PMID- 25535146 OWN - NLM STAT- MEDLINE DCOM- 20150824 LR - 20181202 IS - 2284-0729 (Electronic) IS - 1128-3602 (Linking) VI - 18 IP - 23 DP - 2014 TI - alpha-Lipoic acid treatment of aged type 2 diabetes mellitus complicated with acute cerebral infarction. PG - 3715-9 LID - 8177 [pii] AB - OBJECTIVE: This study aims to evaluate the efficacy and safety of alpha-lipoic acid in the treatment of aged type 2 diabetes mellitus (T2DM) complicated with acute cerebral infarction. PATIENTS AND METHODS: 90 patients were randomly divided into two groups, on the basis of conventional treatment. The experiment group was administrated with alpha-lipoic acid, while only Vitamin C for the control group, for 3 consecutive weeks. Before and after the experiment, superoxide dismutase (SOD), glutathione peroxidase (GSH-Px) and malondialdehyde (MDA) levels were measured and scored with the NIHSS (National Institutes of Health Stroke Scale), and the changes of blood glucose, insulin function and other indicators were observed. RESULTS: After the treatment, the plasma SOD and GSH-Px levels increased, while MDA decreased (p < 0.05), with statistical significance when compared with the control group (p < 0.01). NIHSS score, blood glucose, blood lipids and HOMA-IA of the experiment group decreased significantly (p < 0.01); and no significant adverse reactions were found in both groups. CONCLUSIONS: alpha-lipoic acid was safe and effective in the treatment of aged T2DM complicated with acute cerebral infarction, significantly reducing the patient's oxidative stress, blood glucose and lipid levels and being able to improve islet function. FAU - Zhao, L AU - Zhao L AD - Department of Endocrinology, Hedong District People's Hospital, Linyi, China. liangzhaocn@126.com. FAU - Hu, F-X AU - Hu FX LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - Italy TA - Eur Rev Med Pharmacol Sci JT - European review for medical and pharmacological sciences JID - 9717360 RN - 0 (Antioxidants) RN - 0 (Blood Glucose) RN - 73Y7P0K73Y (Thioctic Acid) RN - PQ6CK8PD0R (Ascorbic Acid) SB - IM MH - Acute Disease MH - Aged MH - Aging/blood/*drug effects/pathology MH - Antioxidants/pharmacology/*therapeutic use MH - Ascorbic Acid/pharmacology/therapeutic use MH - Blood Glucose/drug effects/metabolism MH - Cerebral Infarction/blood/complications/*drug therapy MH - Diabetes Mellitus, Type 2/blood/complications/*drug therapy MH - Female MH - Humans MH - Male MH - Middle Aged MH - Oxidative Stress/drug effects/physiology MH - Thioctic Acid/pharmacology/*therapeutic use MH - Treatment Outcome EDAT- 2014/12/24 06:00 MHDA- 2015/08/25 06:00 CRDT- 2014/12/24 06:00 PHST- 2014/12/24 06:00 [entrez] PHST- 2014/12/24 06:00 [pubmed] PHST- 2015/08/25 06:00 [medline] AID - 8177 [pii] PST - ppublish SO - Eur Rev Med Pharmacol Sci. 2014;18(23):3715-9.