Serum Selenoprotein P level is not indicative of Insulin Resistance in Children and Adolescents with Type 1 Diabetes Mellitus: Single Center Experience

Background: Selenium has an anti-diabetic action as it an insulin-mimetic and antioxidant nutrient. Selenoprotein P (SeP) is an extracellular glycoprotein, that was linked to insulin resistance (IR). Aim: To validate of serum SeP as a measure for insulin resistance in patients with type 1 diabetes m...

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Main Authors: Hend Mehawed Soliman (Author), Balsam Sherif Fahmy (Author), Selim Mohamed Abdelkader (Author), Samah A. Hassanein (Author)
Format: Book
Published: Cairo University, Faculty of Medicine, Department of Pediatrics, 2022-01-01T00:00:00Z.
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001 doaj_670ee23da4a145a59bcc6e567a3b49d7
042 |a dc 
100 1 0 |a Hend Mehawed Soliman  |e author 
700 1 0 |a Balsam Sherif Fahmy  |e author 
700 1 0 |a Selim Mohamed Abdelkader  |e author 
700 1 0 |a Samah A. Hassanein  |e author 
245 0 0 |a Serum Selenoprotein P level is not indicative of Insulin Resistance in Children and Adolescents with Type 1 Diabetes Mellitus: Single Center Experience 
260 |b Cairo University, Faculty of Medicine, Department of Pediatrics,   |c 2022-01-01T00:00:00Z. 
500 |a 10.21608/cupsj.2021.108303.1040 
500 |a 2805-279X 
500 |a 2682-3985 
520 |a Background: Selenium has an anti-diabetic action as it an insulin-mimetic and antioxidant nutrient. Selenoprotein P (SeP) is an extracellular glycoprotein, that was linked to insulin resistance (IR). Aim: To validate of serum SeP as a measure for insulin resistance in patients with type 1 diabetes mellitus (T1DM). Methods: This prospective case-control study included 45 children and adolescents with T1DM and 45 healthy children and adolescents. Serum SeP was measured by ELISA and compared to estimated glucose disposal rate (eGDR) as a measure of insulin resistance. Results: Mean ± SD of SeP level was higher in T1DM patients than control group (59.78 ± 59.38 ng/ml, 55.57 ± 7.6 ng/ml,respectively), this difference was statistically insignificant (p= 0.642). SeP demonstrated significant positive correlations with duration of diabetes (r=0.413, p=0.005), high density lipoproteins (r=0.496, p=0.001) and glycosylated hemoglobin (r=0.357, p=0.016). There were statistically significant differences in eGDR between cases and controls (7.78±3.08 mg/kg/min, 12.53±0.91mg/kg/min, respectively, (p= 0.001). There was no correlation between SeP level and eGDR values (IR indicator). Conclusion: Serum SeP level in T1DM patients was not indicative of IR. Higher serum SeP level are associated with longer duration and poor control of T1DM. 
546 |a EN 
690 |a diabetes mellitus 
690 |a insulin resistance 
690 |a selenoprotein p 
690 |a estimated glucose disposal rate. 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n Pediatric Sciences Journal, Vol 2, Iss 1, Pp 32-38 (2022) 
787 0 |n https://cupsj.journals.ekb.eg/article_210817_6154945413a3fbb41f5f250878c93483.pdf 
787 0 |n https://doaj.org/toc/2805-279X 
787 0 |n https://doaj.org/toc/2682-3985 
856 4 1 |u https://doaj.org/article/670ee23da4a145a59bcc6e567a3b49d7  |z Connect to this object online.