Department of Biochemistry, Faculty of Pharmacy, Cairo University, Cairo, Egypt.
Saudi Pharm J. 2009 Jul;17(3):199-207. doi: 10.1016/j.jsps.2009.08.008. Epub 2009 Aug 7.
The incidence of cardiovascular disease in patients with type 2 diabetes mellitus is approximately twice as high as in the non-diabetic population.
To investigate the hypoglycemic and hypocholesterolemic effects of Daflon(®) 500 mg (DF) administration together with its tolerability and efficacy in reducing the cardiovascular metabolic risk factors in female patients with type 2 diabetes.
In a well-adequate controlled single-blinded randomized parallel design the tolerability and the efficacy of Daflon(®) (500 mg) either alone or with oral hypoglycemic, twice daily for 45 days, was studied in 36 female patients with type 2 diabetes.
None of the patients in the studied groups were reported to have any adverse events throughout the treatment period (45 days), liver and kidney function tests were within normal limits and there was no significant difference between the pre-treatment (day 0) and post-treatment (day 45) values. Female patients receiving Daflon(®) either alone or with oral hypoglycemic showed significant decrease in serum glucose; fructosamine; total cholesterol; LDL-cholesterol; triglycerides; malondialdehydes (as index of lipid peroxidation) and C-reactive protein (CRB) levels along with increase in the levels of nitric oxide and blood glutathione.
This study has shown that Daflon(®) (500 mg, twice daily for 45 days) is helpful in reducing glucose level and the risk of cardiovascular disease in type 2 diabetic patients.
Further clinical trials are essential for strengthening the evidence base on the role of this drug in the cardiovascular risk in diabetic patients.
2 型糖尿病患者患心血管疾病的发病率大约是非糖尿病患者的两倍。
研究地奥司明(达肝素)500mg(DF)联合治疗对 2 型糖尿病女性患者的降血糖和降胆固醇作用及其降低心血管代谢危险因素的耐受性和疗效。
在一项充分控制的单盲随机平行设计中,研究了地奥司明(500mg)单独或与口服降糖药联合使用的耐受性和疗效,每天两次,持续 45 天,共 36 例 2 型糖尿病女性患者。
在整个治疗期间(45 天),研究组均无患者报告发生任何不良事件;肝肾功能检查均在正常范围内,治疗前(第 0 天)和治疗后(第 45 天)的值之间无显著差异。单独接受地奥司明或与口服降糖药联合治疗的女性患者,其血清葡萄糖、果糖胺、总胆固醇、LDL-胆固醇、甘油三酯、丙二醛(作为脂质过氧化的指标)和 C 反应蛋白(CRP)水平显著降低,而一氧化氮和血液谷胱甘肽水平升高。
本研究表明,地奥司明(500mg,每日两次,持续 45 天)有助于降低 2 型糖尿病患者的血糖水平和心血管疾病风险。
进一步的临床试验对于加强该药物在糖尿病患者心血管风险中的作用的证据基础至关重要。