The purpose of this study was to determine whether the co-administration of a konjac-glucomannan fibre blend and American ginseng in a randomized, placebo-controlled, cross-over trial can improve diabetes management.
The study used a partially blinded, randomized, placebo controlled, crossover design. Due to the nature of the fibres it was not possible to blind the participant with respect to type of fibre. The study was divided into two phases with each phase having a four 4-week run-in period, and a 12-week treatment period, separated by a minimum 4-week wash-out period. The treatments consisted of an ad libitum Canadian Diabetes Association recommended diet supplemented with capsules which contained either cornstarch (control) or AG (test) and a fiber supplement consisting of either wheat bran (control) or a viscous fiber blend of konjac mannan and xanthan (test). Participants were asked to attend the clinic at weeks -4, 0, 3, 6, and 12 during each phase. Outcome measures There were three levels of outcome measures including efficacy, safety, and compliance. Statistical analysis The results are presented as mean ± SEM and considered statistically significant at p\<0.05. Statistical analysis was performed using the SAS version 8.2 (SAS Institute, Cary, NC). Parametric analyses were conducted following a comparison of the sampling distribution to a normal distribution (Shapiro-Wilk and Kolmogorov-Smirnov tests). GLM was used to perform two-way ANOVA to detect differences of outcome variables in treatments and visits, controlling for treatment sequence and sex. If the effect of treatment was significant then percent differences were calculated between weeks 12 of test and control and analyzed using the GLM repeated measures one-way ANOVA controlling for sex. Parametric analyses were conducted following a comparison of the sampling distribution to a normal distribution (Shapiro-Wilk and Kolmogorov-Smirnov tests). The tests did not reject the null hypothesis at α=0.05. All comparisons were paired, thus each participant served as his/her own control. As this was a cross-over study, only participants who completed the study were included in the analysis.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
39
herb
Blend of 2 viscous fibers: konjac mannan and xanthan
Fiber matched control for intervention (corn starch and wheat bran)
Clinical Risk Factor and Modification Centre
Toronto, Ontario, Canada
HbA1c
Difference at week 12 between control and test intervention
Time frame: Week 12
Total Cholesterol
Difference at week 12 between control and test intervention
Time frame: Week 12
High sensitivity C reactive protein
Difference at week 12 between control and test intervention
Time frame: Week 12
Apolipoprotein A and B
Difference at week 12 between control and test intervention
Time frame: Week 12
Oxidized LDL
Difference at week 12 between control and test intervention
Time frame: Week 12
Blood pressure
Difference at week 12 between control and test intervention
Time frame: Week 12
LDL Cholesterol
Difference at week 12 between control and test intervention
Time frame: week 12
Triglycerides
Difference at week 12 between control and test intervention
Time frame: week 12
HDL-cholesterol
Difference at week 12 between control and test intervention
Time frame: week 12
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fasting glucose
Difference at week 12 between control and test intervention
Time frame: week 12
fasting insulin
Difference at week 12 between control and test intervention
Time frame: week 12