Browsing by Author "Upadhyaya, Kumud"

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    Diabetic Neuropathy: A Repercussion of Vitamin D Deficiency
    (Bentham Science Publishers, 2022-08-18T00:00:00) Sharma, Prerna; Rani, Nidhi; Gangwar, Aishwarya; Singh, Randhir; Kaur, Rajwinder; Upadhyaya, Kumud
    Diabetes mellitus is a crucial health issue worldwide. The worldwide ubiquity is 8.8% among adults, which is predicted to rise to 10.4% by 2040. Diabetic neuropathy is a long-term complication associated with the diabetes mellitus condition, which primarily targets Schwann cells, peripheral axons and cell bodies (perikarya) in DRG (dorsal root ganglia). It can be accom-panied by different factors such as metabolic factors such as insulin resistance, hypertension, obe-sity, low HDL level, and hypertriglyceridemia. The etiology of DPN is multifactorial. It is caused by hyperglycemia, micro-angiopathy, HbA1c, duration of diabetes, smoking status, high-density lipoprotein cholesterol and hypertension. Also, increased glucose conditions decrease vitamin D levels. Vitamin D, which is involved in neurotrophins such as NGF (nerve growth factor) and NCH (neuronal calcium homeostasis), plays a neuroprotective role in peripheral nerves. Depletionleads to vitamin D deficiency which further develops peripheral neuropathy in diabetic patients. Accu-mulation of AGEs (advanced glycation end product) plays a significant role in the pathogenesis of sensory neuronal damage. It contributes to microangiopathy and endoneurial vascular dysfunction in peripheral nerves. With vitamin D supplementation, the neuropathy pain scores were improved. � 2023 Bentham Science Publishers.