Effect of camel milk on glycemic control and insulin requirement in patients with type 1 diabetes: 2-years randomized controlled trial

被引:135
作者
Agrawal, R. P. [1 ]
Jain, S. [1 ]
Shah, S. [1 ]
Chopra, A. [1 ]
Agarwal, V. [1 ]
机构
[1] SP Med Coll, Diabet Care & Res Ctr, Dept Med, Bikaner 334003, Rajasthan, India
关键词
camel milk; diabetes; adjunctive therapy; glycemic control; insulin therapy;
D O I
10.1038/ejcn.2011.98
中图分类号
R15 [营养卫生、食品卫生]; TS201 [基础科学];
学科分类号
100403 [营养与食品卫生学];
摘要
Background/Objectives: Hypoglycemic effect of camel milk supplementation in experimental rat model and significant reduction in doses of insulin in type 1 diabetic patients have been observed in our previous studies. This long-term study was undertaken to assess the efficacy, safety and acceptability of camel milk as an adjunct to insulin therapy in type 1 diabetics. Subjects/Methods: In this 2-year randomized clinical, parallel design study, 24 type 1 diabetics were enrolled and divided into two groups. Group I (n = 12) received usual care, that is, diet, exercise and insulin and Group II (n = 12) received 500 ml camel milk in addition to the usual care. Insulin requirement was titrated weekly by blood glucose estimation. Results were analyzed by using the regression technique. Results: In camel milk group, there was decrease in mean blood glucose (118.58 +/- 19-93.16 +/- 17.06 mg/dl), hemoglobin A1c levels (7.81 +/- 1.39-5.44 +/- 0.81%) and insulin doses (32.50 +/- 9.99-17.50 +/- 12.09 U/day, P<0.05). Out of 12 subjects receiving camel milk, insulin requirement in 3 subjects reduced to zero. There was nonsignificant change in plasma insulin and anti-insulin antibodies in both the groups. Conclusion: It may be stated that camel milk is safe and efficacious in improving long-term glycemic control, with a significant reduction in the doses of insulin in type 1 diabetic patients. European Journal of Clinical Nutrition (2011) 65, 1048-1052; doi: 10.1038/ejcn.2011.98; published online 1 June 2011
引用
收藏
页码:1048 / 1052
页数:5
相关论文
共 20 条
[1]
ABULEHIA IH, 1989, AUST J DAIRY TECHNOL, V44, P31
[2]
Agrawal R P., 2004, Int J Diab Dev Ctries, V24, P109
[3]
Camel milk as an adjunct to insulin therapy improves long-term glycemic control and reduction in doses of insulin in patients with type-1 diabetes. A 1 year randomized controlled trial [J].
Agrawal, RP ;
Beniwal, R ;
Kochar, DK ;
Tuteja, FC ;
Ghorui, SK ;
Sahani, MS ;
Sharma, S .
DIABETES RESEARCH AND CLINICAL PRACTICE, 2005, 68 (02) :176-177
[4]
Agrawal RP, 2003, INDIAN J ANIM SCI, V73, P1105
[5]
Agrawal RP, 2002, INT J DIABETES DEV C, P70
[6]
BEG OU, 1986, EUR J BIOCHEM, V159, P195, DOI 10.1111/j.1432-1033.1986.tb09852.x
[7]
Breitling L, 2002, J CAMEL PRACT RES, V9, P43
[8]
Concept, strategies, and feasibility of noninvasive insulin delivery [J].
Cefalu, WT .
DIABETES CARE, 2004, 27 (01) :239-246
[9]
Assays for insulin, proinsulin(s) and C-peptide [J].
Clark, PM .
ANNALS OF CLINICAL BIOCHEMISTRY, 1999, 36 :541-564
[10]
Clement Stephen, 2002, Diabetes Technol Ther, V4, P459, DOI 10.1089/152091502760306544