4.3 Review

Vitamin D in the Prevention and Treatment of Diabetic Neuropathy

Journal

CLINICAL THERAPEUTICS
Volume 44, Issue 5, Pages 813-823

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ELSEVIER
DOI: 10.1016/j.clinthera.2022.03.012

Keywords

cardiovascular autonomic neuropathy; sensory neuropathy; vitamin D

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This review summarizes the role of vitamin D in diabetic neuropathy and the latest data on its treatment. Studies suggest that vitamin D deficiency is associated with peripheral neuropathy, diabetic foot ulcers, and cardiac autonomic neuropathy in diabetes. Vitamin D supplementation may be an effective adjunctive therapy for neuropathic pain and can potentially slow down the progression of neural damage.
Purpose: Neuropathy is one of the most important complications of diabetes. According to recent advances, vitamin D deficiency might play a role in the development and progression of diabetic neuropathy. Moreover, therapeutic vitamin D supplementation has the potential to improve this condition. The aim of the present review was to summarize new data available in this area. Methods: The PubMed database was searched for articles written in English and published through September 2021, using combinations of the following key words: vitamin D, diabetes, diabetes mellitus, diabetic neuropathy, polyneuropathy, peripheral neuropathy, cardiac autonomic neuropathy, supplementation, and therapy. Findings: A number of studies have suggested that vitamin D deficiency can play a significant role in the development of peripheral neuropathy, diabetic foot ulcers, as well as cardiovascular autonomic neuropathy in patients with type 2 diabetes. Vitamin D supplementation might serve as an effective adjuvant therapy for neuropathic pain and may slow or stop the progression of neural damage. (C) 2022 The Author(s). Published by Elsevier Inc.

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