Type 2 Diabetes
Conditions
Keywords
cranberry, total to HDL cholesterol ratio, type 2 diabetes
Brief summary
Cranberry, containing flavonoids, is effective on improvement of lipid profiles in non-diabetic subjects. The Hypothesis of is to assess the effect of cranberry on lipid profiles in type 2 diabetic patients using oral antidiabetic drugs.
Detailed description
Hypercholesterolemia is a notorious risk factor for cardiovascular disease. It had been reported cranberry consumption increased nearly 8% of circulating high-density lipoprotein (HDL) cholesterol levels in non-diabetic subjects. Although characteristics of diabetic dyslipidemia are low HDL and high triglyceride, the benefits of concentrated powder of cranberry juice on lipid profiles were not evident in type 2 diabetic subjects with diet control alone. To the best of our knowledge, the effect of cranberry on lipid profiles in type 2 diabetic subjects using oral anti-diabetic drugs have never been studied, especially total to HDL cholesterol ratio which is important in predicting cardiovascular diseases in Asian and/or diabetic population. Furthermore, cranberry has anti-oxidative effect which is associated with reduction of oxidized low-density lipoprotein (ox-LDL) cholesterol in non-diabetes. Therefore, we conducted a placebo-controlled, double-blind, randomized study to assess the effect of cranberry on lipid profiles in type 2 diabetes.
Interventions
cranberry extractive in powder product (by Triarco Industries, Inc. NJ, USA) and encapsulated in dose of 500mg/capsule (by Topo digital tech co., Taiwan). By one capsule after each of three meals per day.
Sponsors
Study design
Eligibility
Inclusion criteria
* type 2 diabetic subjects * age between 50 and 75 years
Exclusion criteria
* glycosylated hemoglobin (HbA1c) less than 7% or more than 10%; * triglyceride more than 4.5 mmol/L; * current insulin treatment; * change of the medications for anti-diabetes, hypertension, hyperlipidemia and anti-platelet in recent four weeks; * abnormal renal function (serum creatinine \> 177 μmol/L; * abnormal liver function test results (more than two-fold upper limit of normal range); * severe systemic disease such as immune disorder, cancer, acute or chronic inflammation disease; * smoking in recent 1 year; * alcoholism (more than two drinks daily); * using steroid or drugs with unknown components; * pregnancy or breast-feeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| the change of total to HDL cholesterol ratio | 12 weeks |
Secondary
| Measure | Time frame |
|---|---|
| the change of ox-LDL | 12 weeks |
| the change of fasting plasma glucose | 12 weeks |
| the change of lipid profiles (LDL, total cholesterol, HDL and triglyceride) | 12 weeks |
| the change of CRP | 12 weeks |
| the change of UAE | 12 weeks |
| the change of HbA1c | 12 weeks |
Countries
Taiwan