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Chinese Journal of Blood Purification ›› 2002, Vol. 1 ›› Issue (9) : 10-13.

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Abstract

【Abstract】 Objective The effect of oral 1.25-dihydoxyvitamin D3 [1.25(OH)2D3] , therapy on defects in insulin secretion and insulin resistace was examined in patients on maintence hemodialysis (HD). Methods 12 patients (Group I 392 years old)were studied before after four weeks of oral 1，25（OH）2D3therapy (0.25μgqd.Po.), during which time the serum parathyroid hormone (PTH) concentrations did mot change. Another 12 patients (Group II 351years old ) were studide before and after rour weeks of oral dihydrotachysteral (0.80.1 mg).Serum PTH also did not change in Group II. Serum glucose concentration oral glucose tolerance test (OGTT) early-phase and late-phase insulin secretion. Linsulin sensitivity and plasma triglycerides were test before and after four weeks therapy. Rasults serum glucose concentrations during OGTT test were high in GroupI before used 1.25(OH)2D3 comparad with controls and these normalized following four weeks of oral 1.25(OH)2D3. Serum glucose concentrations during OGTT were alse higher in Group II before used vitamin D compared with controls and did not change following four weeks of oral Vtimin D. Insulin sensitivity during studies in Group I before used 1.25(OH)2D3 was low (131.5mmol/m2/min) compared with controls (160.5mmol/m2/min) (P<0.01) and was normalized following therepy (171.2mmol/m2/min P>0.05). Insulin sensitivity was alse low in Group II at the beginning of the study and did not change at the end of the four weeks period. Both early-phase and late-phase insulin secretion were low in Group I before used 1.25(OH)2D3 compared with controls and normalized following oral 1.25(OH)2D3 therapy. Both early-phase and late-phase insulin secretion were also low in Group II at the beginning of the study and did not change after four weeks with Vitimin D treatment. Plasma tirglycerides were elevated in Group I before treatment(2.130.5mmol/l) compared with control (0.750.2mmol/l P<0.01) and were normalized (0.950.12mmol/l P>0.05) following oral 1.25(OH)2D3 therapy. Plasma triglycerides did not change in Group II during the study period. Conclusion Oral 1.25(OH)2D3 therapy corrected glucose intolerance、insulin resistance lypoinsulinemia as well as hypertriglyceridmia in patients on HD.