姜黄对2型糖尿病患者血脂、空腹血糖、糖化血红蛋白和胰岛素抵抗水平的影响:一项随机双盲临床试验

IF 1 Q4 PHARMACOLOGY & PHARMACY Jundishapur Journal of Natural Pharmaceutical Products Pub Date : 2023-07-26 DOI:10.5812/jjnpp-136383
Mehrnoosh Zakerkish, A. Hemmati, Faranak Jalili Sebardan, Nader Shakiba Maram
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摘要

背景:糖尿病是世界范围内死亡的原因之一。姜黄、生姜和黑胡椒具有抗氧化和抗炎的特性。目的:本研究旨在评估姜黄补充剂(姜黄草药胶囊(320 mg)、生姜(150 mg)和黑胡椒(4 mg)对2型糖尿病患者空腹血糖水平、糖化血红蛋白水平、胰岛素抵抗和血脂的影响。方法:本研究是一项双盲、随机对照试验,对60名2型糖尿病患者进行随机分为干预组(n=30)和安慰剂组(n=3 0)。干预组每天接受两次姜黄补充剂胶囊,每12小时一次,持续90天,安慰剂组接受相同量和持续时间的淀粉胶囊。在研究开始和结束时,评估血糖指数,包括空腹血糖水平、血浆胰岛素水平、HbA1C水平、HOMA-B、HOMA-IR和脂质概况(高密度脂蛋白(HDL)、低密度脂蛋白、胆固醇(Chol)、甘油三酯(TG)和极低密度脂素(VLDL))。结果:研究前两组的年龄、性别和体重指数(BMI)的平均值没有显著差异。干预后,血糖指数的平均得分(包括血清HbA1C(P=0.003)、血浆胰岛素(P=0.015)、HOMA-IR(P=0.001)、空腹血糖(P=0.06)和BMI(P=0.016))之间存在统计学显著差异和下降。干预后,其他变量,如HDL、LDL、Chol、TG和VLDL,没有观察到显著变化。结论:2型糖尿病患者服用姜黄补充胶囊可降低血清HbA1C、血浆胰岛素、HOMA-IR、空腹血糖和BMI水平。
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Effect of Curcumex on Serum Lipid Profile and Fasting Blood Glucose, HbA1c, and Insulin Resistance Levels in Type 2 Diabetic Patients: A Randomized, Double-Blind Clinical Trial
Background: Diabetes is one of the causes of mortality worldwide. Turmeric, ginger, and black pepper have antioxidant and anti-inflammatory properties. Objectives: The present study was performed to evaluate the effect of Curcumex supplement (Turmeric herbal capsule (320 mg), ginger (150 mg), and black pepper (4 mg) on fasting blood glucose levels, HbA1c levels, insulin resistance, and serum lipid profile in type 2 diabetic patients. Methods: This study was a double-blind, randomized controlled trial conducted on 60 patients with type 2 diabetes who were randomly divided into the intervention (n=30) and placebo (n=30) groups. The intervention group received the Curcumex supplement capsule twice a day, every 12 hours for 90 days, and the placebo group received the same amount and duration of the starch capsule. At the beginning and end of the study, blood sugar indices, including fasting blood sugar levels, plasma insulin levels, HbA1C levels, HOMA-B, HOMA-IR, and lipid profile (high-density lipoprotein (HDL), low-density lipoprotein (LDL), cholesterol (Chol), triglyceride (TG), and very low-density lipoprotein (VLDL)) were assessed. Results: The mean values of age, gender, and body mass index (BMI) were not significantly different between the two groups before the study. There was a statistically significant difference and decrease between mean scores of blood sugar indices, including serum levels of HbA1C (P = 0.003), plasma insulin (P = 0.015), HOMA-IR (P = 0.001), fasting blood glucose (P = 0.06), and BMI (P = 0.016) after the intervention. After the intervention, no significant changes were not observed in other variables, such as HDL, LDL, Chol, TG, and VLDL. Conclusions: The consumption of curcumex supplement capsules in patients with type 2 diabetes reduces serum levels of HbA1C, plasma insulin, HOMA-IR, fasting blood glucose, and BMI.
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