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Probiotic supplements beneficial for T2DM patients

01 Aug 2020

Supplementation with probiotics may have positive effects in patients with type 2 diabetes mellitus (T2DM), reports a recent meta-analysis.

Researchers retrieved 32 randomized controlled trials from the online databases of CENTRAL, Embase, and Medline. For eligibility, probiotics pertained to pharmaceutical formulations or dairy products administered to patients.

Pooled analysis of 21 trials showed that probiotics were able to significantly reduce total cholesterol levels In T2DM patients, resulting in a mean difference of –10.06 mg/dL (95 percent confidence interval [CI], –15,94 to –4.18; p=0.001). Heterogeneity was significant (p<0.001). Moreover, researchers saw that the effect of probiotics was significant only in those with ≤8 weeks of treatment (p=0.005); no such effect was documented for durations ≥12 weeks (p=0.105).

Researchers likewise detected statistical signals when studies were analysed according to the number of bacterial strains. Multi-strain administrations led to significant reductions in total cholesterol (mean difference, –11.70 mg/dL; 95 percent CI, –18.60 to –4.79; p=0.001), an effect that was absent in single-strain probiotics (p=0.611).

In addition, probiotics also had a significant suppressive effect on triglyceride levels (mean difference, –17.18 mg/dL; 95 percent CI, –26.17 to –8.19; p<0.001), while increasing high-density lipoproteins (mean difference, 1.62 mg/dL; 95 percent CI, 0.21–3.04; p=0.025). No significant effect was found for low-density lipoprotein levels (p=0.116).

“The practical implication of our study is that probiotic administration as a supportive intervention of type 2 diabetes could be incorporated into diabetes guidelines to beneficially modify cardiometabolic risk factors,” researchers said. “Further studies are needed to investigate the combined effects of the different antidiabetic drugs and probiotic species.”

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Most Read Articles
6 days ago
Chest pain appears to be the principal complaint of patients hospitalized with a first myocardial infarction (MI), particularly among those in the youngest age group, a study has found.
Jairia Dela Cruz, 16 Sep 2020
In patients with heart failure with reduced ejection fraction (HFrEF) receiving angiotensin-converting-enzyme (ACE) inhibitors, high dosing confers benefits for the risk of death or hospitalization that are similar to that obtained with lower dosing, according to a systematic review and meta-analysis.
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20 Sep 2020
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