Maqrashi Nasiba Al, Busaidi Salim Al, Al-Rasbi Sara, Alawi Abdullah M Al, Al-Maqbali Juhaina S
Internal Medicine Residency Training Program, Oman Medical Specialty Board, Muscat, Oman.
Department of Medicine, Sultan Qaboos University Hospital, University Medical City, Muscat, Oman.
Sultan Qaboos Univ Med J. 2025 May 2;25(1):382-394. doi: 10.18295/2075-0528.2848.
This study evaluated the effects of magnesium (Mg) supplementation on glycaemic control in type 2 diabetes mellitus through a meta-analysis of 23 randomised controlled trials involving 1,345 participants. Mg supplementation significantly increased serum Mg levels (weighted mean difference [WMD] = 0.69, 95% CI: 0.32 to 1.06) and reduced fasting blood glucose levels (WMD = -0.58, 95% CI: -0.87 to -0.28). However, the impact on glycated haemoglobin was minimal (WMD = -0.16, 95% CI: -0.32 to 0.00). Subgroup analysis showed a greater reduction in glycated haemoglobin among participants aged ≥65 years and those receiving longer durations of supplementation. Additionally, Mg supplementation was linked to lower diastolic blood pressure and potential improvements in lipid profile. This review highlights the importance of considering patient characteristics, dosage and intervention duration in future research on Mg supplementation for glycaemic control in diabetes.
本研究通过对23项涉及1345名参与者的随机对照试验进行荟萃分析,评估了补充镁(Mg)对2型糖尿病患者血糖控制的影响。补充镁显著提高了血清镁水平(加权平均差[WMD]=0.69,95%置信区间:0.32至1.06),并降低了空腹血糖水平(WMD=-0.58,95%置信区间:-0.87至-0.28)。然而,对糖化血红蛋白的影响微乎其微(WMD=-0.16,95%置信区间:-0.32至0.00)。亚组分析显示,年龄≥65岁的参与者以及补充时间较长的参与者糖化血红蛋白降低幅度更大。此外,补充镁与较低的舒张压以及血脂状况的潜在改善有关。本综述强调了在未来关于补充镁以控制糖尿病患者血糖的研究中考虑患者特征、剂量和干预持续时间的重要性。