The Effectiveness of Myo-Inositol and D-Chiro Inositol Treatment in Type 2 Diabetes

Inositol has been used as a supplement in treating several pathologies such as PCOS, metabolic syndrome, and gestational diabetes. Both myo-inositol and its isomer d-chiro-inositol showed insulin mimetic effects in conditions of insulin resistance. Type 2 diabetes (T2DM) is a condition typically cau...

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Main Authors: Basilio Pintaudi, Giacoma Di Vieste, Matteo Bonomo
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:International Journal of Endocrinology
Online Access:http://dx.doi.org/10.1155/2016/9132052
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author Basilio Pintaudi
Giacoma Di Vieste
Matteo Bonomo
author_facet Basilio Pintaudi
Giacoma Di Vieste
Matteo Bonomo
author_sort Basilio Pintaudi
collection DOAJ
description Inositol has been used as a supplement in treating several pathologies such as PCOS, metabolic syndrome, and gestational diabetes. Both myo-inositol and its isomer d-chiro-inositol showed insulin mimetic effects in conditions of insulin resistance. Type 2 diabetes (T2DM) is a condition typically caused by insulin resistance. There is a lack of evidence of inositol use in T2DM. We evaluated the effectiveness and safety of myo-inositol and d-chiro-inositol treatment in T2DM. This was a pilot study involving a consecutive sample of patients with T2DM with suboptimal glycemic control (HbA1c 7.0–10.0%) already treated with glucose-lowering agents. Patients (23.1% males, mean age of 60.8±11.7 years) took for three months a combination of myo-inositol (550 mg) and d-chiro-inositol (13.8 mg) orally twice a day as add-on supplement to their glucose-lowering drugs. Possible occurrence of side effects was investigated. After three months of treatment fasting blood glucose (192.6±60.2 versus 160.9±36.4; p=0.02) and HbA1c levels (8.6±0.9 versus 7.7±0.9; p=0.02) significantly decreased compared to baseline. There was no significant difference in blood pressure, lipid profile, and BMI levels. None of the participants reported side effects. In conclusion, a supplementation with a combination of myo- and d-chiro-inositol is an effective and safe strategy for improving glycemic control in T2DM.
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spelling doaj-art-aecb6907670b4656ad0aff06ae31e1a12025-02-03T01:24:24ZengWileyInternational Journal of Endocrinology1687-83371687-83452016-01-01201610.1155/2016/91320529132052The Effectiveness of Myo-Inositol and D-Chiro Inositol Treatment in Type 2 DiabetesBasilio Pintaudi0Giacoma Di Vieste1Matteo Bonomo2Diabetes Unit, Niguarda Cà Granda Hospital, 20162 Milan, ItalyDiabetes Unit, Cantù Hospital, 20081 Abbiategrasso, ItalyDiabetes Unit, Niguarda Cà Granda Hospital, 20162 Milan, ItalyInositol has been used as a supplement in treating several pathologies such as PCOS, metabolic syndrome, and gestational diabetes. Both myo-inositol and its isomer d-chiro-inositol showed insulin mimetic effects in conditions of insulin resistance. Type 2 diabetes (T2DM) is a condition typically caused by insulin resistance. There is a lack of evidence of inositol use in T2DM. We evaluated the effectiveness and safety of myo-inositol and d-chiro-inositol treatment in T2DM. This was a pilot study involving a consecutive sample of patients with T2DM with suboptimal glycemic control (HbA1c 7.0–10.0%) already treated with glucose-lowering agents. Patients (23.1% males, mean age of 60.8±11.7 years) took for three months a combination of myo-inositol (550 mg) and d-chiro-inositol (13.8 mg) orally twice a day as add-on supplement to their glucose-lowering drugs. Possible occurrence of side effects was investigated. After three months of treatment fasting blood glucose (192.6±60.2 versus 160.9±36.4; p=0.02) and HbA1c levels (8.6±0.9 versus 7.7±0.9; p=0.02) significantly decreased compared to baseline. There was no significant difference in blood pressure, lipid profile, and BMI levels. None of the participants reported side effects. In conclusion, a supplementation with a combination of myo- and d-chiro-inositol is an effective and safe strategy for improving glycemic control in T2DM.http://dx.doi.org/10.1155/2016/9132052
spellingShingle Basilio Pintaudi
Giacoma Di Vieste
Matteo Bonomo
The Effectiveness of Myo-Inositol and D-Chiro Inositol Treatment in Type 2 Diabetes
International Journal of Endocrinology
title The Effectiveness of Myo-Inositol and D-Chiro Inositol Treatment in Type 2 Diabetes
title_full The Effectiveness of Myo-Inositol and D-Chiro Inositol Treatment in Type 2 Diabetes
title_fullStr The Effectiveness of Myo-Inositol and D-Chiro Inositol Treatment in Type 2 Diabetes
title_full_unstemmed The Effectiveness of Myo-Inositol and D-Chiro Inositol Treatment in Type 2 Diabetes
title_short The Effectiveness of Myo-Inositol and D-Chiro Inositol Treatment in Type 2 Diabetes
title_sort effectiveness of myo inositol and d chiro inositol treatment in type 2 diabetes
url http://dx.doi.org/10.1155/2016/9132052
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