader scientific understanding of diabetes and potential therapeutic approaches.
17) Vomiting:
Vomiting is a physiological response that can lead to nutrient losses, including thiamine. It is mentioned in the context of thiamine deficiency risk factors associated with gastrointestinal dysfunction. Understanding how vomiting impacts thiamine absorption is essential for identifying at-risk populations and improving nutritional interventions for diabetes management.
18) Deafness:
Deafness refers to the loss of hearing, which can sometimes be associated with thiamine deficiency conditions. While not the primary focus of this study, acknowledging such associations highlights the multifaceted nature of vitamin deficiencies and their potential impact on various bodily functions, emphasizing the importance of adequate nutrient intake.
19) Relative:
Relative is a term that might describe relationships among variables or health outcomes in this context. Understanding relative changes in thiamine levels and corresponding metabolic changes in diabetes is significant for interpreting results and establishing connections that guide future interventions and research directions related to thiamine metabolism.
20) Writing:
Writing pertains to the documentation of research findings and the communication of scientific ideas. In this study, effective writing is essential for conveying complex biochemical relationships and clinical implications, ensuring readers and practitioners understand thiamine's role in diabetes management and can apply findings to improve patient outcomes.
21) Raising:
Raising typically refers to increasing levels or quantities of a substance. In this research, raising thiamine levels through supplementation is explored as a potential intervention to improve metabolic health in diabetes. The concept of raising nutrient levels emphasizes the need for targeted strategies to correct deficiencies and enhance therapeutic outcomes.
22) Dharani:
Dharani refers to one of the co-authors, Bodala Dharani. Her involvement in the research highlights the collaborative effort in exploring thiamine's role in diabetes. The contributions of researchers like Dharani are vital in advancing scientific discourse and enhancing understanding of nutritional influences on chronic conditions.
23) Reason:
Reason denotes the rationale behind studying thiamine and diabetes. The observed thiamine deficiency amongst diabetic individuals incited an inquiry into potential therapeutic benefits of supplementation. Understanding these reasons strengthens the case for further investigations into thiamine’s role in metabolic regulation and diabetes management.
24) Water:
Water is an essential nutrient required for various physiological processes. In diabetes, hydration status influences metabolic regulation and can impact dietary choices. While not directly related to the study, water's role as a fundamental nutrient underscores the importance of overall nutritional balance in managing diabetes effectively.
25) Trade:
Trade could refer to the exchange of goods and services, but within this context, it might highlight the importance of understanding metabolic and nutritional 'trade-offs' related to diabetes management. This understanding helps clinicians balance dietary intake, medications, and supplementation to optimize patient care and outcomes.
26) Death:
Death is the cessation of life, often linked to complications arising from chronic diseases like diabetes. The discussion highlights that the consequences of uncontrolled diabetes can lead to severe health issues and emphasizes the relevance of managing such diseases to improve longevity and quality of life among affected individuals.
27) Beta:
Beta refers to beta cells in the pancreas, which are responsible for insulin production. The function of these cells is crucial in the context of diabetes as they play a central role in regulating blood glucose levels. The health of beta cells is vital for effective diabetes management and treatment strategies.
28) Diet:
Diet encompasses the food choices individuals make, significantly impacting health outcomes, especially in chronic conditions like diabetes. The study emphasizes dietary management as essential for controlling blood sugar levels and preventing complications, reinforcing the importance of thiamine and other nutrients in the overall dietary framework for diabetes care.
29) Pose:
Pose, in this context, refers to the challenges or risks arising from diseases like diabetes. The pose of managing complications and addressing nutritional deficiencies adds complexity to diabetes care. Understanding these challenges is essential for developing effective treatment plans and improving the quality of life for diabetic patients.
30) Drug:
Drug denotes a substance used to treat or manage medical conditions. In the study, thiamine can be considered a nutritional 'drug' for potential supplementation to address deficiencies in diabetes. Investigating thiamine as a therapeutic agent reflects the broader trend of examining nutrients as integral components of medical treatment strategies.
31) Rat:
Rats commonly serve as animal models in scientific research to study human diseases. In this study, diabetic rats are utilized to explore the effects of thiamine deficiency and potential supplementation. Such models are essential for understanding disease mechanisms and translating findings into human health applications.
Other Science Concepts:
Discover the significance of concepts within the article: ‘Thiamine supplementation in diabetes mellitus’. Further sources in the context of Science might help you critically compare this page with similair documents:
Diabetes mellitus, Nutritional status, Autoimmune response, Oxidative stress, Lipid profile, Serum Creatinine, Micronutrient Deficiency, Chronic hyperglycemia, Biochemical changes, Energy Metabolism, Fasting Plasma Glucose Level, Diabetic Complication, Diabetic ketoacidosis, Thiamine deficiency, Glucose control, Metabolic Regulation, Vascular Dysfunction.