Diabetes in Adolescence, PreDiabetes
Conditions
Keywords
Type II diabetes, Prediabetes, Disorders of Carbohydrate Metabolism, Chokeberry, Elderberry
Brief summary
The aim of the study is to demonstrate that a daily supplementation of AP029 Mix: I) has a positive effect on reducing side effects of metformin, while enhancing the therapeutic effect of metformin; II) normalizes prediabetes biomarkers in order to prevent further progression into diabetes.
Detailed description
Randomized, double-blind, cross over study conducted under medical supervision on 1) group of 20 patients with type II diabetes and 2) group of 10 patients with prediabetes. Study design: 2 months of AP029 supplementation, 1 month wash-out, 2 months of placebo intake. Patients will attend 4 visits. On each visit, the following parameters are analyzed: level of glucose, insulin, HbA1c, hsCRP lipid panel (total cholesterol (TC), triglycerides (TG), low density lipoprotein (LDL), HDL) and inflammatory and oxidative stress markers. In addition, a questionnaire of symptoms associated with metformin intake will be conducted
Interventions
Polyphenol-rich plant extracts Twice a day
Twice a day
Sponsors
Study design
Eligibility
Inclusion criteria
for type II diabetes: * Women and men, 18-75 years old * Patients diagnosed with type II diabetes mellitus * Patients on metformin treatment up to 5 months * BMI 20-35 kg/m2 * Signed informed consent Inclusion Criteria for prediabetes: * Women and men, 18-75 years old * BMI 20-35 kg/m2 * Fasting blood glucose levels between 100 mg/dl and 125 mg/dl (5.6-6.9 mmol/l) * Signed informed consent
Exclusion criteria
for type II diabetes: * Patients diagnosed with type I diabetes * Patients receiving insulin or other anti-diabetic medications * Women who are pregnant, planning to become pregnant during the study, or breastfeeding * Surgery within the last 6 months * Intake of dietary supplements containing plant extracts rich in polyphenols and anthocyanins * Intake of supplements containing: white mulberry, chromium, berberine * Patients receiving glucocorticosteroids, immunosuppressants * Oncological disease, autoimmune disease, severe liver dysfunction, tuberculosis, leukemia, multiple sclerosis, AIDS, rheumatoid arthritis, organ transplant * Acute inflammation (C-reactive protein \>20mg/dl)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Glucose level | Baseline, 2 months, 3 months, 5 months | Comparison of glucose level |
| Insulin level | Baseline, 2 months, 3 months, 5 months | Comparison of insulin level |
| Discomfort related to metformin side effects | Baseline, 2 months, 3 months, 5 months | Based on questionnaire |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Lipid panel (total cholesterol (TC), triglycerides (TG), low-density lipoprotein (LDL), HDL) | Baseline, 2 months, 3 months, 5 months | Comparison of lipid panel markers |
| hsCRP level | Baseline, 2 months, 3 months, 5 months | Comparison of hsCRP level |
| HbA1c level | Baseline, 2 months, 3 months, 5 months | Comparison of hbA1c level |
Countries
Poland