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Evidence-Based Complementary and Alternative Medicine
Volume 2016, Article ID 1064924, 8 pages
http://dx.doi.org/10.1155/2016/1064924
Research Article

Additive Effect of Qidan Dihuang Grain, a Traditional Chinese Medicine, and Angiotensin Receptor Blockers on Albuminuria Levels in Patients with Diabetic Nephropathy: A Randomized, Parallel-Controlled Trial

1School of Traditional Chinese Medicine, Southern Medical University, Guangzhou, Guangdong 510515, China
2Department of Traditional Chinese Medicine, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China
3Endocrinology Department, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong 510515, China
4Second Chinese Medicine Hospital of Guangdong, Guangzhou, Guangdong 510095, China
5First People’s Hospital of Baiyun District, Guangzhou, Guangdong 510410, China

Received 18 January 2016; Revised 1 April 2016; Accepted 13 April 2016

Academic Editor: I-Min Liu

Copyright © 2016 Lei Xiang 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

Albuminuria is characteristic of early-stage diabetic nephropathy (DN). The conventional treatments with angiotensin receptor blockers (ARB) are unable to prevent the development of albuminuria in normotensive individuals with type 2 diabetes mellitus (T2DM). Purpose. The present study aimed to evaluate the effect of ARB combined with a Chinese formula Qidan Dihuang grain (QDDHG) in improving albuminuria and Traditional Chinese Medicine Symptom (TCMS) scores in normotensive individuals with T2DM. Methods. Eligible patients were randomized to the treatment group and the control group. Results. Compared with baseline (week 0), both treatment and control groups markedly improved the 24-hour albuminuria, total proteinuria (TPU), and urinary albumin to creatinine ratio (A/C) at 4, 8, and 12 weeks. Between treatment and the control group, the levels of albuminuria in the treatment group were significantly lower than in the control group at 8 and 12 weeks (). In addition, treatment group markedly decreased the scores of TCMS after treatment. Conclusion. This trial suggests that QDDHG combined with ARB administration decreases the levels of albuminuria and the scores for TCMS in normotensive individuals with T2DM.