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纳米姜黄素对糖尿病患者糖化血红蛋白、空腹血糖和血脂水平的影响:一项随机临床试验。

The effect of nano-curcumin on HbA1c, fasting blood glucose, and lipid profile in diabetic subjects: a randomized clinical trial.

作者信息

Rahimi Hamid Reza, Mohammadpour Amir Hooshang, Dastani Mostafa, Jaafari Mahmoud Reza, Abnous Khalil, Ghayour Mobarhan Majid, Kazemi Oskuee Reza

机构信息

Student Research Committee, Department of Modern Sciences & Technologies, School of Medicine, Mashhad University of Medical Sciences, Mashhad, Iran.

Pharmacetical Research Center, School of Pharmacy, Mashhad University of Medical Sciences, Mashhad, Iran.

出版信息

Avicenna J Phytomed. 2016 Sep-Oct;6(5):567-577.

Abstract

OBJECTIVE

Diabetes mellitus is defined as a group of metabolic diseases characterized by hyperglycemia resulting from defects in insulin secretion, insulin action, or both or insulin resistance. Curcumin inhibits NF-κB signaling pathway. The aim of this study is evaluation of the effect of Nano-curcumin on HbA1C, fast blood glucose and lipid profile in diabetic patients.

MATERIALS AND METHODS

Seventy type-2 diabetic patients (fasting blood glucose (FBG) ≥ 126 mg/dL or 2-hr postprandial blood glucose ≥200 mg/dl) randomly receivedeither Curcumin (as nano-micelle 80 mg/day) or placebo for 3 months in a double blind randomized clinical trial. Fasting blood glucose, HbA1C, and lipids profile were checked before and after the intervention. Data analyses, including parametric and nonparametric tests were done using the SPSS 11.5 software. A p value < 0.05 was regarded as statistically significant. (RCT registration code: IRCT2013081114330N1).

RESULTS

Mean age, BMI, FBG, total cholesterol (TC), triglyceride (TG), LDL, HDL, HbA1c , and sex and had no significant difference at the baseline between the groups. In Nano-curcumin group, a significant decrease was found in HbA1C, FBG, TG, and BMI comparing results of each subject before and after the treatment (p<0.05). By comparing pre- and post-treatment values among the groups, HbA1c, eAG, LDL-C, and BMI variables showed significant differences (p<0.05).

CONCLUSION

These findings suggest an HbA1c lowering effect for Nano-curcumin in type-2 diabetes; also, it is partially decrease in serum LDL-C and BMI.

摘要

目的

糖尿病被定义为一组代谢性疾病,其特征是由于胰岛素分泌缺陷、胰岛素作用缺陷或两者兼而有之(即胰岛素抵抗)导致的高血糖。姜黄素可抑制核因子κB信号通路。本研究旨在评估纳米姜黄素对糖尿病患者糖化血红蛋白(HbA1C)、空腹血糖和血脂谱的影响。

材料与方法

在一项双盲随机临床试验中,70例2型糖尿病患者(空腹血糖(FBG)≥126mg/dL或餐后2小时血糖≥200mg/dl)被随机给予姜黄素(纳米胶束形式,80mg/天)或安慰剂,为期3个月。在干预前后检查空腹血糖、HbA1C和血脂谱。使用SPSS 11.5软件进行数据分析,包括参数检验和非参数检验。p值<0.05被视为具有统计学意义。(随机对照试验注册号:IRCT2013081114330N1)。

结果

两组患者在基线时的平均年龄、体重指数、空腹血糖、总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)、高密度脂蛋白(HDL)、糖化血红蛋白以及性别均无显著差异。在纳米姜黄素组中,与治疗前后每位受试者的结果相比,糖化血红蛋白、空腹血糖、甘油三酯和体重指数均有显著下降(p<0.05)。通过比较两组治疗前后的值,糖化血红蛋白、估算平均血糖(eAG)、低密度脂蛋白胆固醇(LDL-C)和体重指数变量显示出显著差异(p<0.05)。

结论

这些发现表明纳米姜黄素对2型糖尿病有降低糖化血红蛋白的作用;此外,它还能部分降低血清低密度脂蛋白胆固醇和体重指数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/039a/5052420/4e24150ddc95/AJP-6-567-g001.jpg

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