The efficacy and safety of berberine in combination with cinnamon supplementation in patients with type 2 diabetes: a randomized clinical trial.

IF 4.3 2区 医学 Q2 NUTRITION & DIETETICS European Journal of Nutrition Pub Date : 2025-02-25 DOI:10.1007/s00394-025-03618-9
Asieh Mansour, Sayed Mahmoud Sajjadi-Jazi, Hadis Gerami, Atie Sadat Khorasanian, Behnam Moalemzadeh, Sara Karimi, Nima Mohamadi Afrakoti, Vahid Mofid, Mohammad Reza Mohajeri-Tehrani, Azita Hekmatdoost
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Abstract

Background: Diabetes is a serious global health issue and increases the risk of several chronic diseases. However, if hyperglycemia and other metabolic abnormalities related to diabetes are controlled, fewer micro- and macrovascular complications may occur.

Objective: To investigate whether daily supplementation with berberine in combination with cinnamon could have effect on cardiometabolic risk factors, such as impaired glucose regulation, dyslipidemia, and hypertension in patients with diabetes.

Methods: Patients with type 2 diabetes were recruited to participate in a parallel, double-blind, placebo-controlled, randomized study. Participants were randomized into berberine in combination with cinnamon supplementation or placebo group. Participants were then asked to take a divided daily dose of 1200 mg berberine and 600 mg cinnamon or placebo for 12 weeks. ANCOVA was then performed to evaluate the differences between the two groups, controlling for the respective baseline values.

Results: At the end of study, fasting blood sugar (FBS) (P = 0.031) and hemoglobin A1C (HbA1c) (P = 0.013) were significantly lower in participants taking berberine plus cinnamon than those taking the placebo capsules. The results of the serum lipid profile also indicated a significant difference in the level of low density lipoprotein cholesterol (LDL-C) (P = 0.039), while no difference was observed in the levels of total cholesterol, high density lipoprotein cholesterol (HDL-C), and triglycerides between the study groups. In addition, there was no difference in other measured metabolic and anthropometric parameters between the two groups.

Conclusion: Twelve weeks of berberine plus cinnamon consumption reduced blood FBS, HbA1c and LDL-C concentration in patients with diabetes.

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小檗碱联合肉桂补充剂对2型糖尿病患者的疗效和安全性:一项随机临床试验。
背景:糖尿病是一个严重的全球健康问题,增加了几种慢性疾病的风险。然而,如果高血糖和其他与糖尿病相关的代谢异常得到控制,可能会减少微血管和大血管并发症的发生。目的:探讨每日补充小檗碱联合肉桂是否对糖尿病患者血糖调节障碍、血脂异常、高血压等心脏代谢危险因素有影响。方法:招募2型糖尿病患者参加一项平行、双盲、安慰剂对照的随机研究。参与者被随机分为黄连素联合肉桂补充剂组或安慰剂组。然后,参与者被要求每天服用1200毫克小檗碱和600毫克肉桂或安慰剂,持续12周。然后进行ANCOVA来评估两组之间的差异,控制各自的基线值。结果:研究结束时,服用小檗碱加肉桂胶囊的参与者的空腹血糖(FBS) (P = 0.031)和血红蛋白A1C (HbA1c) (P = 0.013)显著低于服用安慰剂胶囊的参与者。血脂分析结果也表明,低密度脂蛋白胆固醇(LDL-C)水平在研究组之间存在显著差异(P = 0.039),而总胆固醇、高密度脂蛋白胆固醇(HDL-C)和甘油三酯水平在研究组之间没有差异。此外,两组之间的其他代谢和人体测量参数也没有差异。结论:12周小檗碱加肉桂可降低糖尿病患者血FBS、HbA1c和LDL-C浓度。
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来源期刊
CiteScore
10.20
自引率
2.00%
发文量
295
审稿时长
6 months
期刊介绍: The European Journal of Nutrition publishes original papers, reviews, and short communications in the nutritional sciences. The manuscripts submitted to the European Journal of Nutrition should have their major focus on the impact of nutrients and non-nutrients on immunology and inflammation, gene expression, metabolism, chronic diseases, or carcinogenesis, or a major focus on epidemiology, including intervention studies with healthy subjects and with patients, biofunctionality of food and food components, or the impact of diet on the environment.
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