Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Vitamin C Adjuvant Therapy on Lipid Profile in Diabetes patients with Co-Morbid Cardiovascular Disease


Affiliations
1 Department of Pharmacy Practice, School of Pharmaceutical Sciences, Vels Institute of Science, Technology and Advanced Studies, Pallavaram, Chennai, India
     

   Subscribe/Renew Journal


The study was aimed to evaluate the effect of Vitamin C adjuvant therapy significantly on lipid profile and HbA1c in diabetes patients with co-morbid cardiovascular disease.A total of 64 diabetic patients were enrolled by using a randomization procedure and assigned to control group and an intervention group.Patients in the intervention group received Vitamin C 500mg bid supplementation along with antidiabetic and antihyperlipdemic therapy as per the standard treatment protocol for a period of three months, whereas patients in the control group received only antidiabetic and antihyperlipidemic therapy for a period of three months. The mean age, BMI, duration of diabetes, of the subjects were 50.04±14.58, 27.94±4.71 and 9.93±4.83 respectively. The incidence of elevated CRP was found to be 68%. No statistically significant difference for any variable of comparison of glucose, lipid parameters and CRP was detected at baseline. There was a reduction in levels of clinical variables found after 3 months of daily use of vitamin C 500mg bid in the intervention group. Based on the results of this study concluded that Vitamin C as an adjuvant therapy produces beneficial effect in type 2 diabetes patients. Vitamin C 1g/day showed improved lipid profile which helps in cardiovascular risk mitigation.

Keywords

Vitamin C, Adjuvant Therapy, Antihyperlipidemic Therapy
Subscription Login to verify subscription
User
Notifications
Font Size


  • Wild S, Roglic G, Green A, Sicree R, King H. Global prevalence of diabetes: estimates for the year 2000 and projections for 2030. Diabetes Care. 2004 May;27(5):1047-53. doi: 10.2337/diacare.27.5.1047. PMID: 15111519.
  • Diplock AT. Antioxidant nutrients and disease prevention: an overview. Am J Clin Nutr. 1991 Jan;53(1 Suppl):189S-193S. doi: 10.1093/ajcn/53.1.189Sb. PMID: 1985386.
  • Mann GV. Hypothesis: the role of vitamin C in diabetic angiopathy. Perspect Biol Med. 1974;17(2):210–217.
  • Will JC, Byers T. Does diabetes mellitus increase the requirement for vitamin C? Nutr Rev. 1996 Jul;54(7):193-202. doi: 10.1111/j.1753-4887.1996.tb03932.x. PMID: 8918139.
  • Bishop N, Schorah CJ, Wales JK. The effect of vitamin C supplementation on diabetic hyperlipidaemia: a double blind, crossover study. Diabet Med. 1985 Mar;2(2):121-4. doi: 10.1111/j.1464-5491.1985.tb00614.x. PMID: 2952396.
  • Eriksson J, Kohvakka A. Magnesium and ascorbic acid supplementation in diabetes mellitus. Ann Nutr Metab. 1995;39(4):217-23. doi: 10.1159/000177865. PMID: 8546437.
  • Lu Q, Bjorkhem I, Wretlind B, Diczfalusy U, Henriksson P, Freyschuss A. Effect of ascorbic acid on microcirculation in patients with Type II diabetes: a randomized placebo-controlled cross-over study. ClinSci (Lond). 2005; 108(6): 507-513.
  • Dunitz JD. Linus Carl Pauling. 28 Febuary 1901-19 August 1994.biographical Memoirs of Fellows of the Royal Society. 1996; 42:316-8
  • American Diabetes Association. Diagnosis and classification of diabetes mellitus. Diabetic Care.2010;33: S62.
  • Tesfaye S, Gill G. Chronic diabetic complications in Africa. Afr J Diabetes Med. 2011; 19:4-8.
  • Chintan AP, Nimish LP, Nayana B, Bhavna M, Mahendra G, Hardik T. cardiovascular complication of diabetes mellitus. J Appl Pharm Sci. 2011; 4:1-6
  • Mohammad Afkhami-Ardekani& Ahmad Shojaoddiny-Ardekani. Effect of vitamin C on blood glucose, serum lipids & serum insulin in type 2 diabetes patients. Indian J Med Res. November 2007; 126:471-474.
  • Dakhale GN, Chaudhari HV, Shrivastava M. Supplementation of vitamin C reduces blood glucose and improves glycosylated hemoglobin in type 2 diabetes mellitus: a randomized, double-blind study. Adv Pharmacol Sci. 2011; 2011:195271. doi: 10.1155/2011/195271. Epub 2011 Dec 28. PMID: 22242019; PMCID: PMC3254006.
  • Rekha Nayaka M.R. A comparative trial on the efficacy of vitamin C as add on therapy to the oral hypoglycemic agent on serum lipid level in newly diagnosed type 2 diabetes mellitus. IJPR. 2015;5(4):115-118.
  • Mohammed S Ellulu, Asmah Rahmat, Ismail Patimah, Huzwah Khaza, Yehia Abed. Effect of vitamin C on inflammation and metabolic markers in hypertensive and /or diabetic obese adults: a randomized controlled trail. Drug Design, Development and Therapy. 2015:9;3405-3412.
  • Kalaivanan S, Sarumathy S, Anisha Ebens J, Naresh Kumar K, Roobena Parveen A, Nasreen Ashraf M. Clinical Assessment and Comparison of Lipid Profiles among Coronary Artery Disease and type 2 Diabetes Mellitus Patients receiving Statin Therapy. Research J. Pharm. and Tech. 2017; 10(1): 18-20. doi: 10.5958/0974-360X.2017.00005.1

Abstract Views: 127

PDF Views: 0




  • Effect of Vitamin C Adjuvant Therapy on Lipid Profile in Diabetes patients with Co-Morbid Cardiovascular Disease

Abstract Views: 127  |  PDF Views: 0

Authors

P. Geetha
Department of Pharmacy Practice, School of Pharmaceutical Sciences, Vels Institute of Science, Technology and Advanced Studies, Pallavaram, Chennai, India
M. Varaprasannarao
Department of Pharmacy Practice, School of Pharmaceutical Sciences, Vels Institute of Science, Technology and Advanced Studies, Pallavaram, Chennai, India
D. Subalakshmi
Department of Pharmacy Practice, School of Pharmaceutical Sciences, Vels Institute of Science, Technology and Advanced Studies, Pallavaram, Chennai, India
R. V. Bibi Bergin
Department of Pharmacy Practice, School of Pharmaceutical Sciences, Vels Institute of Science, Technology and Advanced Studies, Pallavaram, Chennai, India

Abstract


The study was aimed to evaluate the effect of Vitamin C adjuvant therapy significantly on lipid profile and HbA1c in diabetes patients with co-morbid cardiovascular disease.A total of 64 diabetic patients were enrolled by using a randomization procedure and assigned to control group and an intervention group.Patients in the intervention group received Vitamin C 500mg bid supplementation along with antidiabetic and antihyperlipdemic therapy as per the standard treatment protocol for a period of three months, whereas patients in the control group received only antidiabetic and antihyperlipidemic therapy for a period of three months. The mean age, BMI, duration of diabetes, of the subjects were 50.04±14.58, 27.94±4.71 and 9.93±4.83 respectively. The incidence of elevated CRP was found to be 68%. No statistically significant difference for any variable of comparison of glucose, lipid parameters and CRP was detected at baseline. There was a reduction in levels of clinical variables found after 3 months of daily use of vitamin C 500mg bid in the intervention group. Based on the results of this study concluded that Vitamin C as an adjuvant therapy produces beneficial effect in type 2 diabetes patients. Vitamin C 1g/day showed improved lipid profile which helps in cardiovascular risk mitigation.

Keywords


Vitamin C, Adjuvant Therapy, Antihyperlipidemic Therapy

References