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Effect of Chromium-Enriched Yeast on Fasting Plasma Glucose, Glycated Haemoglobin and Serum Lipid Levels in Patients with Type 2 Diabetes Mellitus Treated with Insulin
Authors:Jaroslav Racek  C. D. Sindberg  S. Moesgaard  Josef Mainz  Jaroslav Fabry  Luděk Müller  Katarína Rácová
Affiliation:1. Institute of Clinical Biochemistry and Hematology, Charles University in Prague, Medical Faculty and Faculty Hospital in Pilsen, Prague, Czech Republic
2. Pharma Nord Research, Vejle, Denmark
3. Pharma Nord Praha s. r. o., Prague, Czech Republic
4. Diafa, s. r. o., Bratislava, Slovak Republic
5. Department of Cybernetics, Faculty of Applied Sciences, University of West Bohemia, Pilsen, Czech Republic
6. Department of Clinical Biochemistry, St. Elisabeth Cancer Institute, Bratislava, Slovak Republic
Abstract:Chromium is required for a normal insulin function, and low levels have been linked with insulin resistance. The aim of this study was to follow the effect of chromium supplementation on fasting plasma glucose (FPG), glycated haemoglobin (HbA1c) and serum lipids in patients with type 2 diabetes mellitus (DM2) on insulin therapy. Eleven randomly selected patients with DM2 on insulin therapy were supplemented with a daily dose of 100 μg chromium yeast for the first supplementation period of 2 weeks. In the second supplementation period, the chromium dose was doubled and continued for the next 6 weeks. The third phase was a 6-week washout period. After each period, the levels of FPG and HbA1c were compared with the corresponding values at the end of the previous period. Serum triglycerides, total HDL and LDL cholesterol values after supplementation were compared with the baseline values. FPG decreased significantly after the first period of chromium supplementation (p?1c decreased significantly in both periods (p?p?1c levels returned to their pre-intervention values. The serum lipid concentrations were not significantly influenced by chromium supplementation. Chromium supplementation could be beneficial in patients with DM2 treated with insulin, most likely due to lowered insulin resistance leading to improved glucose tolerance. This finding needs to be confirmed in a larger study.
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