Dakhale Ganesh N, Chaudhari Harshal V, Shrivastava Meena
Department of Pharmacology, Indira Gandhi Government Medical College, Nagpur 440018, India.
Adv Pharmacol Sci. 2011;2011:195271. doi: 10.1155/2011/195271. Epub 2011 Dec 28.
No study has ever examined the effect of vitamin C with metformin on fasting (FBS) and postmeal blood glucose (PMBG) as well as glycosylated hemoglobin (HbA1c) in the treatment of type 2 diabetes mellitus (DM). The goal was to examine the effect of oral vitamin C with metformin on FBS, PMBG, HbA1c, and plasma ascorbic acid level (PAA) with type 2 DM. Seventy patients with type 2 DM participated in a prospective, double-blind, placebo-controlled, 12-week study. The patients with type 2 DM were divided randomly into placebo and vitamin C group of 35 each. Both groups received the treatment for twelve weeks. Decreased PAA levels were found in patients with type 2 diabetes mellitus. This level was reversed significantly after treatment with vitamin C along with metformin compared to placebo with metformin. FBS, PMBG, and HbA1c levels showed significant improvement after 12 weeks of treatment with vitamin C. In conclusion, oral supplementation of vitamin C with metformin reverses ascorbic acid levels, reduces FBS, PMBG, and improves HbA1c. Hence, both the drugs in combination may be used in the treatment of type 2 DM to maintain good glycemic control.
尚无研究探讨维生素C与二甲双胍联合使用对2型糖尿病(DM)患者空腹血糖(FBS)、餐后血糖(PMBG)以及糖化血红蛋白(HbA1c)的影响。本研究旨在探讨口服维生素C与二甲双胍联合使用对2型糖尿病患者FBS、PMBG、HbA1c及血浆维生素C水平(PAA)的影响。70例2型糖尿病患者参与了一项前瞻性、双盲、安慰剂对照的12周研究。2型糖尿病患者被随机分为安慰剂组和维生素C组,每组35例。两组均接受为期12周的治疗。2型糖尿病患者的PAA水平降低。与二甲双胍联合安慰剂治疗相比,维生素C联合二甲双胍治疗后该水平显著逆转。维生素C治疗12周后,FBS、PMBG和HbA1c水平显著改善。总之,口服维生素C与二甲双胍联合使用可逆转维生素C水平,降低FBS、PMBG,并改善HbA1c。因此,两种药物联合使用可用于治疗2型糖尿病以维持良好的血糖控制。