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( Senthil Kumar Subramani ),( Rohit Sharma ),( Arjun Yadav ),( Shailendra Raghuwanshi ),( Gbks Prasad ) 대한간학회 2020 춘·추계 학술대회 (KASL) Vol.2020 No.1
Aims: Liver disease is one of the most common and occurs asymptomatically until disease affects a significant part of the organ. Probiotics are live microorganisms promoted with claims that they provide health benefits when consumed adequate amount, health benefits including antidiabetic, anti-inflammatory and antioxidant properties. This study aimed to determine the effects of probiotic supplementation on liver function and oxidative stress biomarkers in Type II Diabetes mellitus (T2DM) patients. Liver disease is one of the most common and occurs asymptomatically until disease affects a significant part of the organ. Probiotics are live microorganisms promoted with claims that they provide health benefits when consumed adequate amount, health benefits including antidiabetic, anti-inflammatory and antioxidant properties. This study aimed to determine the effects of probiotic supplementation on liver function and oxidative stress biomarkers in Type II Diabetes mellitus (T2DM) patients. Methods: In a randomized double-blind placebo-controlled clinical trial, 60 Subjects with aged 30-65 years were selected from CTR, Jiwaji University and assigned into two groups; Subjects in the probiotic group received a daily capsule containing Lactobacillus acidophilus, Bifidobacterium bifidium & Saccharomyces boulardii each 0.5 Bn/g and Lactobacillus plantarum, Bacillus clausii each 0.25 bn/g with 125mg FOS. BD for 12 weeks. (Placebo group only 125mg FOS in a capsule). In the baseline and at the end of the study, physical activity levels, and dietary intakes were assessed. Anthropometric parameters, blood glucouse, Liver function markers malondialdehyde (MDA), superoxide dismutase (SOD), reduced glutathione (GSH), and catalase (CAT) activities were measured. Statistical analysis was carried out using a paired t-test and student t- test. Results: There was no significant difference between the two groups for demographic characteristics, anthropometric parameters at the baseline of study. The mean fasting blood glucose levels were reduced by 16.3%.The probiotic supplementation resulted in a significant improvement in bilirubin by 22.3%, 15.9% ALP 17%,10.2% SGOT 27.2, 22.5%, SGPT 17.9, 17.1% GTT 13.9, 11.9% in subjects taken probiotic placebo capsules respectively. It also observed that the significant increase in GSH (P<0.01), SOD (P<0.01), CAT (P<0.01) and decrease in MDA level (P<0.01). Significant difference was observed between-group for these enzymes activities & other parameters at the end of the study. Conclusions: Overall, the results demonstrate that probiotics could improve liver function and oxidative stress factors among T2DM patients.
Effect of Herbal Medicines on Liver Function Markers in Type II Diabetic Subjects
( Senthil Kumar Subramani ),( Sunil Mahajan ),( Parthia Chauhan ),( Nita Singh ),( Gbks Prasad ) 대한간학회 2018 춘·추계 학술대회 (KASL) Vol.2018 No.1
Aims: Herbal medicines have been used in the treatment of liver diseases and other problem for a long time in folk system. However there are some reports in general state that, herbal medicine has hepatotoxicity. Hence in the present study we evaluate some anti-diabetic herbal medicines effect in liver function markers Methods: Total of 100 subjects those who have T2DM were randomly selected from the week end diabetic clinic of Centre for Translation Research, Jiwaji University. The subjects have divided in to four groups to evaluate for its antidiabetic activity and hepatotoxicity. Regimen I- Gymnemma sylvester, Regimen II- Triphala, Regimen III Triphala + Gymnemma sylvester and Regimen IV diabegon kwath (polyherbal formulation) for 3 - 4 months. Fasting and PP blood glucose and glycosylated hemoglobin, liver marker (Bilirubin, SGOT, SGPT) and oxidative stress markers (SOD, Catalase, GSH, TBARS) were also monitored in the study subjects. Paired t-test was made the compare the significance Results: Administration of herbal regiments regularly for 3 months resulted in significant reductions of blood glucose (P<0.001) and glycosylated hemoglobin levels (P<0.001) in all regiments. Also, liver function markers (Bilirubin levels reduced 12.5-15.6 % P<0.05, SGOT levels reduced 7.5 - 18.0 % P<0.05 and SGPT levels reduced 11.8-17.8% P<0.05 P<0.05) and the antioxidant markers were also improved significantly (P<0.05). Conclusions: Herbal medicines for the treatment of human type II diabetes mellitus show the significant improvement in glycemic control. The liver functions remained normal and in fact improved in many subjects. It may be the due to the anti-oxidant property of the herbal formultions.Hence the studied herbal formulations not have hepatotoxicity in the subjects.