PMID- 34484389 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220426 IS - 1741-427X (Print) IS - 1741-4288 (Electronic) IS - 1741-427X (Linking) VI - 2021 DP - 2021 TI - Efficacy and Safety of Curcumin Supplement on Improvement of Insulin Resistance in People with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. PG - 4471944 LID - 10.1155/2021/4471944 [doi] LID - 4471944 AB - BACKGROUND: Diabetes is a major public health concern. In addition, there is some evidence to support curcumin as part of a diabetes treatment program. METHODS: Data from randomized controlled trials were obtained to assess the effects of curcumin versus placebo or western medicine in patients with type 2 diabetes mellitus (T2DM). The study's registration number is CRD42018089528. The primary outcomes included homeostasis model assessment-insulin resistance (HOMA-IR), glycosylated hemoglobin (HbAlc), total cholesterol (TC), and triglyceride (TG). RESULTS: Four trials involving 453 patients were included. The HOMA-IR of curcumin group is lower in Asia (WMD: -2.41, 95% CI: -4.44 to -0.39, P=0.02) and the Middle East subgroups (WMD: -0.60, 95% CI: -0.74 to -0.46, P < 0.00001). The HbAlc in the curcumin group is lower than that in the control group (WMD: -0.69; 95% CI: -0.91, -0.48; P < 0.0001). The TC and TG levels of the curcumin group are lower in the Asia subgroup (TC: WMD: -23.45, 95% CI: -40.04 to -6.84, P=0.006; TG: WMD: -54.14, 95% CI: -95.71 to -12.57, P=0.01), while in the Middle East the difference was of not statistically significant (TC: WMD: 22.91, 95% CI: -16.94 to 62.75, P=0.26; TG: WMD: -4.56, 95% CI: -19.28 to 10.16, P=0.54). CONCLUSION: Based on the current evidence, curcumin may assist in improving the insulin resistance, glycemic control, and decreased TG and TC in patients with T2DM. CI - Copyright (c) 2021 Tianqing Zhang et al. FAU - Zhang, Tianqing AU - Zhang T AD - The First Affiliated Hospital, Department of Cardiovascular Medicine, Hengyang Medical School, University of South China, Hengyang, Hunan Province, China. FAU - He, Qi AU - He Q AUID- ORCID: 0000-0002-3243-8002 AD - People's Hospital of Ningxiang City, Ningxiang City, Hunan Province, China. FAU - Liu, Yao AU - Liu Y AD - The First Affiliated Hospital, Department of Cardiovascular Medicine, Hengyang Medical School, University of South China, Hengyang, Hunan Province, China. FAU - Chen, Zhenrong AU - Chen Z AD - The First Affiliated Hospital, Department of Cardiovascular Medicine, Hengyang Medical School, University of South China, Hengyang, Hunan Province, China. FAU - Hu, Hengjing AU - Hu H AUID- ORCID: 0000-0002-1187-3611 AD - The First Affiliated Hospital, Department of Cardiovascular Medicine, Hengyang Medical School, University of South China, Hengyang, Hunan Province, China. AD - Institute of Cardiovascular Disease and Key Lab for Arteriosclerology of Hunan Province, University of South China, Hengyang, Hunan, China. LA - eng PT - Journal Article DEP - 20210824 PL - United States TA - Evid Based Complement Alternat Med JT - Evidence-based complementary and alternative medicine : eCAM JID - 101215021 PMC - PMC8410384 COIS- The authors declare that there are no conflicts of interest. EDAT- 2021/09/07 06:00 MHDA- 2021/09/07 06:01 PMCR- 2021/08/24 CRDT- 2021/09/06 05:57 PHST- 2021/06/06 00:00 [received] PHST- 2021/07/20 00:00 [accepted] PHST- 2021/09/06 05:57 [entrez] PHST- 2021/09/07 06:00 [pubmed] PHST- 2021/09/07 06:01 [medline] PHST- 2021/08/24 00:00 [pmc-release] AID - 10.1155/2021/4471944 [doi] PST - epublish SO - Evid Based Complement Alternat Med. 2021 Aug 24;2021:4471944. doi: 10.1155/2021/4471944. eCollection 2021.