The Impact of Vitamins and Minerals Supplementation on Neuropathy and Nephropathy Complications
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Purpose
The combination of vitamin and mineral supplementation may improve:
- glycemic control
- lipid profile
- oxidative stress
- blood pressure
- nephropathy indices
- neuropathy indices
| Condition | Intervention | Phase |
|---|---|---|
|
Type 2 Diabetes |
Dietary Supplement: vitamin and mineral supplementation |
Phase 2 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double Blind (Subject, Caregiver, Investigator) Primary Purpose: Treatment |
| Official Title: | The Impact of Vitamins and Minerals Supplementation on Neuropathy and Nephropathy Complications in Type 2 Diabetic Patients: a Randomised Clinical Trial |
- Evidence of clinically neuropathy confirmed by nerve conduction velocities [ Time Frame: 4 months ] [ Designated as safety issue: No ]nerve conduction velocities in the bilateral sural sensory nerves, and peroneal, tibial, median, and ulnar motor nerves with F waves in hands and legs extremity
- nephropathy indices were determined by 3 times urine microalbumin concentration using Enzyme Immuno Assay commercial kit [ Time Frame: 4 months ] [ Designated as safety issue: No ]Urine microalbumin concentration was measured by Enzyme Immuno Assay using commercial kit (ORG 5MA Micro Albumin, Orgentec Diagnostika GmbH, and Mainz, Germany). Urine total protein was determined by lowry method (19). Urine samples creatinine (Cr) were measured by chemical colorimetric kit according Jaffe reaction (Pars Azmoun, Tehran, Iran) and all urine results were expressed in relation to gram creatinine excretion.
| Enrollment: | 75 |
| Study Start Date: | June 2007 |
| Study Completion Date: | September 2009 |
| Primary Completion Date: | August 2008 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: Group MV
Group MV: Zinc sulfate and Magnesium oxide (providing 10 mg Zn and 125 mg Mg) and vitamin C (100 mg) and vitamin E (100 mg
|
Dietary Supplement: vitamin and mineral supplementation
Group MV: Zinc sulfate and Magnesium oxide (providing 10 mg Zn and 125 mg Mg) and vitamin C (100 mg) and vitamin E (100 mg); Group MVB: both of the above mineral and vitamin supplements plus vitamin B1 (5 mg), vitamin B2 (5 mg), vitamin B6 (5 mg), biotin (50 µg), vitamin B12 (5 µg) and folic acid (0.5 mg); Group P: starch (placebo).
|
|
Experimental: Group MVB
Group MVB: Zinc sulfate and Magnesium oxide (providing 10 mg Zn and 125 mg Mg) and vitamin C (100 mg) and vitamin E (100 mg)plus vitamin B1 (5 mg), vitamin B2 (5 mg), vitamin B6 (5 mg), biotin (50 µg), vitamin B12 (5 µg) and folic acid (0.5 mg)
|
Dietary Supplement: vitamin and mineral supplementation
Group MV: Zinc sulfate and Magnesium oxide (providing 10 mg Zn and 125 mg Mg) and vitamin C (100 mg) and vitamin E (100 mg); Group MVB: both of the above mineral and vitamin supplements plus vitamin B1 (5 mg), vitamin B2 (5 mg), vitamin B6 (5 mg), biotin (50 µg), vitamin B12 (5 µg) and folic acid (0.5 mg); Group P: starch (placebo).
|
|
Placebo Comparator: Group P
Group P: starch (placebo
|
Dietary Supplement: vitamin and mineral supplementation
Group MV: Zinc sulfate and Magnesium oxide (providing 10 mg Zn and 125 mg Mg) and vitamin C (100 mg) and vitamin E (100 mg); Group MVB: both of the above mineral and vitamin supplements plus vitamin B1 (5 mg), vitamin B2 (5 mg), vitamin B6 (5 mg), biotin (50 µg), vitamin B12 (5 µg) and folic acid (0.5 mg); Group P: starch (placebo).
|
Detailed Description:
A total of 75 diabetic patients (39 men and 36 women), aged 36 to 69 years, having diabetes for at least 3 years, was recruited for this study. Type 2 diabetes was defined as fasting plasma glucose 126 mg/dl (two times repeated) or taking oral glucose-lowering agents.Diabetic patients were stratified by sex and randomly assigned to one of the three treatment groups using block randomization procedure. Depending upon the treatment groups, each subject received two capsules per day, 1 with breakfast and 1 with dinner, for a period of 4 months. Each capsule contained one of the following preparations and hence determined the corresponding groups: Group MV: Zinc sulfate and Magnesium oxide (providing 10 mg Zn and 125 mg Mg) and vitamin C (100 mg) and vitamin E (100 mg); Group MVB: both of the above mineral and vitamin supplements plus vitamin B1 (5 mg), vitamin B2 (5 mg), vitamin B6 (5 mg), biotin (50 µg), vitamin B12 (5 µg) and folic acid (0.5 mg); Group P: starch (placebo). All of the study medications, including the placebo, were supplied by Pharmaceutical Sciences Research Center (Tehran University of Medical Sciences, Iran) and were indistinguishable from each other. They were stored at 20-25 0C.
Eligibility| Ages Eligible for Study: | 30 Years to 70 Years |
| Genders Eligible for Study: | Both |
Inclusion Criteria:
- Type 2 diabetes for 3 years
Exclusion Criteria:
- Resting blood pressure >160/100 mmHg
- Taking vitamin and/or mineral supplement, thyroid hormones, estrogens, progesterone, diuretics or antihypertensive agents
- Having history of myocardial infarction and hepatic disease
- Pregnant
Contacts and Locations
More Information
No publications provided by Shaheed Beheshti Medical University
Additional publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
| Responsible Party: | Dr Majid Hajifaraji, National Nutrition and Food Technology Research Institute |
| ClinicalTrials.gov Identifier: | NCT01173315 History of Changes |
| Other Study ID Numbers: | MFarvid |
| Study First Received: | July 30, 2010 |
| Last Updated: | July 30, 2010 |
| Health Authority: | Iran: Ministry of Health |
Keywords provided by Shaheed Beheshti Medical University:
|
Type 2 diabetes micronutrients nephropathy neuropathy |
Additional relevant MeSH terms:
|
Diabetes Mellitus Diabetes Mellitus, Type 2 Kidney Diseases Glucose Metabolism Disorders Metabolic Diseases Endocrine System Diseases Urologic Diseases Magnesium Oxide |
Vitamins Antacids Molecular Mechanisms of Pharmacological Action Pharmacologic Actions Micronutrients Growth Substances Physiological Effects of Drugs |
ClinicalTrials.gov processed this record on May 23, 2013