Skip to main content

Advertisement

Log in

The levels of copper, zinc and magnesium in type II diabetic patients complicated with foot infections

  • Original Article
  • Published:
International Journal of Diabetes in Developing Countries Aims and scope Submit manuscript

Abstract

Changes in levels of trace elements and magnesium (Mg) may contribute to progression of diabetes mellitus (DM) and development of the complications. The aim of this study was to measure the levels of Copper (Cu), Zinc ( Zn), Mg and Cu/Zn ratios in diabetic foot infected patients (DFI) compared to controlled diabetic patients and healthy controls. 50 patients complicated with DFI, 50 controlled diabetic patients without any complications and 100 age and sex matched healthy subjects were enrolled in the study. Fasting plasma glucose, HbA1c, Cu, Zn and Mg were measured. One-Way ANOVA test was used to compare three different groups. Correlations between different variables were analysed using Pearson’s correlation coefficients(r). The mean values of Cu and Zn were higher in patients with DFI and DM compared to controls (P < 0.001). Cu/Zn ratios were higher in DM compared to DFI and control groups (P < 0.001). Serum Mg levels were lower in all diabetic patients. Elevation of Cu in DFI and DM groups was positively correlated with Cu/Zn ratios and elevation of Zn is negatively correlated. Our findings indicate an association between increased Zn concentrations and DFI.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Kamal M, Salem M, Kholousi N, Ashawy K. Evaluation of trace elements and Malondialdehyde levels in type II diabetes mellitus. Diabetes Metab Syndr. 2009;3:214–18.

    Article  Google Scholar 

  2. Bozkurt F, Gülsün S, Tekin R, Hoşoğlu S, Acemoğlu H. Comparison of microbiological results of deep tissue biopsy and superficial swab in diabetic foot infections. J Microbiol Infect Dis. 2011;1:122–7.

    Google Scholar 

  3. Armstrong AM, Chestnutt JE, Gormley MJ, Young IS. The effect of dietary treatment on lipid peroxidation and antioxidant status in newly diagnosed noninsulin dependent diabetes. Free Radic Biol Med. 1996;21:719–26.

    Article  PubMed  CAS  Google Scholar 

  4. Granado F, Olmedilla B, Gil-Martinez E, Blanco I, Millan I, Rojas-Hidalgo E. Carotenoids, retinol and tocopherols in patients with insulin-dependent diabetes mellitus and their immediate relatives. Clin Sci (Lond). 1998;94:189–95.

    PubMed  CAS  Google Scholar 

  5. Landis GN, Tower J. Superoxide dismutase evolution and life span regulation. Mech Ageing Dev. 2005;126:365–79.

    Article  PubMed  CAS  Google Scholar 

  6. Jansen J, Karges W, Rink L. Zinc and diabetes-clinical links and molecular mechanisms. J Nutr Bioch. 2009;20:399–417.

    Article  CAS  Google Scholar 

  7. Nakayama A, Fukuda H, Ebara M, Hamasakı H, Nakajıma K, Sakuraı H. A new diagnostic method for chronic hepatitis, liver cirrhosis, and hepatocellular carcinoma based on serum metallothionein, copper, and zinc levels. Biol Pharm Bull. 2002;25:426–31.

    Article  PubMed  CAS  Google Scholar 

  8. Karahan SC, Değer O, Orem A, Uçar F, Erem C, Alver A, et al. The effects of impaired trace element status on polymorphonuclear leukocyte activation in the development of vascular complications in type 2 diabetes mellitus. Clin Chem Lab Med. 2001;39:109–15.

    Article  PubMed  CAS  Google Scholar 

  9. Viktorínová A, Toserová E, Krizko M, Duracková Z. Altered metabolism of copper, zinc, and magnesium is associated with increased levels of glycated hemoglobin in patients with diabetes mellitus. Metabolism. 2009;58:1477–82.

    Article  PubMed  Google Scholar 

  10. Huerta MG, Roemmich JN, Kington ML, Weltman AL, Bovbjerget VE, Holmes VF, et al. Magnesium deficiency is associated with insulin resistance in obese children. Diabetes Care. 2005;28:1175–81.

    Article  PubMed  CAS  Google Scholar 

  11. Wells IC. Evidence that the etiology of the syndrome containing type 2 diabetes mellitus results from abnormal magnesium metabolism. Can J Physiol Pharmacol. 2008;86:16–24.

    Article  PubMed  CAS  Google Scholar 

  12. Yardım S, Sepici A, Ozkan Y, Torun M, Simsek B, Sepici V. Oxidation of uric acid in rheumatoid arthritis: ıs allontoin a marker of oxidative stress? Free Radical Research. 2004;38:623–8.

    Article  Google Scholar 

  13. Yardım S, Sepici A, Ozkan Y, Simsek B, Sepici V. Evaluation of allontoin levels as a new marker of oxidative stress in Behçet’s disease. Scand J Rheumatol. 2006;35:61–4.

    Article  Google Scholar 

  14. Bozkurt F, Gulsun S, Ustun C, Geyik MF, Hosoglu S. The role of trace elements in helicobacter pylori ınfected patients. Kuwait Medical Journal. 2011;43:287–90.

    Google Scholar 

  15. Car N, Car A, Granic M, Skrabalo Z, Momcilović B. Zinc and copper in the serum of diabetic patients. Biol Trace Elem Res. 1992;32:325–9.

    Article  PubMed  CAS  Google Scholar 

  16. Ugwuja EI, Akubugwo EI, Ejikeme BN. Plasma copper and zinc in pregnancy complicated with diabetes mellitus. Pak J Nutr. 2010;9:861–4.

    Article  CAS  Google Scholar 

  17. Zheng Y, Li XK, Wang Y, Cai L. The role of zinc, copper and iron in the pathogenesis of diabetes and diabetic complications: therapeutic effects by chelators. Hemoglobin. 2008;32:135–45.

    Article  PubMed  CAS  Google Scholar 

  18. Kinlaw WB, Levine AS, Morley JE, Silvis SE, McClain CJ. Abnormal zinc metabolism in Type 2 DM. Am J Med. 1983;75:273–7.

    Article  PubMed  CAS  Google Scholar 

  19. Marjani A, Moradi A, Saeedi M. Plasma lipid peroxidasyon zinc and erythrocyte cu-zn superoxide dismutase enzyme activity in patients with type 2 diabetes mellitus in Gorgan City. J Med Sci. 2007;7:585–90.

    Article  CAS  Google Scholar 

  20. Afridi HI, Kazi TG, Shah AQ, Kazi N, Baig JA, Jamali MK, et al. Status of essential trace metals in biological samples of diabetic mother and their neonates. Arch Gynecol Obstet. 2009;280:415–23.

    Google Scholar 

  21. Diwan AG, Pradhan AB, Lingojwar D, Krishna KK, Singh P, Almelkar SI. Serum zinc, chromium and magnesium levels in Type 2 diabetes. Int J Diab Dev Ctries. 2006;26:122–3.

    Article  Google Scholar 

  22. Zargar AH, Bashir MI, Masoodi SR, Laway BA, Wani AI, Khan AR, et al. Copper, zinc and magnesium levels in type- 1 diabetes mellitus. Saudi Med J. 2002;23:539–42.

    PubMed  Google Scholar 

  23. Bozkurt F, Gulsun S, Ustun C, Geyik MF, Teğin I, Satıcı Ö. The role of trace elements in wagner classified diabetic patients. Afr J Microbiol Res. 2011;5:5085–89.

    Google Scholar 

  24. Kazi TG, Afridi HI, Kazi N, Jamali MK, Arain MB, Jalbani N, et al. Copper, chromium, manganese, iron, nickel, and zinc levels in biological samples of diabetes mellitus patients. Biol Trace Elem Res. 2008;122:1–18.

    Article  PubMed  CAS  Google Scholar 

  25. Ciftci TU, Ciftci B, Yis O, Guney Y, Bilgihan A, Ogretensoy M. Changes in serum selenium, copper, zinc levels and cu/zn ratio in patients with pulmonary tuberculosis during therapy. Biol Trace Elem Res. 2003;95:65–71.

    Google Scholar 

  26. Benzer F, Kilic A. The Association between free radical damage and transition metals cu and fe in humans with chlamydiosis. Fırat University J Vet. 2006;20:9–13.

    Google Scholar 

  27. Terres-Martos C, Navarro-Alarcon M, Martin-Lagos F, Lopez-G de la Serrana H, Perez-Valero V, Lopez-Martinez MC. Serum zinc and copper concentrations and Cu/Zn ratios in patients with hepatopathies or diabetes. J Trace Elem Med Biol. 1998;12:44–9.

    Article  PubMed  CAS  Google Scholar 

  28. Evliyaoglu O, Kebapcilar L, Uzuncan N, Kilicaslan N, Karaca B, Kocacelebi R, et al. Correlations of Serum Cu+2, Zn+2, Mg+2 and HbA1c in Type 2 and Type 2 diabetes mellitus. Turk Jem. 2004;2:75–9. 2.

    Google Scholar 

  29. Pham PT, Pham PT, Pham SV, Miller JM, Pham PT. Hypomagnesemia in patients with Type 2 diabetes. Clin J Am Soc Nephrol. 2007;2:366–73.

    Article  PubMed  CAS  Google Scholar 

Download references

Conflict of interest

The authors who have taken part in this study declare that they do not conflict of interest with respect to this manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Recep Tekin.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bozkurt, F., Tekin, R., Gulsun, S. et al. The levels of copper, zinc and magnesium in type II diabetic patients complicated with foot infections. Int J Diabetes Dev Ctries 33, 165–169 (2013). https://doi.org/10.1007/s13410-013-0130-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s13410-013-0130-6

Keywords

Navigation