二甲双胍
医学
内科学
膨胀
耐受性
安慰剂
胃肠病学
2型糖尿病
腹泻
不利影响
腹痛
益生菌
恶心
糖尿病
入射(几何)
胰岛素
内分泌学
物理
替代医学
病理
生物
细菌
光学
遗传学
作者
Katarzyna Nabrdalik,Karolina Drożdż,Hanna Kwiendacz,Karolina Skonieczna‐Żydecka,Igor Łoniewski,Mariusz Kaczmarczyk,Agata M. Wijata,Jakub Nalepa,F. Holleman,Max Nieuwdorp,Janusz Gumprecht
标识
DOI:10.1016/j.biopha.2023.115650
摘要
For decades, metformin has been the drug of first choice in the management of type 2 diabetes. However, approximately 2-13% of patients do not tolerate metformin due to gastrointestinal (GI) side effects. Since metformin influences the gut microbiota, we hypothesized that a multi-strain probiotics supplementation would mitigate the gastrointestinal symptoms associated with metformin usage.This randomized, double-blind, placebo-controlled, single-center, cross-over trial (ProGasMet study) assessed the efficacy of a multi-strain probiotic in 37 patients with metformin intolerance. Patients were randomly allocated (1:1) to receive probiotic (PRO-PLA) or placebo (PLA-PRO) at baseline and, after 12 weeks (period 1), they crossed-over to the other treatment arm (period 2). The primary outcome was the reduction of GI adverse events of metformin.37 out of 82 eligible patients were enrolled in the final analysis of whom 35 completed the 32 weeks study period and 2 patients resigned at visit 5. Regardless of the treatment arm allocation, while on probiotic supplementation, there was a significant reduction of incidence (for the probiotic period in PRO-PLA/PLA-PRO: P = 0.017/P = 0.054), quantity and severity of nausea (P = 0.016/P = 0.024), frequency (P = 0.009/P = 0.015) and severity (P = 0.019/P = 0.005) of abdominal bloating/pain as well as significant improvement in self-assessed tolerability of metformin (P < 0.01/P = 0.005). Moreover, there was significant reduction of incidence of diarrhea while on probiotic supplementation in PRO-PLA treatment arm (P = 0.036).A multi-strain probiotic diminishes the incidence of gastrointestinal adverse effects in patients with type 2 diabetes and metformin intolerance.
科研通智能强力驱动
Strongly Powered by AbleSci AI