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口服药物可增强2型糖尿病患者的血糖控制。

Oral augments glycemic control in type 2 diabetes.

作者信息

Attaye Ilias, Witjes Julia J, Koopen Annefleur M, van der Vossen Eduard W J, Zwirs Diona, Wortelboer Koen, Collard Didier, Kemper Elles Marleen, Winkelmeijer Maaike, Holst Jens J, Hazen Stanley L, Kuipers Folkert, Stroes Erik S G, Groen Albert K, de Vos Willem M, Nieuwdorp Max, Herrema Hilde

机构信息

Department of Vascular Medicine, Amsterdam University Medical Centers, Amsterdam, the Netherlands.

Amsterdam Cardiovascular Sciences, Diabetes & Metabolism, Amsterdam, the Netherlands.

出版信息

iScience. 2024 Jul 5;27(8):110455. doi: 10.1016/j.isci.2024.110455. eCollection 2024 Aug 16.

Abstract

This randomized, double-blind, placebo-controlled trial investigated the impact of 14-day L2-7 supplementation on postprandial glucose levels in 25 White Dutch males with type 2 diabetes (T2D) on stable metformin therapy. The primary endpoint was the effect of versus placebo on glucose excursions and variability as determined by continuous glucose monitoring. Secondary endpoints were changes in ambulatory 24-h blood pressure, incretins, circulating metabolites and excursions of plasma short-chain fatty acids (SCFAs) and bile acids upon a standardized meal. Results showed that supplementation for 14 days significantly improved glycemic variability and mean arterial blood pressure, without notable changes in SCFAs, bile acids, incretin levels, or anthropometric parameters as compared to placebo-treated controls. Although well-tolerated and effective in improving glycemic control in the intervention group, further research in larger and more diverse populations is needed to generalize these findings.

摘要

这项随机、双盲、安慰剂对照试验研究了在25名接受稳定二甲双胍治疗的荷兰白人2型糖尿病(T2D)男性中,补充14天的L2-7对餐后血糖水平的影响。主要终点是通过持续葡萄糖监测确定的补充剂与安慰剂对血糖波动和变异性的影响。次要终点是标准化餐后动态24小时血压、肠促胰岛素、循环代谢物以及血浆短链脂肪酸(SCFAs)和胆汁酸波动的变化。结果显示,与安慰剂治疗的对照组相比,补充14天显著改善了血糖变异性和平均动脉血压,而SCFAs、胆汁酸、肠促胰岛素水平或人体测量参数没有明显变化。尽管干预组耐受性良好且在改善血糖控制方面有效,但需要在更大且更多样化的人群中进行进一步研究,以推广这些发现。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/186b/11321313/cf19434910db/fx1.jpg

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