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Source: ADA Release (American Diabetic Association)
Elevated Intakes of Supplemental Chromium Improve Glucose and
Insulin Variables in Individuals With Type 2 Diabetes
Richard
A. Anderson
Nanzheng Cheng
Noella A. Bryden
Marilyn M. Polansky
Nanping Cheng
Jiaming Chi
Jinguang Feng
Chromium is an essential nutrient involved in normal
carbohydrate and lipid metabolism. The chromium requirement
is postulated
to increase with increased glucose intolerance and diabetes.
The objective of this study was to test the hypothesis that
the elevated intake of supplemental chromium is involved
in the control
of type 2 diabetes.
Individuals being treated for type 2 diabetes
(180 men and women) were divided randomly into three groups and
supplemented with:
1) placebo, 2) 1.92 µmol (100 µg) Cr as chromium
picolinate two times per day, or 3) 9.6 µmol (500 µg)
Cr two times per day. Subjects continued to take their normal
medications and were instructed not to change their normal eating
and living habits.
HbA1c values improved significantly after 2 months in the group
receiving 19.2 µmol (1,000 µg) Cr per day and was
lower in both chromium groups after 4 months (placebo, 8.5 ± 0.2%;
3.85 µmol Cr, 7.5 ± 0.2%; 19.2 µmol Cr, 6.6 ± 0.1%).
Fasting glucose was lower in the 19.2-µmol group after
2 and 4 months (4-month values: placebo, 8.8 ± 0.3 mmol/l;
19.2 µmol Cr, 7.1 ± 0.2 mmol/l).
Two-hour glucose values were also significantly lower for the
subjects consuming 19.2 µmol supplemental Cr after both
2 and 4 months (4-month values: placebo, 12.3 ± 0.4 mmol/l;
19.2 µmol Cr, 10.5 ± 0.2 mmol/l). Fasting and 2-h
insulin values decreased significantly in both groups receiving
supplemental chromium after 2 and 4 months.
Plasma total cholesterol also decreased after 4 months in the
subjects receiving 19.2 µmol/day Cr. These data demonstrate
that supplemental chromium had significant beneficial effects
on HbA1c, glucose, insulin, and cholesterol variables in subjects
with type 2 diabetes.
The beneficial effects of chromium in individuals
with diabetes were observed at levels higher than the upper
limit of the Estimated
Safe and Adequate Daily Dietary Intake. Diabetes 46:1786 ,
1791, 1997
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