한약 복용이 제 2형 당뇨 환자의 혈당 변화에 미치는 영향 : 후항적 차트 리뷰
The Effect of Herbal Medicine on Blood Glucose in Type 2 Diabetes Patients: A Retrospective Study
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Objective: This study was conducted to evaluate the effect of herbal medicine on blood glucose in diabetic patients. Methods: The subjects were patients with diabetes mellitus (DM) who had been admitted to Kyung Hee University Korean Medicine Hospital for more than 8 weeks for a primary diagnosis other than DM and who had taken herbal medicine for more than 8 weeks from January 2010 to February 2020. The medical records were analyzed retrospectively to confirm the characteristics of the subjects, and examination results included hemoglobin A1c (HbA1c), total cholesterol, triglyceride, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol (HDL), aspartate aminotransferase (AST), alanine aminotransferase (ALT), blood urea nitrogen (BUN), and creatinine. Changes in HbA1c before and after taking herbal medicine and changes according to subgroups were analyzed. Results: A total of 149 subjects with type 2 DM were selected as participants. After taking the herbal medicine, the HbA1c value was significantly decreased, and the statistical significance was maintained even when the effect of controlling antidiabetic agents was excluded. The decrease in HbA1c was higher in the poor glycemic control group. Liver and kidney functions did not show any significant changes after taking the herbal medicine. Conclusions: Administration of herbal medicine for a long period of 8 weeks or longer did not increase HbA1c in patients with DM complicated by other various diseases.
Abstract
Objective: This study was conducted to evaluate the effect of herbal medicine on blood glucose in diabetic patients. Methods: The subjects were patients with diabetes mellitus (DM) who had been admitted to Kyung Hee University Korean Medicine Hospital for more than 8 weeks for a primary diagnosis other than DM and who had taken herbal medicine for more than 8 weeks from January 2010 to February 2020. The medical records were analyzed retrospectively to confirm the characteristics of the subjects, and examination results included hemoglobin A1c (HbA1c), total cholesterol, triglyceride, low-density lipoprotein cholesterol (LDL), high-density lipoprotein cholesterol (HDL), aspartate aminotransferase (AST), alanine aminotransferase (ALT), blood urea nitrogen (BUN), and creatinine. Changes in HbA1c before and after taking herbal medicine and changes according to subgroups were analyzed. Results: A total of 149 subjects with type 2 DM were selected as participants. After taking the herbal medicine, the HbA1c value was significantly decreased, and the statistical significance was maintained even when the effect of controlling antidiabetic agents was excluded. The decrease in HbA1c was higher in the poor glycemic control group. Liver and kidney functions did not show any significant changes after taking the herbal medicine. Conclusions: Administration of herbal medicine for a long period of 8 weeks or longer did not increase HbA1c in patients with DM complicated by other various diseases.
참고문헌 (32)
- 노정현, "The Diabetes Epidemic in Korea", Endocrinology and Metabolism, 31(3), pp.349~353 (2016), 대한내분비학회
- "Korea Health Statistics 2018:Korea National Health and Nutrition Examination Survey (KNHANES Ⅶ-3)" (2019)[URL]
- "Basic Report on the Survey of Korean Medicine in 2017" (2017)[URL]
- Tian J, "The Efficacy and Safety of Chinese Herbal Decoction in Type 2 Diabetes : A 5-Year Retrospective Study", Evidence-Based Complement Altern Med, 2016, pp.5473015~ (2016)
- Jin D, "Does Adjuvant Treatment with Chinese Herbal Medicine to Antidiabetic Agents Have Additional Benefits in Patients with Type 2 Diabetes?A System Review and Meta-Analysis of Randomized Controlled Trials", Evidence-Based Complement Altern Med, 2019, pp.1825750~ (2019)
- Shin H, "The Effect of General Herb Medications on The Blood Glucose Level of 26 Diabetes Mellitus Patients", J Soc Stroke Korean Med, 3(1), pp.27~33 (2002)
- 차종열, "일개 보건소에서 시행한 중풍에 대한 한의 진료의 효과분석", 대한한방내과학회지, 41(2), pp.111~121 (2020), 대한한방내과학회[DOI]
- Chung EJ, "Limb hematoma and acute compartment syndrome following acupuncture in a type 2 diabetic", Korean J Med, 75(3), pp.862~865 (2008)
- Ahn CW, "Prescribing Guidelines for type 2 diabetes mellitus in the elderly", Korean J Clin Geriatr, 6(3), pp.347~351 (2005)
- Peel R, "Zinc in Preventing the Progression of pre-Diabetes(ZIPPeD Study)–study protocol for a randomised placebo-controlled trial in Australia", Trials, 20(1), pp.219~ (2019)
- 강보경, "제 2형 당뇨병 환자에서 Metformin과 병용 시 Dapagliflozin과 Sitagliptin의 효능 비교", 한국임상약학회지, 27(2), pp.99~104 (2017), 한국임상약학회[DOI]
- Benoit SR, "Predictors of glycemic control among patients with Type 2 diabetes : A longitudinal study", BMC Public Health, 5(1), pp.36~ (2005)
- Khattab M, "Factors associated with poor glycemic control among patients with Type 2 diabetes", J Diabetes Complications, 24(2), pp.84~89 (2010)
- 김미경, "2019 Clinical Practice Guidelines for Type 2 Diabetes Mellitus in Korea", Diabetes and Metabolism Journal, 43(4), pp.398~406 (2019), 대한당뇨병학회[DOI]
- 서미혜, "2018 Korean Society for the Study of Obesity Guideline for the Management of Obesity in Korea", Journal of Obesity & Metabolic Syndrome, 28(1), pp.40~45 (2019), 대한비만학회[DOI]
- Committee for the Korean Guidelines for the Management of Dyslipidemia, "2015 Korean Guidelines for the Management of Dyslipidemia: Executive Summary (English Translation)", Korean Circulation Journal, 46(3), pp.275~306 (2016), 대한심장학회[DOI]
- 윤영주, "간손상 관련 한약 안전성 연구의 개선을 위한 한약인성 간손상 조사표 제안", 대한한방내과학회지, 30(1), pp.181~190 (2009), 대한한방내과학회
- Duarte CG, "Assessment of renal function-glomerular and tubular", Clin Lab Med, 13(1), pp.33~52 (1993)
- Franz MJ, "The Evidence for Medical Nutrition Therapy for Type 1 and Type 2 Diabetes in Adults", J Am Diet Assoc, 110(12), pp.1852~1889 (2010)
- Yi D, "Drug-Induced Diabetes Mellitus", J Korean Diabetes, 18(3), pp.160~168 (2017)
- "Guideline on clinical investigation of medicinal products in the treatment or prevention of diabetes mellitus" (2018)[URL]
- Hirst JA, "Changes in HbA1c level over a 12-week follow-up in patients with type 2 diabetes following a medication change", PLoS One, 9(3), pp.e92458~e92458 (2014)
- Vijayaraghavan K, "Treatment of dyslipidemia in patients with type 2 diabetes", Lipids Health Dis, 9(1), pp.144~ (2010)
- El-Kebbi IM, "Association of younger age with poor glycemic control and obesity in urban african americans with type 2 diabetes", Arch Intern Med, 163(1), pp.69~75 (2003)
- Iwasaki T, "Association between eating behavior and poor glycemic control in Japanese adults", Sci Rep, 9(1), pp.3418~ (2019)
- Wysham C, "Beta-cell failure in type 2 diabetes : mechanisms, markers, and clinical implications", Postgrad Med, 132(8), pp.676~686 (2020)
- Al-Goblan AS, "Mechanism linking diabetes mellitus and obesity", Diabetes Metab Syndr Obes, 7, pp.587~591 (2014)
- Parker AR, "The Effect of Medical Nutrition Therapy by a Registered Dietitian Nutritionist in Patients with Prediabetes Participating in a Randomized Controlled Clinical Research Trial", J Acad Nutr Diet, 114(11), pp.1739~1748 (2014)
- Powers WJ, "Guidelines for the Early Management of Patients With Acute Ischemic Stroke : 2019 Update to the 2018 Guidelines for the Early Management of Acute Ischemic Stroke : A Guideline for Healthcare Professionals From the American Heart Association", American Stroke, 2019, pp.50(12), e344~e418
- Wu TY, "Persistent Hyperglycemia Is Associated With Increased Mortality After Intracerebral Hemorrhage", J Am Heart Assoc, 6(8), pp.e005760~ (2017)
- Saxena A, "Prognostic Significance of Hyperglycemia in Acute Intracerebral Hemorrhage : The INTERACT2 Study", Stroke, 47(3), pp.682~688 (2016)
- Moreno G, "Guidelines abstracted from the American Geriatrics Society Guidelines for Improving the Care of Older Adults with Diabetes Mellitus : 2013 update", J Am Geriatr Soc, 61(11), pp.2020~2026 (2013)
