PMID- 23983807 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20130828 LR - 20211021 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2013 DP - 2013 TI - Electroacupuncture and rosiglitazone combined therapy as a means of treating insulin resistance and type 2 diabetes mellitus: a randomized controlled trial. PG - 969824 LID - 10.1155/2013/969824 [doi] LID - 969824 AB - Aims. To evaluate the efficacy of rosiglitazone (TZD) and electroacupuncture (EA) combined therapy as a treatment for type 2 diabetes mellitus (T2DM) patients by randomized single-blind placebo controlled clinical trial. Methods. A total of 31 newly diagnostic T2DM patients, who fulfilled the study's eligibility criteria, were recruited. The individuals were randomly assigned into two groups, the control group (TZD, N = 15) and the experimental group (TZD + EA, N = 16). Changes in their plasma free fatty acid (FFA), glucose, and insulin levels, together with their homeostasis model assessment (HOMA) indices, were statistically compared before and after treatment. Hypoglycemic activity (%) was also compared between these two groups. Results. There was no significant difference in hypoglycemic activity between the TZD and TZD + EA group. The effectiveness of the combined therapy seems to derive from an improvement in insulin resistance and a significant lowering of the secreted insulin rather than the effect of TZD alone on T2DM. The combined treatment had no significant adverse effects. A lower plasma FFA concentration is likely to be the mechanism that causes this effect. Conclusion. This combined therapy seems to suppress endogenous insulin secretion by improving insulin resistance via a mechanism involving a reduction in plasma FFA. This trial is registered with ClinicalTrials.gov NCT01577095. FAU - Lin, Rong-Tsung AU - Lin RT AD - Department of Internal Medicine and Emergency Medicine, Division of Endocrinology and Metabolism, Tungs' Taichung Metro Harbor Hospital, Taichung County, Taiwan. FAU - Pai, Huei-Chin AU - Pai HC FAU - Lee, Yu-Chen AU - Lee YC FAU - Tzeng, Chung-Yuh AU - Tzeng CY FAU - Chang, Chin-Hsien AU - Chang CH FAU - Hung, Pei-Hsiu AU - Hung PH FAU - Chen, Ying-I AU - Chen YI FAU - Hsu, Tai-Hao AU - Hsu TH FAU - Tsai, Chin-Chun AU - Tsai CC FAU - Lin, Jaung-Geng AU - Lin JG FAU - Chang, Shih-Liang AU - Chang SL LA - eng SI - ClinicalTrials.gov/NCT01577095 PT - Journal Article DEP - 20130729 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC3745852 EDAT- 2013/08/29 06:00 MHDA- 2013/08/29 06:01 PMCR- 2013/07/29 CRDT- 2013/08/29 06:00 PHST- 2013/02/21 00:00 [received] PHST- 2013/04/19 00:00 [revised] PHST- 2013/04/28 00:00 [accepted] PHST- 2013/08/29 06:00 [entrez] PHST- 2013/08/29 06:00 [pubmed] PHST- 2013/08/29 06:01 [medline] PHST- 2013/07/29 00:00 [pmc-release] AID - 10.1155/2013/969824 [doi] PST - ppublish SO - Evid Based Complement Alternat Med. 2013;2013:969824. doi: 10.1155/2013/969824. Epub 2013 Jul 29.