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Study on the molecular mechanism of Linggui Zhugan Decoction improving insulin resistance in type 2 diabetes with intrinsic phlegm-dampness through intestinal probiotic p.distasonis

Clinical observation of Linggui Zhugan decoction regulating intestinal flora in the treatment of insulin resistance in type 2 diabetes mellitus with phlegm-damp accumulation syndrome

Status
Active, not recruiting
Phases
Phase 1
Study type
Interventional
Source
ChiCTR
Registry ID
ChiCTR2300071220
Enrollment
Unknown
Registered
2023-05-08
Start date
2023-05-15
Completion date
Unknown
Last updated
2023-06-12

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

type 2 diabetes

Interventions

Treatment group:Lifestyle intervention+ Linggui Zhugan decoction granules
Control group:Lifestyle intervention+ Simulator of Lingguizhugan decoction granules

Sponsors

Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine
Lead Sponsor

Eligibility

Sex/Gender
All
Age
18 Years to 70 Years

Inclusion criteria

Inclusion criteria: 1. Agree to participate in the clinical trial and sign the informed consent; 2. Aged between 18 and 70 years, no gender limit; 3. In line with Western medicine type 2 diabetes (using the diagnostic and typing standards of DM in Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes (2017 Edition)); 4. It conforms to the syndrome differentiation standards of phlegm-dampness syndrome of traditional Chinese Medicine (refer to Internal Medicine of Traditional Chinese Medicine and Guide to Diagnosis and Treatment of Syndrome Combination of Type 2 Diabetes); 5. When randomly enrolled, 7.0%<= HbAlc <9.0%, 7.0mmolL< fasting blood glucose <11.1mmol/L or 11.1mmol/L <= 2 hours postprandial blood glucose <16.7mmol/L.

Exclusion criteria

Exclusion criteria: 1. Known or suspected allergic reaction or severe adverse reaction to the test drug; 2. Patients who received systemic glucocorticoid, growth hormone treatment for more than 7 days in the first 8 weeks; 3. Patients with diabetic ketoacidosis, hyperosmic hyperglycemia (HHS), lactic acidosis and other acute complications of diabetes within 6 months before screening; 4. Severe or frequent hypoglycemic events (including severe hypoglycemia, symptomatic hypoglycemia and asymptomatic hypoglycemia) in the 6 months before screening; (1) Severe hypoglycemia: patients need help to obtain carbohydrates, glucagon, or other rescue measures. Hypoglycemic episodes may be accompanied by neurohypoglycemic symptoms, which in severe cases induce epileptiform convulsions or coma; (2) Symptomatic hypoglycemia: typical hypoglycemic symptoms with blood glucose concentration = 2 times the upper limit of normal, serum creatinine > the upper limit of normal); 12. Complicated with autoimmune diseases, malignant tumors, and severe diseases of respiratory system, blood and hematopoietic system; 13. Patients with suspected or confirmed tendencies towards alcohol, drug abuse or dependence; 14. Pregnant or lactating patients or those who planned to have children recently (during the study period or within 6 months after the study ended); 15. Other situations that the researchers consider inappropriate to participate in the study.

Design outcomes

Primary

MeasureTime frame
HBA1c;Insulin resistance index, HOMA-IR;Blood sugar 2 hours after meal, PBG 2h;

Secondary

MeasureTime frame
Fasting blood glucose, FBG;Waist circumference, WC;Abdominal circumference, AC;Body weight, Wt;Body mass index, BMI;Total cholesterol, TC;Triglyceride, TG;Low density lipoprotein cholesterol, LDL-C;Insulin sensitivity index, HOMA-IS;Insulin secretion index, HOMA-ß;Quantitative insulin sensitivity test index, QUICKI;Fasting insulin, INS;TCM syndrome points;

Countries

China

Contacts

Public ContactCao Lin

Jiangsu Provincial Hospital of Integrated Traditional Chinese and Western Medicine

guodongcl@163.com+86 15195985341

Outcome results

None listed

Source: ChiCTR (via WHO ICTRP) · Data processed: Feb 4, 2026