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L.对改善80岁及以上COVID-19感染后发生糖尿病的老年患者胰岛素分泌能力及抵抗的作用

Effect of L. on Improving Insulin Secretory Capacity and Resistance in Elderly Patients Aged 80 Years Old or Older Who Develop Diabetes After COVID-19 Infection.

作者信息

Gonda Kenji, Hai Takeshi, Suzuki Kouichi, Ozaki Akihiko, Shibusa Takashi, Takenoshita Seiichi, Maejima Yuko, Shimomura Kenjyu

机构信息

Department of Breast and Thyroid Surgery, Jyoban Hospital of Tokiwa Foundation, Iwaki City 972-8322, Fukushima, Japan.

Department of Gastrointestinal Tract Surgery, Fukushima Medical University, 1 Hikarigaoka, Fukushima City 960-1295, Fukushima, Japan.

出版信息

Nutrients. 2025 Jan 15;17(2):290. doi: 10.3390/nu17020290.

Abstract

(1) Background: It has been reported that people affected by COVID-19, an infectious disease caused by SARS-CoV-2, suffer from various diseases, after infection. One of the most serious problems is the increased risk of developing diabetes after COVID-19 infection. However, a treatment for post-COVID-19 infection diabetes has not yet been established. In this study, we investigated the effects of L. extract, which has traditionally been used to reduce blood glucose levels in Okinawa, on patients who developed diabetes after COVID-19 infection. (2) Methods: In total, 128 rehabilitation patients aged 80 years old or older who developed diabetes after COVID-19 infection were included. The HOMA-β (Homeostatic model assessment of β-cell function) and HOMA-IR (Homeostatic model assessment of insulin resistance) were assessed to evaluate the glucose tolerance. (3) Results: The HOMA-β decreased and HOMA-IR increased in patients who developed after diabetes after COVID-19 infection. Subsequently, 59 patients were given L. extract and their HOMA-β and HOMA-IR improved after ingestion. On the other hand, the control group of patients who did not consume L. showed no improvement in both HOMA-β and HOMA-IR. (4) Conclusions: L. extract, ingested by patients who developed diabetes after COVID-19 infection, stimulated insulin secretion capacity and improved insulin resistance.

摘要

(1) 背景:据报道,感染由严重急性呼吸综合征冠状病毒2(SARS-CoV-2)引起的传染病新冠病毒病(COVID-19)的人在感染后会患上各种疾病。最严重的问题之一是感染COVID-19后患糖尿病的风险增加。然而,针对COVID-19感染后糖尿病的治疗方法尚未确立。在本研究中,我们调查了冲绳地区传统上用于降低血糖水平的L.提取物对COVID-19感染后患上糖尿病的患者的影响。(2) 方法:总共纳入了128名80岁及以上感染COVID-19后患上糖尿病的康复患者。评估稳态模型评估β细胞功能(HOMA-β)和稳态模型评估胰岛素抵抗(HOMA-IR)以评估糖耐量。(3) 结果:COVID-19感染后患上糖尿病的患者中,HOMA-β降低,HOMA-IR升高。随后,59名患者服用了L.提取物,服用后他们的HOMA-β和HOMA-IR得到改善。另一方面,未服用L.的对照组患者的HOMA-β和HOMA-IR均未改善。(4) 结论:COVID-19感染后患上糖尿病的患者服用L.提取物可刺激胰岛素分泌能力并改善胰岛素抵抗。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec39/11767592/5416c0d42702/nutrients-17-00290-g001.jpg

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