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维生素 C 补充剂可改善 2 型糖尿病患者的餐后血糖控制和血压:一项随机交叉试验的结果。

Ascorbic acid supplementation improves postprandial glycaemic control and blood pressure in individuals with type 2 diabetes: Findings of a randomized cross-over trial.

机构信息

School of Exercise and Nutrition Sciences, Institute for Physical Activity and Nutrition, Deakin University, Geelong, Victoria, Australia.

School of Nursing and Midwifery, Faculty of Health, Deakin University, Geelong, Victoria, Australia.

出版信息

Diabetes Obes Metab. 2019 Mar;21(3):674-682. doi: 10.1111/dom.13571. Epub 2018 Dec 2.


DOI:10.1111/dom.13571
PMID:30394006
Abstract

AIM: The primary aim of this study was to investigate whether ascorbic acid (AA) supplementation improves postprandial glucose responses under free-living conditions in individuals with type 2 diabetes. A secondary aim was to investigate the effect of AA supplementation on blood pressure. MATERIALS AND METHODS: A total of 31 individuals with type 2 diabetes (26 males and 5 females; aged 61.8 ± 6.8 years; duration of diabetes, 5.6 ± 4.6 years; HbA1c, 7.6% ± 0.7% [mean ± SD]) were enrolled in a randomized cross-over study involving 4 months of supplementation with oral AA (2 × 500 mg/d) or placebo. Participants wore continuous glucose monitors for 48 hours and consumed standardized meals pre- and post-supplementation. Measurements included postprandial glucose incremental areas under the curve (iAUC), duration of day in hyper- and hypo-glycaemia status, average 24-hour and daily postprandial glucose concentrations, HbA1c, insulin, blood pressure (BP) and oxidative stress (F -isoprostanes). RESULTS: Following AA supplementation, significant decreases were observed in daily postprandial glucose iAUC (-36%), in duration of day with hyperglycaemia (-2.8 h/d) and postprandial hyperglycaemia (-1.7 h/d), in average 24-hour glucose (-0.8 mmol/L) and daily postprandial glucose (-1.1 mmol/L) concentrations, in systolic (-7 mm Hg) and diastolic (-5 mm Hg) blood pressures and in a specific fraction of free plasma F -isoprostanes (-47 pg/mL) as compared to placebo. CONCLUSIONS: Individuals with type 2 diabetes experienced improved postprandial and 24-hour glycaemia and decreased BP after 4 months of AA supplementation as compared to placebo. These findings offer evidence for the proposed use of AA as an adjunct therapy to improve glycaemic and BP control in individuals with type 2 diabetes.

摘要

目的:本研究的主要目的是在 2 型糖尿病患者的自由生活条件下,研究抗坏血酸(AA)补充是否能改善餐后血糖反应。次要目的是研究 AA 补充对血压的影响。

材料和方法:共纳入 31 名 2 型糖尿病患者(26 名男性,5 名女性;年龄 61.8 ± 6.8 岁;糖尿病病程 5.6 ± 4.6 年;HbA1c 7.6% ± 0.7%[均值 ± SD]),进行了一项为期 4 个月的随机交叉研究,参与者分别接受口服 AA(2×500mg/d)或安慰剂补充。参与者在补充前后佩戴连续血糖监测仪 48 小时,并摄入标准化餐食。测量指标包括餐后血糖增量曲线下面积(iAUC)、高血糖和低血糖状态的日间持续时间、平均 24 小时和每日餐后血糖浓度、HbA1c、胰岛素、血压(BP)和氧化应激(F-异前列腺素)。

结果:与安慰剂相比,AA 补充后,每日餐后血糖 iAUC 显著下降(-36%),日间高血糖持续时间(-2.8 小时/天)和餐后高血糖时间(-1.7 小时/天)、平均 24 小时血糖(-0.8mmol/L)和每日餐后血糖(-1.1mmol/L)浓度、收缩压(-7mmHg)和舒张压(-5mmHg)以及游离血浆 F-异前列腺素的特定分数(-47pg/mL)均下降。

结论:与安慰剂相比,2 型糖尿病患者在接受 AA 补充 4 个月后,餐后和 24 小时血糖得到改善,血压降低。这些发现为 AA 作为改善 2 型糖尿病患者血糖和血压控制的辅助治疗提供了证据。

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