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2012, Number 2

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Med Int Mex 2012; 28 (2)

Anti glycosylation effect of vitamin C and E in diabetic patients vs placebo

Castellanos CL, Sánchez VL, Hernández ANJ, Rodríguez LL, Rubio GAF, Melchor LA
Full text How to cite this article

Language: Spanish
References: 7
Page: 112-116
PDF size: 264.67 Kb.


Key words:

diabetes mellitus, vitamin C and E, glycated hemoglobin, systolic blood pressure.

ABSTRACT

Background: Diabetes Mellitus with its chronic complications is a major cause of morbidity and mortality. It has come to chronic hyperglycemia as the condition responsible for the development of chronic complications.
Methods: Randomized controlled trial. We included 70 patients diagnosed with type 2 diabetes mellitus. 35 patients received placebo and 35 patients were treated with vitamin C and E at a dose of 2 g and 200UI respectively. For statistical analysis we used mean, standard deviation, U-Mann-Whitney and t-Student.
Results: The mean age for the placebo group was 55.77 years and for group of vitamin C and E of 54.23 years, with statistically significant difference p 0.018 (95% 0.963-10.12, p ‹0.05). The most widely used drug treatment in both groups was the concomitant administration of glibenclamide and metformin. As for glycated hemoglobin levels the differences after of 3 month follow-up was mean 7.7% for placebo group and 6.9% for vitamin C and E with p 0.004 (95% CI 0.28 - 1.41, p ‹0.05). As for other study variables were differences in systolic blood pressure values with an mean of 131 mmHg and 125 mmHg for placebo group and group with intake of vitamin C and E, respectively (95% 0.741-10.40, p ‹0.05).
Conclusion: The administration of vitamin C and E as adjuvant treatment of patients with diabetes reduces glycated hemoglobin levels and systolic blood pressure levels.


REFERENCES

  1. American Diabetes Association. Diagnosis and Classification of Diabetes Mellitus. Diabetes Care 2011;34(Suppl 1).

  2. American Diabetes Association. Standards of Medical Care in Diabetes 2010. Diabetes Care 2011; 34(Suppl 1).

  3. Rosado PJ y col. Mini-revisión: inflamación crónica y estrés oxidativo en la diabetes mellitus. Redyalic, 2007.

  4. Critical Glucose Control: The Devil is in the Details. Mayo ClinProc 2008;83(4):394-397.

  5. Brownlee M, Ceremi A, et al. Advanced products of no enzymatic glycosylation and the pathogenesis of diabetic vascular disease. Diabetes-Metabolism Reviews 1998;4:437.

  6. Ceriello A, Mercuri F, Quagliaro L, Assaloni R, Motz E, TonuttiL,Taboga C. Detection of nitrotyrosine in the diabetic plasma: evidenceof oxidative stress. Diabetologia, 2001;44:834-838.

  7. Obregón, O y col. Efecto de vitamina C y E en Diabetes Mellitus. Archivos Venezolanos de farmacología y Terapéutica Año/Volumen 24, número 001, 2005




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Med Int Mex. 2012;28