中国全科医学

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维生素D与1型糖尿病及其并发症间相关性的研究进展

吕程, 蒋升   

  • 收稿日期:2024-04-03 修回日期:2024-05-08 接受日期:2024-06-27
  • 通讯作者: 蒋升
  • 基金资助:
    新疆维吾尔自治区科技创新团队(天山创新团队)项目(2022TSCXTD0014)

Advances in the study of the correlation between vitamin D and type 1 diabetes mellitus and its complications

LYU Cheng,JIANG Sheng   

  • Received:2024-04-03 Revised:2024-05-08 Accepted:2024-06-27
  • Contact: JIANG Sheng
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摘要: 1型糖尿病(Type 1 Diabetes Mellitus,T1DM)目前被认为是由胰腺β细胞破坏所引起的慢性自身免疫性疾病,主要是由遗传因素及环境因素共同发挥作用导致胰岛β细胞破坏,使体内胰岛素分泌绝对不足,需终身依赖体外胰岛素治疗。随着T1DM发病率在全球范围内不断增加,使得人们更加重视T1DM的预防及治疗。诸多研究已证实维生素D除对体内骨代谢及钙磷平衡具有重大价值外,在慢性炎症及免疫相关疾病的发生及进展中亦有重要作用。因此本文在介绍T1DM流行病学及维生素D 作用的基础上,进一步阐述维生素D与T1DM及其并发症间的相关性,以期为临床医生综合诊治T1DM提供理论依据。

关键词: 1 型糖尿病, 维生素D, 糖尿病并发症

Abstract: Type 1 diabetes mellitus (Type 1 Diabetes Mellitus,T1DM) is a chronic autoimmune disease caused by pancreatic β-cell destruction;mainly due to a combination of genetic and environmental factors;resulting in the destruction of pancreatic β-cells;which leads to absolute deficiency of insulin secretion and lifelong dependence on extracorporeal insulin therapy.With the increasing incidence of T1DM worldwide;more attention is paid to the prevention and treatment of T1DM.Many studies have demonstrated the importance of vitamin D in the development and progression of chronic inflammatory and immune-related diseases;in addition to its significant value in bone metabolism and calcium and phosphorus homeostasis;Studies have shown that vitamin D is not only valuable for bone metabolism and calcium-phosphorus balance;but also plays an important role in the development and progression of chronic inflammatory and immune-related diseases. Therefore,based on the epidemiology of T1DM and the role of vitamin D, this article further describes the correlation between vitamin D and T1DM and its complications,with the aim of providing a theoretical basis for clinicians to comprehensively diagnose and treat T1DM.

Key words: Type 1 diabetes mellitus, Vitamin D, Diabetes complications