Selenium in Hyperthyroidism

Introduction: Thyroid gland has the highest selenium content compare with other endocrine organs. Enzyme that catalyzing thyroid hormone activation, iodothyronine deiodinases, were identified as selenocysteine-containing proteins. Selenium levels in soil and rice consumed in Indonesia were lower than in several other countries, which can increase the risk of selenium deficiency.Methods: This is an article review of the current literatures published up to November 2018 about the role of selenium in hyperthyroid.Result: Several studies have shown that selenium supplementation can be beneficial in patients with Graves disease and autoimmune thyroiditis. Selenium has an important immunomodulatory effect, but the effects of selenium supplementation in hyperthyroid has not been conclude. Data regarding selenium intake, prevalence of deficiency, and the relationship between selenium and thyroid disease in Indonesia are limited. Various studies of selenium supplementation in thyroid disease provide controversial results, so there are no guidelines that include selenium as standard therapy hyperthyroid. Selenium supplementation can enhance the restoration of biochemical euthyroidism in Graves disease and was associated with a significant decrease in the levels of thyroid peroxidase antibodies in autoimmune thyroiditis.Conclusions: Micronutrients that play a role in thyroid hormone synthesis and maintain thyroid function in addition to selenium are iodine, iron, zinc, and vitamin A. By correcting the deficit of selenium, and meeting other micronutrient requirements may provide health benefits in patient with hyperthyroid

Dietary quality of predominantly traditional diets is associated with blood glucose profiles, but not with total fecal Bifidobacterium in Indonesian women.

BACKGROUND:A high quality modern diet is associated with reduced risk of metabolic disease and diabetes. However, it remains unclear whether the quality of predominantly traditional ethnic diets is associated with such conditions. Moreover, the relationship between dietary quality and microbiota, a potential mediator of metabolic disease, has not been studied. OBJECTIVE:We investigated the relationship of dietary quality of traditional ethnic diets in Indonesia with fasting blood glucose (FBG), HbA1c, and the number of fecal Bifidobacterium. DESIGN:A cross-sectional study was conducted in selected districts with predominantly animal- or plant-based traditional diets of West Sumatera and West Java provinces, respectively. A total of 240 apparently healthy women aged 19-50 years were randomly selected from 360 women screened by a cluster sampling design. Dietary quality was assessed by 2-day repeated 24-hour food recall, and scored using the Healthy Eating Index (HEI) 2010. FBG was quantified with the enzymatic colorimetric method, and HbA1c by using hexokinase and high-performance liquid chromatography, and total fecal Bifidobacterium by real-time quantitative polymerase chain reaction. RESULTS:The HEI scores of 99% of women were <51, indicating a low-quality diet. In adjusted multivariate regression, HEI was inversely associated with FBG (ß = -0.403; 95% CI = -0.789 to -0.016; p = 0.041) and HbA1c (ß = -0.018; 95% CI = -0.036 to 0.000; p = 0.048) but was not significantly associated with total levels of Bifidobacterium (ß = -0.007, p = 0.275). Bifidobacterium count was not significantly associated with either FBG or HbA1c levels. CONCLUSION:Low dietary quality is clearly associated with risk of increased markers of blood glucose. However, any mediating role of Bifidobacterium between dietary quality and glucose outcomes was not apparent. Innovative interventions for healthy eating should be implemented to increase dietary quality of populations transitioning from predominantly traditional to modern diets, to reduce the risk of diabetes, especially in women

Butterfly pea flower (Clitoria ternatea L.) extract displayed antidiabetic effect through antioxidant, anti-inflammatory, lower hepatic GSK-3β, and pancreatic glycogen on Diabetes Mellitus and dyslipidemia rat

Diabetes Mellitus (DM) is hyperglycemic or elevated blood glucose level and deficiency of insulin level. DM treatment using synthetic drugs has several complexities, side effects. Reducing the side effects of synthetic drugs, the utilization of herbal medicines is increasingly in demand. Butterfly pea flower (Clitoria ternatea L.) extract (CTE) has pharmacological activities such as hepatoprotective, diuretic, antioxidant, antidiabetic, and anti-inflammatory activities. Objective: This research was conducted to evaluate antidiabetic potent of CTE in DM and dyslipidemia rats model. Methods: LC-MS/MS was used to analyze the CTE compounds. Rats were given high fat diet for 28 days followed by nicotinamide and streptozotocin for inducing DM rats model. DM and dyslipidemia rats model were given CTE at 200, 400, 800 mg/kg of BW, glibenclamide, and simvastatin for 28 days. The glucose and insulin levels on day 28 were measured after treatment of CTE. The CAT, SOD, MDA, IL-18 and protein of pancreas were measured. The glycogen gene expression in pancreas was measured using q-RTPCR method. The GSK-3β expression of liver, IL-6 expression of pancreas were analyzed using IHC method. The data were analyzed using ANOVA and then continued to be analyzed using Tukey’s HSD post-hoc test. Results: CTE increased level of pancreatic CAT, SOD and protein, reduced pancreatic MDA, IL-18 levels, glycogen gene expression of pancreas, GSK-3β protein expression of liver, and IL-6 protein expression of pancreas in DM and dyslipidemia rats. CTE improved liver histopathology, reduced serum glucose, and enhanced insulin levels. Conclusion: CTE has the potency for DM treatment, through antioxidant, and anti-inflammatory in DM and dyslipidemia rats