Diabetes Care 30:1092-1096, 2007 DOI: 10.2337/dc06-2192 © 2007 by the American Diabetes Association
Chromium Treatment Has No Effect in Patients With Type 2 Diabetes in a Western PopulationA randomized, double-blind, placebo-controlled trial
1 Diabetes Centre, Isala Clinics, Zwolle, the Netherlands Address correspondence and reprint requests to Nanne Kleefstra, MD, Diabetes Centre, Isala Clinics, P.O. Box 10400, 8000 GK Zwolle, Netherlands. E-mail: kleefstra{at}langerhans.com OBJECTIVEChromium treatment has been reported to improve glycemic control in patients with type 2 diabetes. However, concern exists about the possible toxic effects of chromium picolinate. The aim of this study was to determine the effect of chromium treatment in the form of chromium yeast on glycemic control in a Western population of patients with type 2 diabetes who were being treated with oral hypoglycemic agents. RESEARCH DESIGN AND METHODSIn this 6-month, double-blind study, patients with moderate glycemic control, being treated with oral hypoglycemic agents, were randomly assigned to receive either a placebo or treatment with 400 µg of chromium daily in the form of chromium yeast. The primary efficacy parameter was a change in A1C. Secondary end points were changes in lipid profile, BMI, blood pressure, body fat, and insulin resistance. RESULTSNo differences were found for the change in A1C between the intervention and placebo groups, nor were any differences found between the groups for the secondary end points. CONCLUSIONSThere is no evidence that chromium in the form of chromium yeast is effective in improving glycemic control in Western patients with type 2 diabetes who are taking oral hypoglycemic agents.
Abbreviations: ALT, alanine aminotransferase CONSORT, Consolidated Standards of Reporting Trials GLM, general linear model HOMA-IR, homeostasis model assessment of insulin resistance
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