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The use of complementary and alternative medicine by individuals with features of metabolic syndrome

Journal of Integrative Medicine 2014年第3期12卷 171-174页

作者： Rajadurai Akilen Zeller Pimlott Amalia Tsiami Nicola Robinson Nutritional Sciences Faculty of Health and Human SciencesUniversity of West London Faculty of Health and Social Care London South Bank University

OBJECTIVE： To compare the use of complementary and alternative medicine （CAM）, including dietary supplements, by individuals with and without features of metabolic syndrome （FeMS）. METHODS： Using a cross sectional study design, information was obtained by self-administered questionnaires from 300 university individuals. FeMS was defined as any individuals self-reporting at least one of the clinical diagnoses of diabetes, hypertension, hyperlipidemia, or obesity. Finally, two categories were created for cross tabulation, and individuals with and without FeMS were compared. RESULTS： Of the 192 individuals completing the study, 39% （n=76） were currently using or had used CAM therapies in the past 12 months. Individuals with FeMS （n=54, 28%） were more likely （P〈0.05） to use different types of CAM therapies, in particular dietary and herbal supplements, aromatherapy and massage therapy compared to individuals without FeMS （n=138, 72%）. CONCLUSION： Individuals with FeMS were more likely to use CAM, particularly supplements. Doctors need to properly inquire about and understand their patients＇ supplement use, especially if CAM therapies are used in coniunction with conventional medications.

关键词： metabolic syndrome X complementary therapies dietary supplements diabetesmellitus obesity

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Utility of different glycemic control metrics for optimizing management of diabetes

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World Journal of Diabetes 2015年第1期6卷 17-29页

作者： Klaus-Dieter Kohnert Peter Heinke Lutz Vogt Eckhard Salzsieder Institute of Diabetes "Gerhardt Katsch" Diabetes Service Center

The benchmark for assessing quality of long-term glycemic control and adjustment of therapy is currently glycated hemoglobin(Hb A1c). Despite its importance as an indicator for the development of diabeticcomplications, recent studies have revealed that this metric has some limitations; it conveys a rather complex message, which has to be taken into consideration for diabetes screening and treatment. On the basis of recent clinical trials, the relationship between Hb A1 c and cardiovascular outcomes in long-standing diabetes has been called into question. It becomes obvious that other surrogate and biomarkers are needed to better predict cardiovascular diabetes complications and assess efficiency of therapy. Glycated albumin, fructosamin, and 1,5-anhydroglucitol have received growing interest as alternative markers of glycemic control. In addition to measures of hyperglycemia, advanced glucose monitoring methods became available. An indispensible adjunct to Hb A1 c in routine diabetes care is selfmonitoring of blood glucose. This monitoring method is now widely used, as it provides immediate feedback to patients on short-term changes, involving fasting, preprandial, and postprandial glucose levels. Beyond the traditional metrics, glycemic variability has been identified as a predictor of hypoglycemia, and it might also be implicated in the pathogenesis of vascular diabetes complications. Assessment of glycemic variability is thus important, but exact quantification requires frequently sampled glucose measurements. In order to optimize diabetes treatment, there is a need for both key metrics of glycemic control on a day-to-day basis and for more advanced, user-friendly monitoring methods. In addition to traditional discontinuous glucose testing, continuous glucose sensing has become a useful tool to reveal insufficient glycemic management. This new technology is particularly effective in patients with complicated diabetes and provides the opportunity to characterize glucose dynamics. Several continuous glucose moni

关键词： Markers of glycemic control HemoglobinA1c Postprandial glucose Risk of hyperglycemia andhypoglycemia Continuous glucose monitoring Glycemicvariability Glucose dynamics Standardization diabetesmellitus

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绞股蓝皂苷对2型糖尿病合并非酒精性脂肪性肝病大鼠葡萄糖和脂质代谢的影响

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世界中西医结合杂志 2017年第3期12卷 337-341,352页

作者：贺琴李刚李芳李金科雷旭雷飞飞李儒贵谭华炳湖北医药学院附属人民医院肝病研究所湖北十堰442000 湖北医药学院附属人民医院药剂科湖北十堰442000

目的研究绞股蓝皂苷(gypenosides,GPS)对2型糖尿病并非酒精性脂肪性肝病(type2 diabetes mellitus and nonalcoholic fatty liver disease,T2DM-NAFLD)大鼠糖和血脂代谢的影响。方法60只SD大鼠被分为正常对照组(Ⅰ组,n=8)和T2DM-NAFLD模型组。Ⅰ组予普通饵料持续饲养;余大鼠通过高脂高糖饵料(HFSD)加小剂量链脲佐菌素注射经8周饲养建立T2DM-NAFLD模型。将T2DM-NAFLD模型大鼠分为模型组(Ⅱ组)、T2DM-NAFLD模型GPS小剂量干预组(Ⅲ组)、T2DM-NAFLD模型GPS中剂量干预组(Ⅳ组)、T2DM-NAFLD模型GPS大剂量干预组(Ⅴ组);继续HFSD饲养;Ⅲ组、Ⅳ组、Ⅴ组分别予GPS 200、400、800 mg/(kg·d)干预,时间6周;实验周期14周。检测血天门冬氨酸氨基转移酶(AST)、丙氨酸氨基转移酶(ALT)、血糖(BS),甘油三酯(TG)、总胆固醇(TC)。进行大鼠口服葡萄糖耐量(OGTT)实验。观察肝脏病理学变化。结果 (1)ALT、AST水平:与Ⅱ组比较,Ⅲ组、Ⅳ组、Ⅴ组显著降低AST、ALT水平(P<0.05,P<0.01),呈剂量依赖性。(2)TG、TC水平:与Ⅱ组比较,Ⅲ组、Ⅳ组、Ⅴ组显著降低TG,TC水平(P<0.05,P<0.01),呈剂量依赖性。(3)BS水平和OGTT曲线:与Ⅱ组比较,Ⅲ组、Ⅳ组、Ⅴ组显著降低BS(P<0.01),呈剂量依赖性;与Ⅱ组比较,Ⅲ组、Ⅳ组、Ⅴ组显著改善OGTT曲线。(4)血胰岛素水平:与Ⅱ组比较,Ⅲ组、Ⅳ组、Ⅴ组显著降低血胰岛素水平(P<0.01),呈剂量依赖性。⑸肝脏病理学:干预组能减轻治疗组大鼠肝脏脂肪浸润程度,呈剂量依赖性。结论 GPS对T2DM-NAFLD大鼠糖代谢和脂质代谢异常具有调整作用,呈剂量依赖性。

关键词：绞股蓝皂苷(gypenosides,GPS) 2型糖尿病非酒精性脂肪性肝病(type 2 diabetesmellitus and nonalcoholic fatty liver disease,T2DM-NAFLD) 血糖(BS) 甘油三酯(TG)

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Extraction and Hypoglycemic Activity of Flavonoids in Ficus carica Leaves

Extraction and Hypoglycemic Activity of Flavonoids in Ficus ...

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2015年中国药学大会暨第十五届中国药师周

作者： Yin Zhang Dan-dan Huang Qiu-xia Xu Department of Pharmacy The Second Affiliated Hospital of Fujian Medical University

＜正＞With improvements in the quality of life in developing countries,the incidence of diabetes increases annually.At present,diabetes has become the third most common severe chronic disease after cancer and cardiova... 详细信息

关键词： Ficus carica leaves totalflavonoids diabetesmellitus Glucose-6-phosphorylase

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