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硒在2型糖尿病中的有益作用:一项纵向研究。

The Beneficiary Role of Selenium in Type II Diabetes: A Longitudinal Study.

作者信息

Karalis Dimitrios T

机构信息

Pathology, University of Thessaly, Volos, GRC.

出版信息

Cureus. 2019 Dec 22;11(12):e6443. doi: 10.7759/cureus.6443.

Abstract

Introduction Selenium (Se) is an antioxidotic element that is able to protect the pancreatic islets from oxidative stress, improve their functionality, and suspend atherosclerosis. The current paper is an attempt to demonstrate the beneficiary impact of administrating Se to patients with diabetes type 2 who are being treated with oral hypoglycemic agents, based on their glycemic and lipidemic profile. Methods The study involves 94 individuals, 72 male and 22 female patients aged 48 to 64 years old with diabetes mellitus type 2. They did not present any diabetic complications or significant comorbidities. They were following a Mediterranean diet and were monitored in order to maintain a steady body mass index (BMI). They were administered with Se 200 μg, taken once daily on an empty stomach. The laboratory testing included fasting blood glucose, hemoglobin A1c (HbA1c), total cholesterol, triglycerides, high-density lipoprotein (HDL), and low-density lipoprotein (LDL). The tests were performed before, three months after, and six months after the administration of selenium. Results The study resulted in a statistically significant reduction in the blood levels of glucose, HbA1c, cholesterol, and LDL in both three months and six months after the beginning of the treatment. HDL did not present any change during the first three months but did present a statistically significant increase in six months. Triglycerides did not present a significant reduction in both three and six months. Conclusion It appears that the administration of Se to type-2 diabetic patients can improve their glycemic and lipidemic profile, while larger definite trials are needed to provide further evidence.

摘要

引言 硒(Se)是一种抗氧化元素,能够保护胰岛免受氧化应激,改善其功能,并延缓动脉粥样硬化。本文旨在根据2型糖尿病患者的血糖和血脂情况,证明对接受口服降糖药治疗的2型糖尿病患者补充硒的有益影响。

方法 该研究涉及94名个体,其中72名男性和22名女性,年龄在48至64岁之间,患有2型糖尿病。他们没有任何糖尿病并发症或严重的合并症。他们遵循地中海饮食,并接受监测以维持稳定的体重指数(BMI)。他们每天空腹服用一次200μg硒。实验室检测包括空腹血糖、糖化血红蛋白(HbA1c)、总胆固醇、甘油三酯、高密度脂蛋白(HDL)和低密度脂蛋白(LDL)。在服用硒之前、服用后三个月和六个月进行检测。

结果 研究结果显示,治疗开始后的三个月和六个月,血糖、HbA1c、胆固醇和LDL的血液水平均有统计学意义的显著降低。HDL在最初三个月没有变化,但在六个月时有统计学意义的显著升高。甘油三酯在三个月和六个月时均没有显著降低。

结论 对2型糖尿病患者补充硒似乎可以改善他们的血糖和血脂情况,不过还需要更大规模的确切试验来提供进一步的证据。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff79/6973540/f78e15706187/cureus-0011-00000006443-i01.jpg

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