Emerging evidence suggests that vitamin D \[25-hydroxyvitamin D; 25(OH)D\] may play a role in the etiology of type 2 diabetes. Vitamin D levels are lower in those with type 2 diabetes and impaired glucose tolerance (IGT) compared with those with normal glucose tolerance (NGT). In addition, a few prospective studies have shown a significant inverse association of baseline serum 25(OH)D with incident diabetes. To date, however, the exact mechanisms through which vitamin D affects diabetes risk are not yet fully known, particularly whether vitamin D plays a role in insulin resistance (IR) and/or b-cell dysfunction, the main pathophysiological disorders underlying type 2 diabetes. So, the investigators plan to examine the prospective associations of baseline vitamin D \[25-hydroxyvitamin D; 25(OH)D\] with insulin resistance (IR), b-cell function, and glucose homeostasis in subjects at risk for type 2 diabetes.
Study Type
OBSERVATIONAL
Enrollment
1,500
Seoul National University Bundang Hospital
Seongnam, South Korea
Incidence of diabetes
Incidence of diabetes defined by American Diabetes Association criteria
Time frame: 5 years
Pancreatic beta cell function
Pancreatic beta cell function assessed by homeostasis model
Time frame: 5 years
Insulin resistance
Insulin resistance assessed by homeostasis model
Time frame: 5 years
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