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A Comparison of Vitamin D Levels in Nondiabetic and Diabetic Patient Populations

Robert M. Yoho College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, IA.

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Jill Frerichs College of Podiatric Medicine and Surgery, Des Moines University, Des Moines, IA.

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Nicholas B. Dodson West Penn Hospital, Pittsburgh, PA.

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Robert Greenhagen Division of Health Management, Des Moines University, Des Moines, IA. Dr. Greenhagan is now with the University of Pittsburgh Medical Center, Pittsburgh, PA.

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Simon Geletta College of Health Sciences, Des Moines University, Des Moines, IA.

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Background: This study was designed to compare the vitamin D levels in a cohort of nondiabetic patients to populations of diabetic patients with and without Charcot neuroarthropathy.

Methods: A total of 41 participants (22 male, 19 female) with a mean ± SD age of 59 ± 9.43 years had serum 25-hydroxyvitamin D levels tested. Fifteen participants composed the nondiabetic group; 13, the group with diabetes but without Charcot neuroarthropathy; and 13, the group with both diabetes and Charcot neuroarthropathy.

Results: The results of the study showed that the vitamin D levels in both diabetic populations were significantly lower (P < .05) than the nondiabetic population. There was no statistical difference between the group with diabetes but without Charcot foot disease and the group with both diabetes and Charcot neuroarthropathy.

Conclusions: Based on the results of this study, given the importance of vitamin D in bone metabolism and the osseous consequences associated with diabetes, as well as other systems affected by low levels of vitamin D in the diabetic patient, it appears that vitamin D levels should be monitored in diabetic patients. (J Am Podiatr Med Assoc 99(1): 35–41, 2009)

Corresponding author: Robert M. Yoho, DPM, MS, College of Podiatric Medicine and Surgery, Des Moines University, 3200 Grand Ave, Des Moines, IA 50312. (E-mail: robert.yoho@dmu.edu)