Universidade Federal do Rio Grande do Sul, Medical School, Porto Alegre, Brazil.
Hospital de Clínicas de Porto Alegre, Endocrine Division, Porto Alegre, Brazil.
Br J Nutr. 2023 Jun 14;129(11):1871-1876. doi: 10.1017/S0007114522002768. Epub 2022 Sep 1.
Type 2 diabetes mellitus (T2DM) is characterised by chronic hyperglycaemia. Despite the efficacy of conventional pharmacotherapy, some individuals do not reach glycaemic goals and require adjuvant therapies. Taurine, a semi-essential amino acid, decreases blood glucose and cholesterol levels in rodents and humans. However, glycated hemoglobin (HbA1c) has not been evaluated in randomised controlled trials after taurine treatment for more than 12 weeks. This study aims to evaluate the effect of taurine administration on glycaemic, lipid, inflammatory, anthropometric and dietary parameters in individuals with T2DM. A randomised, double-blind, placebo-controlled clinical trial will be conducted at the Clinical Research Center of a tertiary public hospital. Participants with T2DM ( 94) will be recruited and randomised to receive 3 g of taurine or placebo, twice/day, orally, for 12 weeks. Blood samples will be collected before and after 12 weeks of treatment, when HbA1c, fasting glucose, insulin, albuminuria, creatinine, total cholesterol and fractions, triglycerides, C-reactive protein, TNF-, IL 1, 4, 5, 6, 10 and 13 will be evaluated. Anthropometric parameters and 24-hour food recall will also be evaluated. The study will evaluate the effect of taurine treatment on biochemical and anthropometric parameters in individuals with T2DM. These results will guide the decision-making to indicate taurine treatment as an adjunct in individuals with T2DM who have not reached their glycaemic goal.
2 型糖尿病(T2DM)的特征是慢性高血糖。尽管常规药物治疗有效,但有些人仍未达到血糖目标,需要辅助治疗。牛磺酸是一种半必需氨基酸,可降低啮齿动物和人类的血糖和胆固醇水平。然而,在牛磺酸治疗超过 12 周后,尚未在随机对照试验中评估糖化血红蛋白(HbA1c)。本研究旨在评估牛磺酸给药对 T2DM 个体血糖、血脂、炎症、人体测量和饮食参数的影响。将在一家三级公立医院的临床研究中心进行一项随机、双盲、安慰剂对照的临床试验。将招募 T2DM(94 例)患者,并随机分为两组,分别接受 3 克牛磺酸或安慰剂,每日两次,口服,持续 12 周。在治疗 12 周前后采集血样,评估 HbA1c、空腹血糖、胰岛素、白蛋白尿、肌酐、总胆固醇和各 fractions、甘油三酯、C 反应蛋白、TNF-、IL 1、4、5、6、10 和 13。还将评估人体测量参数和 24 小时食物回忆。该研究将评估牛磺酸治疗对 T2DM 个体生化和人体测量参数的影响。这些结果将为决策提供依据,表明牛磺酸治疗可作为未达到血糖目标的 T2DM 患者的辅助治疗。