Electrolytes and others
DM induces/and/or can be (exacerbated) by electrolyte disturbances ; in brief lets examine below :
*Some Oral hypoglycemic drugs like metformine may cause B12 Deficiency on long term use .
*Some amino acids (like leucine ) may increase insulin secretion!!!
* More than 40 factors affect blood glucose level :
magnesium-Mg | if decreased ,could lead to insulin resistance and consequently to weight gain | |
potassium -K | Esp. when DKA ; develops,administration of insulin could exacerbate hypokalaemea and induce heart problems | **Usu. you need to adjust K+ before correcting of hypoglycemia |
sodium -Na | could be depressed in DM and needs to be corrected when treating hyperglycemia | |
Ca-calcium | high Ca ++Conc. could be associated with increased risk of DM 2 also Vit.D. please read the below article for further detail: Calcium and Vit D | |
Cr-chromium | claimed to be associated with decreased blood glucose chromium picolinate useful information related to chromium | |
| Zn-zinc | zinc may decrease in in diabetes due loss during excessive urination ,ii has been claimed that zink supplementation may decrease cholesterol and A1c: Zinc vs. Diabetes |
