Objectives: There exists a growing global concern about the deficiency of vitamin D. Vitamin D deficiency is associated with increased risk for diabetes. Vitamin D improves insulin sensitivity by anti-inflammatory activity. Also vitamin D attenuates expression of pro-inflammatory cytokines involved in insulin resistance (IR) such as interleukin IL-1, IL-6, TNF-a, also down regulates nuclear factor-Kβ activity. Data regarding correction of 25 Hydroxy vitamin D level with insulin resistance in type II diabetic patients are limited. So we aimed to investigate the relationship between treatment of vitamin D deficiency and one of the best correlates of Insulin resistance (Leptin to Adiponectin ratio) in type II diabetic patients.
Design: This study is a before/after interventional clinical trial
Inclusion criteria: Age more than 18; Vitamin D deficiency( lower than 30 ng/ml)
Exclusion criteria: Age more than 70; Severe underlying disease such as Malignancy, End-Stage Renal Disease, Cirrhosis, Connective tissue disease, Congestive Heart Failure; Pregnancy; Autoimmune disease such as Lupus; Acute or chronic infection; Psychiatric diseases under treatment; Recieving Vitamin D supplement during 1 month before study begins.
Lastly, fifty patients will enter into the study.
Intervention: At baseline and after vitamin D repletion, serum levels of 25 Hydroxy vitamin D, Leptin and Adiponectin will be measured. All patients will be treated by a 50000 Inrernational Unit pearl of vitamin D3 once a week for 8 weeks, followed by 50000 International Unit of vitamin D3 every 2 weeks thereafter for a total of 12 weeks.
Main outcome measures (variables): Any relation between Leptin, Adiponectin and Leptin to Adiponectin ratio with improved 25 Hydroxy vitamin D level will be investigated.