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. 2022 Oct 18;14(10):e30432. doi: 10.7759/cureus.30432

Table 1. Summary of the characteristics of included studies.

 T1D = type 1 diabetes, T2D = type 2 diabetes

Author Type of Study Participants Findings
Lips et al. [14] Review   Low vitamin D is associated with insulin resistance and type 2 diabetes.
Marino and Misra [15] Review   Low vitamin D has a role in the development of Type1 DM, suggested by the presence of vitamin D response element in the human insulin gene promoter. In addition, vitamin D regulates T-cell responses and may protect beta cells from immune attacks.
Infante et al. [16] Review   Hypovitaminosis D is an important environmental factor in the development of T1D and may have a role in the pathogenesis and determining the risk of development in the first years of life. However, evidence on vitamin D supplementation and beta-cell function preservation in T1D is still lacking.
Wang et al. [18] case-control study 2659 Chinese participants They found that low serum levels of 25(OH)D3,25(OH)D2 were associated with impaired fasting glucose in patients with T2DM; they explained this negative relationship to be due to altering lipid metabolism and altering the concentration of total cholesterol, low-density lipoprotein cholesterol high-density lipoprotein which leads to impaired fasting glucose and type 2 DM.
Aljabri and Bokhari [19] clinical trial Eighty participants with T1D whose vitamin D levels were below 50 nmol/L Low vitamin D is associated with insulin resistance and beta cell death, contributing to the development of T1D. Additionally, Vitamin D supplementation improved glycemic control in T1D patients.
 Najjar et al. [20] systematic review and meta-analysis, including10 studies   No major effect of genetically determined reduction of 25(OH)D concentrations by selected polymorphisms on T1D risk.
Zheng et al. [21] meta-analysis 120618 participants of European descent MR analysis revealed a lack of evidence for a causal link between 25(OH)D and T2D despite a high inverse observational association between the two diseases. The result was against the use of Vit D supplements to prevent T2D.
Li et al. [22] systematic review and meta-analysis, including 20 RCTs 2703 participants. Vitamin D supplementation successfully enhanced serum 25(OH)D and improved insulin resistance.
Jennifer et al. [23] A systematic review, including 35 (RCTs) 43407 diabetic patients They found that supplementation with vitamin D does not appear to enhance glycemic control or insulin resistance in the short term.
Pittas et al. [24] Randomized control trial  2423 In people at high risk of type 2 diabetes who were not specifically chosen for vitamin D deficiency, vitamin D3 treatment at a level of 4000 IU per day did not result in a significantly reduced risk of diabetes than placebo.
 Zhao et al. [25] A meta-analysis, including four prospective cohort studies 187592 participants and 9456 incident cases They found no connection between total vitamin D intake and the incidence of type 2 diabetes.
Mohammadian et al. [26] Systematic review and meta-analysis 44 patients with T1D who were younger than 17 years old HbA1C improves with vitamin D3 supplementation in all glycemic control groups in children with T1D and vitamin D insufficiency.