مجله دیابت و متابولیسم ایران
سال هفدهم شماره 6 (پیاپی 82، امرداد و شهریور 1397)

Effect of mobile text message on blood glucose (HbA1c) control in providing type 2 diabetes care (diabetes mellitus non insulin dependent). The present study is a systematic review with meta-analysis. A search of the most important electronic medical databases of medical resources from December 1992 to January 2017 in a systematic manner, including: CRD, Ovid Medline, PubMed, Cochrane Library, and moreover, by referring to the resources found in the articles and manual search on the site. Related to this technology and, if necessary, contacting experts. All randomized clinical trials and cohort studies were reviewed. Participants included nine studies (818), all randomized clinical trials, and quality assessment. The average decrease in Mobile SMS Services users compared to the control group (SMD-0.324, 95% CI, -0.526 to -0.121; I2 = 51.0). The analysis of subgroups showed that young patients are more likely to use diabetes programs, and the size of the effect increases with short intervals of interventions and the size of large samples. Mobile SMS services may be considered as an effective component for helping control glycosylated hemoglobin and as a side intervention for the care of patients with type 2 diabetes.

Zinc-Alpha 2-Glycoprotein (ZAG) has recently been implicated in the regulation of adipose tissue metabolism due to its negative association with obesity and insulin resistance. The purpose of this study is to investigate the effect of eight weeks HIIT on level of ZAG in plasma and adipose tissue in type 2 diabetic male rats. Twenty one male rats were divided into the three groups of sham control (healthy), control (diabetic), and interval training (diabetic with training). The training group received 8 weeks of training sessions each with 5-12 repetitions of high intensity training for 15-30 seconds at the speed of 27-34 meters per second on a treadmill followed by one minute of active rest. Twenty four hours after the training session blood and body fat samples were taken to measure ZAG levels. The data was analyzed using one-way ANOVA and Tukey’s post hock test at the significance level of 0.05 (P<0.05). There were significant differences between the sham control and the control with respect to ZAG contents in adipose tissue, which was lower in the diabetic control group (P<0.001). Moreover, significant differences in ZAG contents of adipose tissue were also observed between the sham control and the group receiving the training, with the sham control having higher ZAG contents in adipose tissue (P<0.005). The eight-week HIIT significantly increased the amount of secreted ZAG in adipose tissue compared to the control diabetic group (P=0.003). No significant differences were recorded between the groups in ZAG plasma levels. The HIIT increased ZAG content in the adipose tissue of the male diabetic rats. This can reduce insulin resistance in type 2 diabetes.

Diabetes mellitus is a worldwide prevalence of metabolic diseases and its important complications are gastrointestinal disturbances. A wide range of studies have been conducted on the physicochemical traits and pharmacological effects of curcumin on different diseases like diabetes and cancer. However, the poor oral bioavailability and instability of curcumin had greatly limited its further applications. The purpose of this study was to evaluate the effects of Nanocurcumin on the oxidative stress and tissue changes of small intestine in diabetic mice. In this experimental study, animals were divided to five groups: Control, sham, diabetic (Intraperitoneal injection of 120 mg/kg of Streptozotocin) and diabetic groups treated with Nanocurcumin (7.5 and 15 mg/kg body weight) for 21days. At the end of experiment, catalase (CAT) activity and Malondialdehyde (MDA) level were measured in intestinal tissue. For histological assessment, villi length and crypt depth in small intestine were investigated. The oral administration of Nanocurcumin significantly increased intestinal CAT activity (P<0.05) and decreased MDA level (P<0.001). Also, the Villi length in diabetic groups treated with Nanocurcumin showed a significant increase compared to diabetic group (P<0.05). The findings of this study showed that Nanocurcumin has a protective effect on diabetes-induced digestive disorders due to its antioxidant properties.

consumption of medicinal plants, especially when conventional treatments are not able to control diabetes, and the patient needs insulin administration, is remarkable. The aim of this paper is the attitude and social behaviors of Bandar Abbas 's people to consume of herbal medicine in treatment of DM. This descriptive cross-sectional study was conducted in 2017. In this study, 300 individuals aged 20 to 65 years were selected randomly from 10 locations in Bandar Abbas. The research instrument was a two-part questionnaire that evaluated demographic information and attitude. Data were analyzed by SPSS-24 software using descriptive statistics (mean, standard deviation and frequency), ANOVA, T-test Independent and Chi-Square tests. The mean and standard deviation of people's attitude toward using herbal drugs in the treatment of diabetes was 47.15±3.23. The mean score of attitude with gender variables (P = 0.002), age (P = 0.04) and education (P = 0.02) was statistically significant. The majority of people had their information on herbal medicines through their parents and relatives, and this difference was statistically significant in distributing the frequency of information sources in individuals. (P = 0.001) According to the results of this research, people's attitude towards the use of herbal medicines in the treatment of diabetes was at a relatively good level, which can play a constructive role in the scientific and executive planning of the health and medical professions.

The purpose of this study was to determine the effect of 10 weeks of Intensity Interval Training and Supplementation green tea on serum level of irisin and insulin resistance in obese women with type 2 diabetes In this semi-experimental study,48 women with type II diabetes (aged 49/55±3/04 years with Weight 76/72±5/78 kg, Height 153/33±5/06 Cm, BMI 31/75±1/41 Kg/m2, selected and grouped randomly into four groups the intensity interval training (n=12), combined (green tea extract along with intensity interval training) (n=12) green tea extract (n=12), and the control group(n=12). Training group performed training programs including 3sessions per week at maximum intensity of 75-85% heart rate and the supplement group consumed 3 tablets of green tea (500 mg) daily for 10 weeks high intensity interval training and the supplement group both underwent intervention. Blood samples were collected before and after the intervention in fasting state. The obtained data was analyzed using of variance (ANOVA) and Tukey post hoc test and paired t-test analysis. The significant level was P<0/05. The results showed that irisin levels and maximum oxygen consumption in all three groups increased significantly after 10 weeks compared to the control group (P≤0.05) Also, the results indicate a significant increase in irezin in the combined group compared with the green tea group. Serum insulin level, glucose, insulin resistance and weight, body mass index decreased significantly in all three groups compared to control group and green tea group and combination group (P≤0.05).No significant difference was found between the groups in the irisin levels)P>0.05). Regarding the results of this study, it seems that performing periodic exercises along with supplementation of green tea due to increased irisin and glucose reduction can be helpful in improving insulin resistance in patients with type 2 diabetes. Perhaps the desired results can be achieved by increasing the duration of exercise and supplementation with iyrosin and the maximum oxygen intake.

The relationship between adipokines, insulin resistance and type 2 diabetes has been well documented. However, the effect of exercise training modalities on some of the new adipokines and their association with insulin resistance is not clear. The purpose of this study was to compare the effect of endurance and progressive resistance training on serum adiponectin, vaspin and insulin resistance in overweight and obese men. 33 overweight men (mean BMI= 27.3 kg/m2) were randomly divided into 3 groups of n=11, including; 1- continues training, 2- progressive resistance training and 3-control. The training protocols was lasted to eight weeks, three days a week in continues and progressive resistance training groups. Before the beginning of the training and 72 hours after the last training session, blood samples were collected for measuring serum adiponectin, vaspin, glucose and insulin. There was a significant decrease in insulin levels and a significant increase in serum adiponectin and vaspin in both groups of continuous and progressive resistance training (P<0.05). After the training, there was a significant difference between the groups in the concentration of adiponectin (P= 0.001) and vaspin (P= 0.021). However, there was no significant difference between continuous and progressive resistance training groups in any of the variables. It seems that progressive resistance training like the endurance training, improves anti-inflammatory indices and insulin resistance of overweight and obese men.