The Diabetologist #24+25

For Diabetologist
ADA/JDRF Type 1 Diabetes
Sourcebook,Nutrition
Anne Peters, MD, and Lori Laffel, MD, MPH,
Editors: Jane Lee Chiang, MD, Managing Editor
Marion J. Franz, MS, RD, CDE; Alison B. Evert, MS, RD, CDE; Gail Spiegel,
MS, RD, CDE; Carol Brunzell, RD, CDE; Joyce Green Pastors, MS, RD,
CDE; Joshua J. Neumiller, PharmD, CDE, CGP, FASCP; Laurie A. Higgins,
MS, RD, LDN, CDE; and Mary Ziotas Zacharatos, RD, CDE, LD
Micronutrients
There are no adequately controlled studies that link
pathogenesis of carbohydrate intolerance to trace
elements.51,52 Although animal studies have suggested
that deficiencies in many of the trace elements
-- including zinc, chromium, magnesium,
copper, manganese, and vitamin B6 -- may lead to
glucose intolerance, the evidence is not definitive.
Animal laboratory diets, in comparison to human diets,
can be easily manipulated. Thus, animal study
results should not be extrapolated to humans without
validating the findings in human pilot studies.53
In studies with individuals with T1D, trace-metal and
water-soluble vitamin urinary losses are increased
issue 24 - 25 < SEP./OCT. 2013
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