대한한방내과학회지 (The Journal of Internal Korean Medicine)

대한한방내과학회 (The Society of Internal Korean Medicine)
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제2형 당뇨병 환자에게 한방의료보험용 혼합엑기스산제와 경구혈당강하제 병용요법이 혈당 변화에 미치는 영향

A Retrospective Study on the Effect of Herbal Extracts Combined with Conventional Therapy on Blood Glucose in Type 2 Diabetes Mellitus

  • 정수민 (경희대학교 대학원 임상한의학과) ;
  • 노지원 (경희대학교 대학원 임상한의학과) ;
  • 이민승 (경희대학교 대학원 임상한의학과) ;
  • 양희권 (경희대학교 대학원 임상한의학과) ;
  • 안영민 (경희대학교 대학원 임상한의학과) ;
  • 안세영 (경희대학교 대학원 임상한의학과) ;
  • 이병철 (경희대학교 대학원 임상한의학과)
  • Jeong, Su-min (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Noh, Ji-won (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Min-seung (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Yang, Hee-gwon (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ahn, Young-min (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Ahn, Se-young (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University) ;
  • Lee, Byeong-chul (Dept. of Clinical Korean Medicine, Graduate School, Kyung Hee University)
  • 투고 : 2020.10.23
  • 심사 : 2020.12.22
  • 발행 : 2020.12.30
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초록

Objective: This study was conducted to report the glucose-lowering effect and safety of herbal extracts in patients with type 2 diabetes mellitus. Methods: We investigated 21 patients with type 2 diabetes mellitus who were administered Daeshiho-tang, Bojungikgi-tang, Jowiseunggi-tang, and Hoechunyanggyeok-san at Kyung-Hee University Korean Medical Hospital from 2014 to 2019. The hypoglycemic effect of the herbal extracts was assessed by comparing blood glucose levels, including fasting blood sugar (FBS) and 2-hour postprandial glucose (PP2) levels. For safety assessment, the effects of herbal extracts on liver and kidney function were analyzed by liver function tests, including aspartate aminotransferase (AST), alanine aminotransferase (ALT), and γ-glutamyltransferase (GGT), and kidney function tests, including blood urea nitrogen (BUN) and creatinine (Cr). Patients were stratified according to their glycated hemoglobin (<6.5 or >6.5) levels and the kind of herbal extract used for treatment. Results: After administration of herbal extracts, FBS and PP2 significantly decreased to 20.24 mg/dL and 35.0 mg/dL respectively. Subgroup analysis revealed that, regardless of the glycated hemoglobin level, FBS and PP2 were significantly reduced in both groups. The safety profile showed no significant difference before and after taking herbal extracts. Conclusions: Daeshigo-tang, Bojungikgi-tang, Jowiseunggi-tang, and Hoechunyanggyeok-san may show the further glucose-lowering effects on patients with type 2 diabetes mellitus who have already treated with anti-hyperglycemic agents.

키워드

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