DETERMINATION OF MICRONUTRIENTS IN DIABETIC WOMEN: A SERUM ANALYSIS OF SEVEN ELEMENTS

Abstract

Background: The human body needs minerals and micronutrients. It is important to estimate the micronutrients (Fe+2, Mg+2, Mn+2, Zn+2, Cu+2, K+, Na+) in the serum of female patients with diabetes mellitus (T2DM) as needed for insulin and glucose metabolism, especially zinc, manganese, and magnesium, which activate insulin receptor sites. Aim: Estimate the micronutrient concentrations by (µg/mL) and determine their effects on insulin resistance and diabetes mellitus. Methods: The study was conducted at Maysan Province Endocrinology and Diabetes Center from January to April 2023. It included 120 women aged (20 – 65) years separated into two groups. The control group included 40 healthy women, and the patient group included 80 women with diabetic mellitus (T2DM). The IBM SPSS Statistics and the t-test were used to compare the two groups. Results: The results showed a statistically significant difference at the level (P?0.05) for the average concentration of Magnesium, Manganese, Zinc, Copper, Potassium, and Sodium, while Iron concentration was a non-significant decrease at (P?0.05) in the patients with (T2DM) compared with the control group. The concentration of micronutrients in diabetes mellitus and healthy groups was Na+ > Cu+2 > Zn+2 > Mn+2 > Fe+2 > K+ > Mg+2 and Na+ > Cu+2 > K+ > Mg+2 > Fe+2 > Zn+2 > Mn+2 respectively. In the T2DM group, the trace element with the highest observed concentration was the Sodium ion, while Manganese (Mn+2) had the lowest concentration. Conversely, in the control group, Sodium (Na+) showed the highest concentration and Magnesium (Mg+2) the lowest. Discussion: Sodium had the greatest micronutrient content in both the control and T2DM groups. Micronutrient differences may affect insulin resistance and diabetes. Conclusions: The variation in the micronutrient concentration was statistically significant between the diabetes mellitus and control groups, except for Iron, demonstrating the complex relationship between micronutrient levels and metabolic disorders