PMID- 33144868 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220418 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2020 DP - 2020 TI - Herbal Formula Gegen-Qinlian Decoction for Type 2 Diabetes Mellitus: A Meta-Analysis of Randomized Controlled Trials. PG - 3907920 LID - 10.1155/2020/3907920 [doi] LID - 3907920 AB - BACKGROUND: Herbal formula Gegen-Qinlian Decoction (GQD) has been widely used in China for the treatment of type 2 diabetes mellitus (T2DM), but its efficacy and safety are unclear. METHOD: The studies were identified from the PubMed, EMBASE, Cochrane Library, China National Knowledge Infrastructure database, Wanfang database, and VIP database using the keywords "Gegenqinlian" or "Gegen-Qinlian" or "Gegen-Qin-Lian" or "Ge Gen Qin Lian." Relevant studies were selected according to predefined inclusion and exclusion criteria. Study selection, data extraction, and validation were carried out by, at least, two reviewers with disagreements being settled by discussion. RESULTS: After literature search, a total of 26 randomized controlled trials were included with a total of 2553 patients. There was evidence that compared with metformin, the combination of GQD and metformin significantly reduced the fasting plasma glucose levels (MD -1.79, 95% CI (-2.31, -1.27), p < 0.00001); 2-hour postprandial plasma glucose levels (MD -1.72, 95% CI (-2.12, -1.31), p < 0.00001); and glycosylated hemoglobin levels (MD -1.26, 95% CI (-1.80, -0.72), p < 0.00001), and no serious side effects were identified. CONCLUSION: These data suggest that GQD may be an effective herbal formula in treating T2DM without serious side effects. The addition of GQD also enhances the hypoglycemic effects of metformin. However, the evidence remains weak due to methodological flaws, which may amplify the therapeutic benefit of GQD. CI - Copyright (c) 2020 Lin Ren et al. FAU - Ren, Lin AU - Ren L AD - Department of Pharmacy, West China Hospital, Sichuan University, Chengdu 610041, China. FAU - Cheng, Yanxia AU - Cheng Y AD - Department of Pharmacy, West China Hospital, Sichuan University, Chengdu 610041, China. FAU - Qin, Feng AU - Qin F AUID- ORCID: 0000-0001-9521-7146 AD - Andrology Laboratory, West China Hospital, Sichuan University, Chengdu 610041, China. LA - eng PT - Journal Article DEP - 20201021 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC7596527 COIS- All authors declare that they have no conflicts of interest. EDAT- 2020/11/05 06:00 MHDA- 2020/11/05 06:01 PMCR- 2020/10/21 CRDT- 2020/11/04 05:42 PHST- 2020/05/29 00:00 [received] PHST- 2020/09/29 00:00 [revised] PHST- 2020/10/07 00:00 [accepted] PHST- 2020/11/04 05:42 [entrez] PHST- 2020/11/05 06:00 [pubmed] PHST- 2020/11/05 06:01 [medline] PHST- 2020/10/21 00:00 [pmc-release] AID - 10.1155/2020/3907920 [doi] PST - epublish SO - Evid Based Complement Alternat Med. 2020 Oct 21;2020:3907920. doi: 10.1155/2020/3907920. eCollection 2020.