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A new study published in Chronicle of Diabetes Research and Practice has revealed that high-dose Vitamin D supplementation may significantly lower the inflammatory cytokines in patients with diabetic foot infections (DFIs).

DFIs are a serious and frequent complication in patients with type 2 diabetes mellitus (T2DM), often leading to prolonged hospitalization, amputations, and increased mortality. This study assessed the effect of  Vitamin D supplementation on inflammatory markers in T2DM patients with and without DFIs.

Researchers enrolled two groups of T2DM patients—those with DFIs (cases) and those without (controls)—and administered a total of 300,000 IU of oral Vitamin D (60,000 IU weekly for 5 weeks). Serum  25-hydroxy Vitamin D [25(OH)D] levels, tumor necrosis factor-alpha (TNF-α), and interleukin-6 (IL-6) were measured before and after supplementation.

There was a significant rise in the serum Vitamin D levels in both groups (cases: P < 0.0001; controls: P = 0.012). Inflammatory cytokine levels reduced significantly only in the DFI group following supplementation, i.e, TNF-α (P = 0.0001) and IL-6 (P = 0.0026). However, no significant changes were observed in the control group.
 

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Key highlights

•    Vitamin D levels significantly improved in both DFI and non-DFI patients after supplementation.
•    Inflammatory cytokines (TNF-α, IL-6) significantly decreased in DFI patients, but not in controls.
•    The results support Vitamin D's anti-inflammatory role in managing diabetic foot infections.

Source

Dwivedi A, Tiwari S, Pratyush DD, Kishore P, Singh SK. Effect of Vitamin D Supplementation on Serum Cytokines Level in Patients with Type 2 Diabetes Mellitus with and Without Foot Infection. Chronicle of Diabetes Research and Practice. 2025;4(1):21-25. doi:https://doi.org/10.4103/cdrp.cdrp_7_24

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High-dose Vitamin D supplementation may significantly lower the inflammatory cytokines in patients with diabetic foot infections (DFIs).

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