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多菌株益生菌补充剂对2型糖尿病血糖控制的影响——随机对照试验

Impact of Multistrain Probiotic Supplementation on Glycemic Control in Type 2 Diabetes Mellitus-Randomized Controlled Trial.

作者信息

Chaithanya Venkata, Kumar Janardanan, Vajravelu Leela Kakithakara, Ram Mohan, Thulukanam Jayaprakash

机构信息

Department of Microbiology, SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalapattu 603203, Tamil Nadu, India.

Department of General Medicine, SRM Medical College Hospital and Research Centre, SRMIST, Kattankulathur, Chengalapattu 603203, Tamil Nadu, India.

出版信息

Life (Basel). 2024 Nov 14;14(11):1484. doi: 10.3390/life14111484.

Abstract

Hyperglycemia, a key characteristic of type 2 diabetes mellitus (T2DM), highlights the need for effective management strategies. This study aims to analyze the impact of multistrain probiotic supplementation on glycemic control in T2DM patients. During a 24-week randomized controlled trial involving 130 participants, subjects were assigned to either a probiotic group or a placebo group. The key outcomes included fasting blood glucose (FBG), postprandial blood glucose (PPBG), glycated hemoglobin (HbA1c) levels, and lipid profiles, assessed at baseline and post-intervention. The results indicated a significant reduction in HbA1c ( = 0.004) and increased HDL-c ( = 0.023) and improvements in lipid profiles in the probiotic group, alongside a trend toward decreased FBG and PPBG. No serious adverse effects were reported, indicating good tolerance of probiotics. These findings suggest that probiotics may positively influence metabolic parameters in T2DM patients, supporting their potential as a complementary dietary intervention. Further research is needed to understand the underlying mechanisms and enhance probiotic formulations for diabetic control.

摘要

高血糖是2型糖尿病(T2DM)的一个关键特征,这凸显了有效管理策略的必要性。本研究旨在分析多菌株益生菌补充剂对T2DM患者血糖控制的影响。在一项为期24周的随机对照试验中,130名参与者被分为益生菌组或安慰剂组。主要观察指标包括空腹血糖(FBG)、餐后血糖(PPBG)、糖化血红蛋白(HbA1c)水平和血脂谱,在基线和干预后进行评估。结果表明,益生菌组的HbA1c显著降低( = 0.004),高密度脂蛋白胆固醇(HDL-c)升高( = 0.023),血脂谱得到改善,同时空腹血糖和餐后血糖有下降趋势。未报告严重不良反应,表明益生菌耐受性良好。这些发现表明,益生菌可能对T2DM患者的代谢参数产生积极影响,支持其作为一种辅助饮食干预措施的潜力。需要进一步研究以了解其潜在机制,并改进用于糖尿病控制的益生菌制剂。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b629/11595758/850e32fad027/life-14-01484-g001.jpg

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