PMID- 29707032 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220317 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2018 DP - 2018 TI - Chromium-Containing Traditional Chinese Medicine, Tianmai Xiaoke Tablet, for Newly Diagnosed Type 2 Diabetes Mellitus: A Meta-Analysis and Systematic Review of Randomized Clinical Trials. PG - 3708637 LID - 10.1155/2018/3708637 [doi] LID - 3708637 AB - OBJECTIVE: Chromium-containing traditional Chinese medicine Tianmai Xiaoke tablet (TMXKT) is approved for treating newly diagnosed type 2 diabetes mellitus (T2DM) in China. This review aimed to compile the evidence from randomized clinical trials (RCTs) and quantify the effects of TMXKT on newly diagnosed T2DM. METHODS: Seven online databases were investigated up to March 20, 2017. The meta-analysis included RCTs investigating the treatment of newly diagnosed T2DM, in which TMXKT combined with conventional therapy was compared with placebo or conventional therapy. The risk of bias was evaluated using the Cochrane Collaboration tool. The estimated mean difference (MD) and the standardized mean difference were within 95% confidence intervals (CI) with respect to the interstudy heterogeneity. The outcomes were measured using fasting blood glucose (FBG), 2-h postprandial blood glucose (2hPG), glycosylated hemoglobin A1c (HbA1c), and body mass index (BMI) levels. RESULTS: TMXKT combined with conventional therapy lowered FBG level (MD = -0.68, 95% CI -0.90 to -0.45, P < 0.00001), 2hPG (MD = -1.33, 95% CI -1.86 to -0.79, P < 0.00001), HbA1c (MD = -0.46, 95% CI -0.57 to -0.36, P < 0.00001), and BMI (MD = -0.77, 95% CI -1.12 to -0.41, P < 0.00001). CONCLUSIONS: TMXKT combined with conventional therapy is beneficial for patients with newly diagnosed T2DM. However, the effectiveness and safety of TMXKT are uncertain because of the limited number of trials and low methodological quality. Therefore, practitioners should be cautious when applying TMXKT in daily practice. Also, well-designed clinical trials are needed in the future. FAU - Gu, Yuming AU - Gu Y AD - Shandong University of Traditional Chinese Medicine, Jinan 250355, China. FAU - Xu, Xuemin AU - Xu X AD - Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250011, China. FAU - Wang, Zhe AU - Wang Z AD - Shandong University of Traditional Chinese Medicine, Jinan 250355, China. FAU - Xu, Yunsheng AU - Xu Y AD - Second Affiliated Hospital of Shandong University of Traditional Chinese Medicine, Jinan 250001, China. FAU - Liu, Xiuzhi AU - Liu X AD - Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan 250012, China. FAU - Cao, Lejun AU - Cao L AD - Jinan Municipal Hospital of Traditional Chinese Medicine, Jinan 250012, China. FAU - Wang, Xueyang AU - Wang X AD - Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Li, Zhengxin AU - Li Z AD - Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China. FAU - Feng, Bo AU - Feng B AUID- ORCID: 0000-0002-8128-8127 AD - Shandong Province Qianfoshan Hospital, Shandong University, Jinan 250014, China. LA - eng PT - Journal Article PT - Review DEP - 20180307 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC5863285 EDAT- 2018/05/01 06:00 MHDA- 2018/05/01 06:01 PMCR- 2018/03/07 CRDT- 2018/05/01 06:00 PHST- 2017/09/13 00:00 [received] PHST- 2018/01/29 00:00 [accepted] PHST- 2018/05/01 06:00 [entrez] PHST- 2018/05/01 06:00 [pubmed] PHST- 2018/05/01 06:01 [medline] PHST- 2018/03/07 00:00 [pmc-release] AID - 10.1155/2018/3708637 [doi] PST - epublish SO - Evid Based Complement Alternat Med. 2018 Mar 7;2018:3708637. doi: 10.1155/2018/3708637. eCollection 2018.