The relationship between serum vitamin D and vitamin B۱۲ levels and diabetic peripheral neuropathy

Abstract Objective: Diabetic peripheral neuropathy (DPN) is one of the most common complications of diabetes. Beside the known factors such as hyperglycemia in the pathogenesis of this complication, other etiologies may play role in the pathogenesis of this complication. The aim of this study was the evaluation of the role of serum vitamin D and vitamin B۱۲ levels in this process. Material and Methods: We enrolled ۷۶ diabetic patients (۳۸ patients with DPN and ۳۸ patients without DPN) who were matched in the terms of age, gender, BMI and duration of diabetes. Diagnosis of DPN was based on nerve conduction studies on sural, peroneal and tibial nerves. Serum vitamin D and vitamin B۱۲ levels were measured in these two groups. Result: Case and control groups had not significant differences in demographic characteristics. Serum vitamin D level was slightly lower in case group (۲۴.۱ ± ۱۹.۳ ng/ml vs. ۲۴.۹ ± ۲۲.۳ ng/ml), but the difference was not significant (P=۰.۸۵۷). Serum vitamin B۱۲ level was higher in patients with DPN without significant difference in the two groups (۴۴۴.۲ ± ۲۷۳.۵ pg/ml vs. ۳۹۰.۴ ± ۲۱۳.۹ pg/ml) (P=۰.۳۴۳). Conclusion: The results of this study showed that serum vitamin D and vitamin B۱۲ levels had not significant difference in patients with and without DPN. Further studies are required to better evaluate the role of these factors in development and progression of DPN.

Keywords:

Diabetes Mellitus , Diabetic Peripheral Neuropathy , Vitamin D , Vitamin B۱۲