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Evidence-Based Complementary and Alternative Medicine
Volume 2012 (2012), Article ID 452313, 7 pages
http://dx.doi.org/10.1155/2012/452313
Research Article

Antidiabetic Effects of Add-On Gynostemma pentaphyllum Extract Therapy with Sulfonylureas in Type 2 Diabetic Patients

1Endocrine and Diabetes Unit, Department of Molecular Medicine and Surgery, Karolinska Institute,17176 Stockholm, Sweden
2Hanoi Medical University, 1000 Hanoi, Vietnam
3National Institute of Gerontology, 1000 Hanoi, Vietnam
4Department of Material Medica, Hanoi College of Pharmacy, 1000 Hanoi, Vietnam
5Department of Internal Medicine, University of Manitoba, Winnipeg, Manitoba, Canada R3T 2N2

Received 9 April 2012; Accepted 25 September 2012

Academic Editor: Benny Tan Kwong Huat

Copyright © 2012 V. T. T. Huyen et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Aims. To investigate the antidiabetic effect of the traditional Vietnamese herb Gynostemma pentaphyllum (GP) together with sulfonylurea (SU) in 25 drug-naïve type 2 diabetic patients. Methods. After 4-week treatment with gliclazide (SU), 30 mg daily, all patients were randomly assigned into 2 groups to add on GP extract or placebo extract, 6 g daily, during eight weeks. Results. After 4-week SU treatment, fasting plasma glucose (FPG) and Hb decreased significantly ( ). FPG was further reduced after add-on therapy with 2.9 ± 1.7 and 0.9 ± 0.6 mmol/L in the GP and placebo groups, respectively ( ). Therapy with GP extract also reduced 30- and 120-minute oral glucose tolerance test postload values. Hb levels decreased approximately 2% units in the GP group compared to 0.7% unit in the placebo group ( ). Conclusion. GP extract in addition to SU offers an alternative to addition of other oral medication to treat type 2 diabetic patients.