Momordica charantia for type 2 diabetes mellitus.

Momordica charantia (bitter gourd) is not only a nutritious vegetable but it is also used in traditional medical practices to treat type 2 diabetes mellitus. Experimental studies with animals and humans suggested that the vegetable has a possible role in glycaemic control. To assess the effects of m...

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Main Authors: Cheow, Peng Ooi, Yassin, Zaitun, Tengku Abdul Hamid, Tengku Aizan
Format: Article
Language:English
English
Published: John Wiley and Sons Ltd 2012
Online Access:http://psasir.upm.edu.my/id/eprint/15716/
http://psasir.upm.edu.my/id/eprint/15716/1/Momordica%20charantia%20for%20type%202%20diabetes%20mellitus.pdf
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author Cheow, Peng Ooi
Yassin, Zaitun
Tengku Abdul Hamid, Tengku Aizan
author_facet Cheow, Peng Ooi
Yassin, Zaitun
Tengku Abdul Hamid, Tengku Aizan
author_sort Cheow, Peng Ooi
building UPM Institutional Repository
collection Online Access
description Momordica charantia (bitter gourd) is not only a nutritious vegetable but it is also used in traditional medical practices to treat type 2 diabetes mellitus. Experimental studies with animals and humans suggested that the vegetable has a possible role in glycaemic control. To assess the effects of mormodica charantia for type 2 diabetes mellitus. Several electronic databases were searched, among these were The Cochrane Library (Issue 1, 2012), MEDLINE, EMBASE, CINAHL, SIGLE and LILACS (all up to February 2012), combined with handsearches. No language restriction was used. We included randomised controlled trials (RCTs) that compared momordica charantia with placebo or a control intervention, with or without pharmacological or non-pharmacological interventions. Two authors independently extracted data. Risk of bias of the trials was evaluated using the parameters of randomisation, allocation concealment, blinding, completeness of outcome data, selective reporting and other potential sources of bias. A meta-analysis was not performed given the quality of data and the variability of preparations of momordica charantia used in the interventions (no similar preparation was tested twice). Four randomised controlled trials with up to three months duration and investigating 479 participants met the inclusion criteria. Risk of bias of these trials (only two studies were published as a full peer-reviewed publication) was generally high. Two RCTs compared the effects of preparations from different parts of the momordica charantia plant with placebo on glycaemic control in type 2 diabetes mellitus. There was no statistically significant difference in the glycaemic control with momordica charantia preparations compared to placebo. When momordica charantia was compared to metformin or glibenclamide, there was also no significant change in reliable parameters of glycaemic control. No serious adverse effects were reported in any trial. No trial investigated death from any cause, morbidity, health-related quality of life or costs. There is insufficient evidence on the effects of momordica charantia for type 2 diabetes mellitus. Further studies are therefore required to address the issues of standardization and the quality control of preparations. For medical nutritional therapy, further observational trials evaluating the effects of momordica charantia are needed before RCTs are established to guide any recommendations in clinical practice.
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spelling upm-157162015-09-15T03:40:03Z http://psasir.upm.edu.my/id/eprint/15716/ Momordica charantia for type 2 diabetes mellitus. Cheow, Peng Ooi Yassin, Zaitun Tengku Abdul Hamid, Tengku Aizan Momordica charantia (bitter gourd) is not only a nutritious vegetable but it is also used in traditional medical practices to treat type 2 diabetes mellitus. Experimental studies with animals and humans suggested that the vegetable has a possible role in glycaemic control. To assess the effects of mormodica charantia for type 2 diabetes mellitus. Several electronic databases were searched, among these were The Cochrane Library (Issue 1, 2012), MEDLINE, EMBASE, CINAHL, SIGLE and LILACS (all up to February 2012), combined with handsearches. No language restriction was used. We included randomised controlled trials (RCTs) that compared momordica charantia with placebo or a control intervention, with or without pharmacological or non-pharmacological interventions. Two authors independently extracted data. Risk of bias of the trials was evaluated using the parameters of randomisation, allocation concealment, blinding, completeness of outcome data, selective reporting and other potential sources of bias. A meta-analysis was not performed given the quality of data and the variability of preparations of momordica charantia used in the interventions (no similar preparation was tested twice). Four randomised controlled trials with up to three months duration and investigating 479 participants met the inclusion criteria. Risk of bias of these trials (only two studies were published as a full peer-reviewed publication) was generally high. Two RCTs compared the effects of preparations from different parts of the momordica charantia plant with placebo on glycaemic control in type 2 diabetes mellitus. There was no statistically significant difference in the glycaemic control with momordica charantia preparations compared to placebo. When momordica charantia was compared to metformin or glibenclamide, there was also no significant change in reliable parameters of glycaemic control. No serious adverse effects were reported in any trial. No trial investigated death from any cause, morbidity, health-related quality of life or costs. There is insufficient evidence on the effects of momordica charantia for type 2 diabetes mellitus. Further studies are therefore required to address the issues of standardization and the quality control of preparations. For medical nutritional therapy, further observational trials evaluating the effects of momordica charantia are needed before RCTs are established to guide any recommendations in clinical practice. John Wiley and Sons Ltd 2012-08-15 Article PeerReviewed application/pdf en http://psasir.upm.edu.my/id/eprint/15716/1/Momordica%20charantia%20for%20type%202%20diabetes%20mellitus.pdf Cheow, Peng Ooi and Yassin, Zaitun and Tengku Abdul Hamid, Tengku Aizan (2012) Momordica charantia for type 2 diabetes mellitus. Cochrane Database of Systematic Reviews, 8. ISSN 1469-493X English
spellingShingle Cheow, Peng Ooi
Yassin, Zaitun
Tengku Abdul Hamid, Tengku Aizan
Momordica charantia for type 2 diabetes mellitus.
title Momordica charantia for type 2 diabetes mellitus.
title_full Momordica charantia for type 2 diabetes mellitus.
title_fullStr Momordica charantia for type 2 diabetes mellitus.
title_full_unstemmed Momordica charantia for type 2 diabetes mellitus.
title_short Momordica charantia for type 2 diabetes mellitus.
title_sort momordica charantia for type 2 diabetes mellitus.
url http://psasir.upm.edu.my/id/eprint/15716/
http://psasir.upm.edu.my/id/eprint/15716/1/Momordica%20charantia%20for%20type%202%20diabetes%20mellitus.pdf