T1DM: Vitamin D Supplementation (2023)
-
Intervention
In children and adolescents (6-19 years old) living with type 1 diabetes, what is the effect of vitamin D supplementation compared to no supplementation on A1C?
-
Conclusion
In children and adolescents (6-19 years old) living with type 1 diabetes mellitus, vitamin D insufficiency (defined as serum 25-hydroxyvitamin D [25(OH)D] concentrations of 30 - 50 nmol/L or 12 - 20 ng/mL) and/or deficiency (defined as serum 25-hydroxyvitamin D [25(OH)D] concentrations of <30 nmol/L or <12 ng/mL) are common, affecting as many as 63% of patients. Vitamin D supplementation repletes vitamin deficiency, but its effect on A1C is inconclusive.
-
Grade: Low (C)
- Grade I means there is Good/Strong evidence supporting the statement;
- Grade II is Fair;
- Grade III is Limited/Weak;
- Grade IV is Expert Opinion Only;
- Grade V is Not Assignable.
- High (A) means we are very confident that the true effect lies close to that of the estimate of the effect;
- Moderate (B) means we are moderately confident in the effect estimate;
- Low (C) means our confidence in the effect estimate is limited;
- Very Low (D) means we have very little confidence in the effect estimate.
- Ungraded means a grade is not assignable.
-
Evidence Summary: In children and adolescents (6-19 years old) living with type 1 diabetes, what is the effect of vitamin D supplementation compared to no supplementation on A1C?
- Detail
- Quality Rating Summary
For a summary of the Quality Rating results, click here.
- Worksheets
- Giri D, Pintus D, Burnside G, Ghatak A, Mehta F, Paul P, Senniappan S. Treating vitamin D deficiency in children with type I diabetes could improve their glycaemic control.. BMC Research Notes 2017; 10:465
- Nafei L, Ali Kadhim K, Muaffaq Said A, Hameed Ghani S.. Evaluation the Effect of Vitamin D3 on Glycemic Indices on Iraqi Children with Type 1 DM. International Journal of Pharmaceutical Sciences Review and Research 2017; 42:134-143
- Panjiyar R, Dayal D, Attri S, Sachdeva N, Sharma R, Bhalla A. Sustained serum 25-hydroxyvitamin D concentrations for one year with cholecalciferol supplementation improves glycaemic control and slows the decline of residual beta cell function in children with type 1 diabetes. Pediatric Endocrinology, Diabetes, and Metabolism 2018; 2018:111-117
- Sharma S, Biswal N, Bethou A, Rajappa M, Kumar S, Vinayagam V. Does Vitamin D Supplementation Improve Glycaemic Control In Children With Type 1 Diabetes Mellitus? - A Randomized Controlled Trial. Journal of Clinical and Diagnostic Research 2017; 11:SC15-SC17
- Shih E, Mittelman S, Pitukcheewanont P, Azen C, Monzavi R. Effects of vitamin D repletion on glycemic control and inflammatory cytokines in adolescents with type 1 diabetes. Pediatric Diabetes 2014; 17:36-43
- Treiber G, Prietl B, Fröhlich-Reiterer E, Lechner E, Ribitsch A, Fritsch M, Rami-Merhar B, Steigleder-Schweiger C, Graninger W, Borkenstein M, Pieber T. Cholecalciferol supplementation improves suppressive capacity of regulatory T-cells in young patients with new-onset type 1 diabetes mellitus - A randomized clinical trial. Clinical Immunology (Orlando, Fla.) 2015; 161:217-224
- Detail
-
Search Plan and Results: T1DM: Interventions 2023
-
Conclusion