SUPPLEMENTATION OF VITAMIN E IMPROVES COGNITIVE STATUS AND OXIDATIVE STRESS IN TYPE 2 DIABETES MELLITUS
Journal Title: International Research Journal of Pharmacy (IRJP) - Year 2011, Vol 2, Issue 11
Abstract
Oxidative stress has been suggested as a major contributing factor for initiation and progression of cognitive impairment along with various other complications in type 2 diabetes mellitus. The present study was, therefore, designed to assess the effect of vitamin E supplemention along with oral hypoglycaemic agents on cognitive functions and oxidative stress in patients with type 2 diabetes mellitus. A total of 74 type 2 diabetes mellitus patients were enrolled in this randomized open label controlled study from out-patient department of secondary care Government headquarters hospital, Ooty, India. Patients were randomised into two groups viz., control (n=36) and intervention (n=38). Control group received OHA’s i.e, Glibanclamide and/or Metformin. Patients in intervention group received OHA’s along with vitamin E supplementation (600mg/day) for a period of three months. Cognition functions were assessed for control and intervention group by using Mini Mental State Examination. Blood samples were analysed for the level of thiobarbituric acid reactive substances, superoxide dismutase, catalase, reduced glutathione and HbA1C by using specific assay methods at the baseline and by end of three months. Intervention group patients showed significant improvement in the orientation (9.22±0.27), p≤0.001 and in total MMSE score (28.00±0.43), p≤0.001 after three months of vitamin E supplementation. There was a significant decreased in lipid peroxidation and HbA1C level. Significant increase in enzymatic and non enzymatic antioxidant levels was observed in intervention group when compared to control group. Vitamin E supplementation is found to be effective in improving orientation, total MMSE score and oxidative stress in type 2 diabetes mellitus.
Authors and Affiliations
Anand Vijayakumar , Jayesh Bhatt , Jenny Varghese , Sushanta Das
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