Division of Endocrinology, Department of Internal Medicine, Gangnam Severance Hospital, Yonsei University College of Medicine, Republic of Korea.
Severance Institute for Vascular and Metabolic Research, Yonsei University College of Medicine, Republic of Korea.
J Diabetes Res. 2020 Jan 16;2020:5295328. doi: 10.1155/2020/5295328. eCollection 2020.
Many Type 2 diabetes (T2DM) patients in Korea take Korean Red Ginseng (KRG) for various reasons. In this study, we investigated the effects of KRG administration on diabetic peripheral neuropathy in T2DM patients.
This study was a randomized, double-blind, placebo-controlled trial. Participants were randomly allocated to either the placebo or KRG group and took corresponding tablets for 24 weeks. The primary outcomes were changes in current perception threshold (CPT) at week 24. Secondary outcomes were altered fasting plasma glucose, HbA1c, and various metabolic and inflammatory markers at week 24.
Sixty-one patients completed the study. The CPT of the lower extremities at various frequencies exhibited significant improvements at week 24 in the KRG group. Other metabolic parameters were not altered after 24 weeks in both groups. In the subgroup analysis, CPT levels were improved in those with a longer diabetes duration or who already had neuropathy at the beginning of the study, and insulin resistance was improved in patients with a shorter diabetes duration.
Twenty-four week administration of KRG in T2DM patients resulted in a significant improvement in neuropathy, especially in those with a longer diabetes duration. A further, larger population study with a longer follow-up period is warranted to verify the effects of KRG on diabetic neuropathy.
由于各种原因,许多韩国 2 型糖尿病(T2DM)患者服用红参(KRG)。本研究旨在探讨 KRG 对 T2DM 患者糖尿病周围神经病变的影响。
这是一项随机、双盲、安慰剂对照试验。参与者被随机分配到安慰剂或 KRG 组,并在 24 周内服用相应的片剂。主要结局是 24 周时的电流感觉阈值(CPT)变化。次要结局是 24 周时改变空腹血糖、HbA1c 以及各种代谢和炎症标志物。
61 例患者完成了研究。KRG 组在各频率下的下肢 CPT 在 24 周时显著改善。两组患者在 24 周后其他代谢参数均未改变。在亚组分析中,糖尿病病程较长或研究开始时已有神经病变的患者 CPT 水平有所改善,糖尿病病程较短的患者胰岛素抵抗有所改善。
T2DM 患者服用 KRG 24 周可显著改善神经病变,尤其是糖尿病病程较长的患者。需要进一步进行更大规模、随访时间更长的人群研究,以验证 KRG 对糖尿病神经病变的影响。