Urinary selenium in healthy and diabetic Saudi Arabians

We examined Se in urine of 170 Saudi Arabian diabetics (19 insulin-dependent type 1] and 151 insulin-independent type 2]) and in an equal number of control subjects of the same origin by measuring the ratio of the concentration of this metal (C_Se) to that of creatinine in urine (C_creat) for each subject. The mean (and SEM) of C_Se/C_creat for the control subjects was 56 (2.9) μmol/mol creat, whereas, the value for the diabetics combined or separated into type 1 and type 2 was 56.7 (3.2), 51.5 (6.3), and 57.4 (3.5) μmol/mol creat, respectively. With the exception of type 2 diabetics who were treated with insulin in addition to oral hypoglycemic and diet (35 patients) (mean SEM]=43 (4.3) μmol/mol creat), there was no significant difference in C_Se/C_creat between the diabetics and control subjects. Also, there was no significant correlation between C_Se/C_creat and age, sex, or weight of diabetics, whereas, the correlation with the degree of diabetic control was significant (p≤0.0136). Of all diabetes-associated disorders (cardiovascular diseases, neuropathy, ophthalmologic diseases, infections, and hepatic disease), only ophthalmologic diseases appears to cause a significant (p≤0.05) reduction in C_Se/C_creat, but only among type 2 diabetics. Inasmuch as Se status is reflected by urinary Se, healthy Saudi Arabians appear to have Se status that is comparable or higher than those reported for other populations.