N/A
Completed N=39
Comparative the Effect of Metformin and Acupuncture on Weight Loss and Insulin Sensitivity
Insulin Sensitivity · Obesity
Source: ClinicalTrials.gov NCT02438540 ↗
Enrolled (actual)
39
Serious AEs
0.0%
Results posted
Dec 2016
Primary outcomePrimary: Body Weight — -4.1; -1.5 kg — p=<0.001
Summary
The investigators designed this randomized double blind (patients/ assessor) clinical trial to compare the therapeutic effects of Metformin monotherapy with Metformin and acupuncture combined therapy on weight loss and insulin sensitivity among overweight/obese type 2 diabetes mellitus (T2DM) patients. We compared the inflammatory markers, lipid profiles, and adipokines in overweight/obese T2DM patients receiving the combined therapy to those receiving the Metformin monotherapy, to understand whether acupuncture plus Metformin is a better approach then Metformin only on treating diabetes.
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY Body Weight |
-4.1; -1.5 | <0.001 sig |
| PRIMARY Fasting Blood Sugar (FBS) |
6.65; 6.67; 6.44; 6.55; 6.12; 6.54 | <0.001 sig |
| PRIMARY Fasting Insulin (FINS) |
14.47; 14.45; 12.92; 13.75; 9.91; 13.6 | <0.001 sig |
| PRIMARY Interleukin-6 (IL-6) |
1.44; 1.43; 1.30; 1.41; 1.09; 1.37 | <0.001 sig |
| PRIMARY Tumor Necrosis Factor-α (TNF-α) |
1.44; 1.44; 1.42; 1.43; 1.41; 1.43 | 0.04 sig |
| PRIMARY C-reaction Protein (CRP) |
0.60; 0.59; 0.59; 0.58; 0.57; 0.57 | 0.082 |
| PRIMARY Free Fatty Acids (FFAs) |
0.72; 0.72; 0.61; 0.70; 0.51; 0.63 | <0.001 sig |
| PRIMARY Triglyceride (TG) |
2.59; 2.69; 2.44; 2.69; 2.24; 2.65 | <0.001 sig |
| PRIMARY Low Density Lipoprotein Cholesterol (LDLc) |
4.05; 4.08; 3.88; 4.0; 3.68; 3.95 | <0.001 sig |
| PRIMARY High Density Lipoprotein Cholesterol (HDLc) |
1.08; 1.16; 1.20; 1.21; 1.29; 1.25 | <0.001 sig |
| PRIMARY Ceramides |
8.06; 7.92; 7.24; 7.45; 6.06; 7.18 | <0.001 sig |
| PRIMARY Leptin |
13.32; 13.35; 11.58; 12.67; 10.84; 12.60 | <0.001 sig |
| PRIMARY Adiponectin |
7.47; 7.48; 8.26; 7.58; 8.73; 7.73 | <0.001 sig |
| PRIMARY Glucagon-like Peptide-1 (GLP-1) |
3.77; 3.75; 3.49; 3.50; 3.21; 3.43 | <0.001 sig |
| PRIMARY Resistin |
7.43; 7.36; 6.34; 6.76; 5.24; 6.54 | <0.001 sig |
| PRIMARY Serotonin |
130.4; 128; 144.9; 135.1; 170.5; 147 | <0.001 sig |
| SECONDARY Body Mass Index (BMI) |
27.6; 28.2; 26.2; 27.7 | <0.001 sig |
| SECONDARY HOMA-IR |
4.25; 4.36; 3.68; 4.06; 2.67; 4.01 | <0.001 sig |
Eligibility Criteria
Inclusion Criteria
- Who had been diagnosed with type 2 diabetes mellitus and has using Metformin monotherapy as well to control their diabetes during the period of this study as previously (500 mg one/two/three times per day)
- All patients were overweight according to BMI ≥25
Exclusion Criteria
- Individuals with nephritic syndrome (urine protein over 3.5 g/day), edema or renal failure (serum creatinine over 115 µmol/L)
- Individuals who had been diagnosed with heart failure (NYHA Fc III-IV) or who had been a pacemaker implanted
- Individuals with abnormal liver dysfunction (GOT and glutamate-pyruvate transaminase (GPT) levels twofold above the normal range) or a diagnosis of liver cirrhosis
- Individuals with a high HbA1C level (HbA1C above 9 %)
- Pregnant women
- Individuals who were receiving insulin therapy already
- Individuals who receive other therapy or had any change at dosage during the period of therapy
- Individuals who were suffering from endocrine abnormalities such as Thyroid disease, polycystic ovary syndrome (PCOS), etc
- Individuals who were receiving weight loss medicine, anti depressant agents' or hormonal medicines during the last 3 months and the period of study
- Individuals who were suffering from a homeostasis disorder or other systemic disease
- Individuals who did not comply(signed informed consent) with the treatment during the study period
Data sourced from ClinicalTrials.gov (NCT02438540). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication. Informational only — not medical advice.