Selenium and Type 2 Diabetes

Type 2 Diabetes. Some news reports have suggested that high selenium intakes and status may be potential risk factors for the development of type 2 Diabetes mellitus. However, current data show that supplemental selenium does not cause diabetes [Schomburg 2020].

Diabetes symptoms
It seems likely that diabetes causes elevated blood selenium levels rather than the other way around [Schomburg 2020].
Two large randomized controlled trials using selenium supplements have shown no diabetes risk caused by 1) a selenomethionine product [Lippman 2009] and 2)   a selenium-enriched yeast product [Thompson 2016; Jacobs 2019]. In neither study was there any significant risk of diabetes  at the recommended dosage, not even among selenium-replete individuals of various ages and both genders [Schomburg 2020].

Moreover, in the Selenium Trial, the researchers saw no causal role for selenium in the development of insulin resistance or diabetes. Instead, they observed decreased fasting blood glucose levels in the selenium supplemented group compared to the control group [Jacobs 2019]. read more

Selenium and liver cancer: the Qidong study results

China is a country with many selenium-poor regions. The people living in these regions have paid the price with high rates of heart disease, bone disease, and various forms of cancer. Selenium supplementation has proven beneficial in China.

Some 50 years ago now, Chinese researchers began to understand the health risks associated with low selenium status.  Cross-sectional studies showed an association between low selenium concentrations in cereal grains, the low selenium status of local citizens, and the incidence of Keshan disease, a heart disease with high death rates.  The administration of selenium supplements in intervention studies resulted in significant reductions in the incidence of Keshan disease [Chen 2012].  Selenium status is one of the main factors contributing to the development of Keshan disease.

Selenium and Kashin-Beck disease
Not long afterwards, Chinese researchers realized that Kashin-Beck disease, a disease of the bone, is prevalent in regions of China and Tibet that are poor in selenium.  The researchers saw that a deficiency of selenium and iodine was a common factor Kashin-Beck disease regions [Yao 2011]. read more