The relationship between melatonin levels and insulin resistance in patients with type 2 diabetes mellitus under chronic war stress
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine),
Journal Year:
2025,
Volume and Issue:
21(2), P. 185 - 189
Published: April 1, 2025
Background.
In
recent
years,
information
has
emerged
about
the
relationship
between
melatonin
and
insulin
expression
of
receptors
in
central
nervous
system.
The
severity
deficiency
patients
with
type
2
diabetes
mellitus
(T2DM)
may
vary
during
war.
aim
study
was
to
assess
changes
nocturnal
levels
its
resistance
T2DM
full-scale
war
Ukraine
compared
pre-war
state.
Materials
methods.
2021–2024,
a
prospective
conducted,
which
included
aged
19–75
years
state
compensation
(glycated
hemoglobin
level
≥
6.5
<
8.0
%).
exclusion
criteria
were:
severe
chronic
complications,
glycated
%,
acute
inflammatory
processes,
oncological
diseases,
body
mass
index
40
kg/m2,
taking
antidepressants,
preparations
less
than
months
before
study.
involved
404
from
different
regions
Ukraine.
Laboratory
assessment
saliva
performed
by
solid-phase
enzyme-linked
immunoassay.
Results.
frequency
increased
54.3
%
2021
70.9
2024.
On
background
an
increase
number
deficiency,
there
is
significant
among
them
individuals
elevated
HOMA
index,
12.5
47.2
Changes
distribution
results
according
on
indicate
relative
risk
detecting
above
normal
group
6.2
times
2024
(odds
ratio
6.2,
95%
confidence
interval:
1.9–26.5).
Conclusions.
impact
stress
insomnia
are
more
factors
for
pathological
deficiency.
Patients
recommended
further
correction
those
since
such
can
lead
decrease
improvement
carbohydrate
metabolism.
Language: Английский
Metabolic syndrome, dyssomnia, and melatonin
V. O. Serhiyenko,
No information about this author
V.B. Sehin,
No information about this author
Marta Hotsko
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et al.
INTERNATIONAL JOURNAL OF ENDOCRINOLOGY (Ukraine),
Journal Year:
2024,
Volume and Issue:
20(2), P. 133 - 142
Published: April 19, 2024
In
recent
years,
there
has
been
an
interest
in
studying
the
specifics
of
relationships
between
metabolic
syndrome
(MetS),
sleep
disorders
and
melatonin
(MEL).
Dyssomnia
insomnia
are
important
risk
factors
for
insulin
resistance,
obesity,
MetS,
type
2
diabetes
mellitus
with
a
degree
influence
similar
to
traditional
factors.
Thus,
treatment
dyssomnia
is
one
key
tasks
prevention
MetS.
The
regulation
circadian
rhythms
by
exogenous
intervention
(in
particular,
use
melatonergic
drugs)
likely
play
central
role
MEL
acts
as
powerful
antioxidant
that
can
cross
blood-brain
barrier,
suppress
oxidative
stress,
chronic
inflammation,
interact
gut
microbiome.
From
clinical
point
view,
imbalance
may
indicate
“darkness
deficit”.
It
proven
neurohormone
systemic
effects
due
its
mechanisms
action,
potential
course
many
diseases.
Currently,
drugs
approved
exclusively
insomnia,
jetlag,
depression
accompanied
disorders.
However,
potentially
therapeutic
properties
neurodegenerative
diseases,
post-traumatic
stress
disorder,
neuropsychiatric
disorders,
dementia,
autoimmune
allergic
increasing
need
products
prompted
search
safe
but
environmentally
friendly
medicines.
reported
phytomelatonin
have
advantages
related
improved
bioavailability
efficacy.
purpose
this
review
analyze
relationship
dyssomnia,
MEL.
was
conducted
Scopus,
Science
Direct
(from
Elsevier),
PubMed,
including
MEDLINE
databases.
keywords
used
were
“metabolic
syndrome”,
“dyssomnia”,
“insomnia”,
“obstructive
apnea”,
“melatonin”.
We
manual
bibliography
publications
identify
research
results
eluded
during
online
search.
Language: Английский