PMID- 36090588 OWN - NLM STAT- MEDLINE DCOM- 20220913 LR - 20220913 IS - 2314-6753 (Electronic) IS - 2314-6745 (Print) VI - 2022 DP - 2022 TI - The Amelioration of Detrimental Biochemical Anomalies by Supplementing B, C, and E Vitamins in Subjects with Type 2 Diabetes Mellitus May Reduce the Rate of Development of Diabetic Retinopathy. PG - 3886710 LID - 10.1155/2022/3886710 [doi] LID - 3886710 AB - Excessive intracellular glucose in insulin-independent tissues including nerve, nephron, lens, and retina invites mishandling of metabolism of glucose resulting in a background of increased oxidative stress, advanced glycation end products (AGE) formation, lipid peroxidation, and failure of antioxidant defense systems in type 2 diabetes mellitus (T2DM). All these detrimental biochemical anomalies ultimately attack biological membranes and especially capillary beds of the retina, resulting in the breakdown of the inner blood-retinal barrier and the initiation of diabetic retinopathy (DR). If these disarrays are corrected to a large extent, the development of DR can be avoided or delayed. In this prospective clinical trial, 185 patients with T2DM who received B vitamins, vitamin C, and vitamin E along with antidiabetic medication for five years demonstrated a slower rate of the development of DR and reduced abnormal biochemical mediators like reactive oxygen species (ROS), malondialdehyde (MDA), AGE, and vascular endothelial growth factor (VEGF) compared to 175 T2DM individuals who were treated with only antihyperglycemic drugs. CI - Copyright (c) 2022 Subhasish Pramanik et al. FAU - Pramanik, Subhasish AU - Pramanik S AUID- ORCID: 0000-0003-0641-192X AD - Department of Endocrinology & Metabolism, Institute of Post Graduate Medical Education & Research and SSKM Hospital, Kolkata, 700020 West Bengal, India. FAU - Banerjee, Kaustav AU - Banerjee K AUID- ORCID: 0000-0001-9284-9519 AD - Decision Sciences Area, Indian Institute of Management Lucknow, Uttar Pradesh 226013, India. FAU - Mondal, Lakshmi Kanta AU - Mondal LK AUID- ORCID: 0000-0003-0057-0778 AD - Department of Ophthalmology, Regional Institute of Ophthalmology, Medical College Campus, Kolkata, 700073 West Bengal, India. LA - eng PT - Clinical Trial PT - Journal Article DEP - 20220901 PL - England TA - J Diabetes Res JT - Journal of diabetes research JID - 101605237 RN - 0 (Glycation End Products, Advanced) RN - 0 (Hypoglycemic Agents) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (Vitamins) RN - 1406-18-4 (Vitamin E) RN - IY9XDZ35W2 (Glucose) SB - IM MH - *Diabetes Mellitus, Type 2/complications/drug therapy MH - *Diabetic Retinopathy/metabolism MH - Glucose MH - Glycation End Products, Advanced MH - Humans MH - Hypoglycemic Agents/therapeutic use MH - Vascular Endothelial Growth Factor A MH - Vitamin E/therapeutic use MH - Vitamins/therapeutic use PMC - PMC9458381 COIS- The authors declare no conflict of interest. EDAT- 2022/09/13 06:00 MHDA- 2022/09/14 06:00 PMCR- 2022/09/01 CRDT- 2022/09/12 03:45 PHST- 2022/06/13 00:00 [received] PHST- 2022/08/18 00:00 [accepted] PHST- 2022/09/12 03:45 [entrez] PHST- 2022/09/13 06:00 [pubmed] PHST- 2022/09/14 06:00 [medline] PHST- 2022/09/01 00:00 [pmc-release] AID - 10.1155/2022/3886710 [doi] PST - epublish SO - J Diabetes Res. 2022 Sep 1;2022:3886710. doi: 10.1155/2022/3886710. eCollection 2022.