Department of Community Medicine, College of Medicine, University of Al-Qadisiyah, AL-Qadisiyah, Iraq.
J Med Life. 2023 Aug;16(8):1178-1182. doi: 10.25122/jml-2023-0081.
Diabetes mellitus is a prevalent endocrine disorder characterized by elevated blood glucose levels, often resulting in complications affecting multiple organs, such as retinopathy, nephropathy, and neuropathy. Among potential interventions, certain micronutrients, like chromium, have the potential to improve glycemic management. The potential of chromium to mitigate insulin resistance and enhance insulin sensitivity through cellular receptors underscores its significance. Conversely, insufficient dietary chromium intake could contribute to diabetes development. This research aimed to evaluate the impact of chromium supplementation among individuals with diabetes. In a single-blind randomized clinical trial, participants aged 40 to 60 years with uncontrolled diabetes were divided into two groups. The intervention group received a daily chromium supplement of 200 mcg and their regular diabetes medication regimen, while the control group received only medication. The follow-up period spanned four months, during which fasting blood sugar, HbA1c levels, and lipid profiles were assessed for both groups, followed by a comparative analysis. Patients had a mean age of 52.3±6.3 years. Males constituted only 47.5% of participants, and women were 52.5%. The initial HbA1c level at the start of the study for individuals receiving chromium was 10.4±2.4. Following the follow-up period, the average HbA1c level decreased significantly to 7.2±1.7, showing a statistically significant difference. Furthermore, there was a significant reduction in the mean fasting blood sugar levels, approaching normal levels. These results suggest a beneficial role of chromium supplementation in managing type 2 diabetes mellitus, contributing to improved glycemic control.
糖尿病是一种常见的内分泌紊乱疾病,其特征是血糖水平升高,常导致多种器官并发症,如视网膜病变、肾病和神经病变。在潜在的干预措施中,某些微量营养素,如铬,有可能改善血糖管理。铬通过细胞受体来减轻胰岛素抵抗和增强胰岛素敏感性,这凸显了其重要性。相反,饮食中铬的摄入量不足可能导致糖尿病的发生。本研究旨在评估糖尿病患者补充铬的效果。在一项单盲随机临床试验中,将年龄在 40 至 60 岁之间、糖尿病未得到控制的参与者分为两组。干预组每天接受 200 mcg 的铬补充剂和他们的常规糖尿病药物治疗方案,而对照组仅接受药物治疗。随访期为四个月,在此期间评估两组的空腹血糖、HbA1c 水平和血脂谱,然后进行比较分析。患者的平均年龄为 52.3±6.3 岁。男性仅占参与者的 47.5%,女性占 52.5%。接受铬治疗的个体在研究开始时的初始 HbA1c 水平为 10.4±2.4。经过随访期后,HbA1c 水平平均显著下降至 7.2±1.7,差异具有统计学意义。此外,空腹血糖水平也显著降低,接近正常水平。这些结果表明,铬补充剂在管理 2 型糖尿病方面具有有益作用,有助于改善血糖控制。