Yadav Dhananjay, Tiwari Arvind, Mishra Meerambika, Subramanian Senthil S, Baghel Usha Singh, Mahajan Sunil, Bisen P S, Prasad G B K S
Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, South Korea ; SOS in Biochemistry Jiwaji University, Gwalior (M.P), India.
SOS in Biochemistry Jiwaji University, Gwalior (M.P), India.
Afr J Tradit Complement Altern Med. 2014 Jan 28;11(2):249-56. doi: 10.4314/ajtcam.v11i2.4. eCollection 2014.
In the present study, "Diabegon" a poly-herbal preparation, with hypoglycemic activity, was evaluated for its preventive effect in metabolic syndrome subjects with type 2 diabetes and also to reveal its side effects, on liver and kidney.
Type 2 diabetic subjects with metabolic syndrome (N=58) were categorized on the basis of age and fasting blood glucose. The grouping was as follows: Group I (35-50 yrs), Group II (51-65 yrs), Group III >65 yrs, Group IV FBS<145.9, Group V FBS>145. Each group was administered 4 gm of diabegon daily. Blood glucose levels, lipid profile, liver and kidney function of the subjects were regularly monitored within 3 months of interval to 18 months.
The reduction in fasting blood glucose level ranged from 12.3% (P<0.05) to 42% (P<0.001) after 18 month of therapy whereas in postprandial blood glucose, the decrease ranged from 28% (P<0.05) to 32% (P<0.05) after 18 month of therapy. Overall reductions in the individual parameters of the metabolic syndrome subjects were significantly higher in Group I. Cholesterol level decreased from 11% to 27.2% (P<0.001), triglyceride levels decreased from 24% to 55%, VLDL and LDL levels reduced by 60% & 54% respectively after 18 months of therapy. The HDL-C level increased in all groups. Moreover, diabegon administration for 1.5 years exhibited no alteration in liver and kidney function tests, which indicate its non-toxicity.
Our study suggests that diabegon could be included as a preventive treatment in metabolic syndrome subjects with type 2 diabetes especially for long term treatment as it efficiently shows anti-hyperglycemic and anti-lipidemic effects with no adverse impacts on the liver and kidney.
在本研究中,对具有降血糖活性的多草药制剂“Diabegon”在患有2型糖尿病的代谢综合征受试者中的预防作用及其对肝脏和肾脏的副作用进行了评估。
将患有代谢综合征的2型糖尿病受试者(N = 58)根据年龄和空腹血糖进行分类。分组如下:第一组(35 - 50岁),第二组(51 - 65岁),第三组(> 65岁),第四组(空腹血糖< 145.9),第五组(空腹血糖> 145)。每组每天服用4克Diabegon。在3个月至18个月的间隔内定期监测受试者的血糖水平、血脂谱、肝功能和肾功能。
治疗18个月后,空腹血糖水平降低幅度为12.3%(P < 0.05)至42%(P < 0.001),而餐后血糖降低幅度为治疗18个月后的28%(P < 0.05)至32%(P < 0.05)。代谢综合征受试者各项参数的总体降低在第一组中显著更高。治疗18个月后,胆固醇水平从11%降至27.2%(P < 0.001),甘油三酯水平从24%降至55%,极低密度脂蛋白(VLDL)和低密度脂蛋白(LDL)水平分别降低了60%和54%。高密度脂蛋白胆固醇(HDL - C)水平在所有组中均升高。此外,服用Diabegon 1.5年对肝功能和肾功能测试无改变,这表明其无毒。
我们的研究表明Diabegon可作为患有2型糖尿病的代谢综合征受试者的预防性治疗药物,特别是对于长期治疗,因为它能有效显示出抗高血糖和抗血脂作用,且对肝脏和肾脏无不良影响。