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Do trace elements influence the course of newly diagnosed type 1 diabetes mellitus?
Monika Rychert-Stos1, Mieczyslaw Walczak1, Anita Horodnicka-Jozwa1
1Department of Pediatrics, Endocrinology, Diabetology, Metabolic Disorders and Cardiology of Developmental Age of Pomeranian Medical University in Szczecin, Poland.
Insights
Elevated selenium and arsenic levels were found in children newly diagnosed with type 1 diabetes mellitus (DM1). Environmental trace elements may contribute to DM1 incidence, warranting further investigation.
Area of Science:
- Pediatric Endocrinology
- Environmental Health
Background:
- The exact causes of type 1 diabetes mellitus (DM1) remain unclear.
- Research suggests a potential link between trace element imbalances and glucose/insulin metabolism, influencing DM1 development.
Purpose of the Study:
- To investigate serum concentrations of specific trace elements in children recently diagnosed with DM1.
- To analyze changes in these trace element levels over time following diagnosis and treatment initiation.
Main Methods:
- Serum samples from 35 children (aged 3-17) with newly diagnosed DM1 were analyzed.
- Trace elements including selenium, zinc, copper, and arsenic were measured at diagnosis, 2 weeks, and 6 months post-diagnosis.
- Levels were compared between time points and with a control group (implied).
Main Results:
- No trace element deficiencies were detected in the study group.
- Elevated serum selenium levels were observed consistently across all measurement points.
- Increased arsenic levels were noted at discharge and 6-month follow-up, while copper was elevated at diagnosis.
- Serum zinc concentrations showed no significant variations.
Conclusions:
- Environmental exposure to trace elements, particularly selenium, might be associated with an increased risk of developing type 1 diabetes mellitus.
- Further research is necessary to establish a definitive causal relationship between environmental trace elements and DM1 etiology.
Objective:
The etiology of type 1 diabetes mellitus (DM1) is not fully understood. Some studies indicate an excess or deficiency of certain trace elements may affect glucose and insulin metabolism. This study aimed to assess the concentrations of trace elements in children with newly diagnosed DM1. The study group comprised 35 children aged 3-17 years (mean, 8.83±3.55 years). Serum concentrations of selenium, zinc, copper, and arsenic were determined at the time of diagnosis, after ~2 weeks (during insulin treatment), and after 6 months. No trace element deficiency was observed. Selenium levels were increased at all time points (77.61±14.03 µg/l; 70.42±11.04 µg/l; 75.79±12.89 µg/l). Arsenic levels were increased at the time of discharge (0.30±0.24 µg/l) and upon 6 months control visit (0.67±1.98 µg/l) for DM1. Copper levels were elevated at the time of diagnosis (1333±244 µg/l). No significant differences were observed in zinc concentrations between study and control group or between time points. Trace elements in the environment, especially selenium, may increase the incidence of DM1, although further research is required to confirm this association.
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