Type 2 & other diabetes

Hypomagnesemia induces impaired glucose metabolism and insulin resistance in patients with Gitelman syndrome

Diabetes Res Clin PractPublished Case-control study

Authors' conclusion

Hypomagnesemia may contribute to increased BMI, exacerbating impaired glucose metabolism and IR in GS patients.

Study context

Population
Patients with Gitelman syndrome, with non-functioning adrenal incidentaloma (NFAI) patients as controls; clinical data and oral glucose tolerance tests (OGTT)
Participants
44 vs 60
Comparison
Gitelman syndrome (GS) vs NFAI controls
  • GSn = 44
  • NFAIn = 60reference
Outcome
Impaired glucose metabolism and its contributing factors

Main finding

As reported in the abstract

  • GS vs NFAI: P < 0.001
  • GS vs NFAI: all P < 0.001
  • GS vs NFAI: P = 0.003
  • GS vs NFAI: P = 0.007

Observational data: associations, not effects.

Further findings

OutcomeP value
Slope of linear regression between BMI and HOMA-IRSteeper slope with GSP = 0.016

Risk factors for dysregulated glucose metabolism in GS (logistic regression)

Hypomagnesemia
P = 0.042
Hypokalemia
P = 0.046

Contributors to insulin resistance

Higher body mass index (BMI)
P = 0.016
Hypomagnesemia
P = 0.045

Correlation between plasma magnesium and BMI in GS

Negative linear correlation, R
0.54
P
P < 0.001

Original publication

Hypomagnesemia induces impaired glucose metabolism and insulin resistance in patients with Gitelman syndrome. Diabetes Res Clin Pract. Published 29 March 2025. doi:10.1016/j.diabres.2025.112160

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