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Sunday, 10 July 2016

Efficacy of aloe vera supplementation on prediabetes and early non-treated diabetic patients: A systematic review and meta-analysis of randomized controlled trials

Volume 8, Issue 7, July 2016, Article number 388
Open Access


Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, Chengdu, China
Phase I Clinical Research Unit, West China Hospital, Sichuan University, Chengdu, China

Abstract

The aim of this study was to evaluate evidence for the efficacy of aloe vera on managing prediabetes and early non-treated diabetes mellitus. We performed a systematic search of PubMed, Embase, and Cochrane Central Register of Controlled Trials until 28 January 2016. A total of five randomized controlled trials (RCTs) involving 415 participants were included. Compared with the controls, aloe vera supplementation significantly reduced the concentrations of fasting blood glucose (FBG) (p = 0.02; weighed mean difference [WMD]: −30.05 mg/dL; 95% confidence interval [CI]: −54.87 to −5.23 mg/dL), glycosylated hemoglobin A1c (HbA1c) (p < 0.00001; WMD: −0.41%; 95% CI: −0.55% to −0.27%), triglyceride (p = 0.0001), total cholesterol (TC) (p < 0.00001), and low density lipoprotein-cholesterol (LDL-C) (p < 0.00001). Aloe vera was superior to placebo in increasing serum high density lipoprotein-cholesterol (HDL-C) levels (p = 0.04). Only one adverse event was reported. The evidence from RCTs showed that aloe vera might effectively reduce the levels of FBG, HbA1c, triglyceride, TC and LDL-C, and increase the levels of HDL-C on prediabetes and early non-treated diabetic patients. Limited evidence exists about the safety of aloe vera. Given the small number and poor quality of RCTs included in the meta-analysis, these results are inconclusive. A large-scale, well-designed RCT is needed to further address this issue. © 2016 by the authors; licensee MDPI, Basel, Switzerland.

Author keywords

Aloe vera; Meta-analysis; Prediabetes; Randomized controlled trials
ISSN: 20726643Source Type: Journal Original language: English
DOI: 10.3390/nu8070388Document Type: Article
Publisher: MDPI AG
  Tian, H.; Department of Endocrinology and Metabolism, West China Hospital, Sichuan University, China; email:hmtian999@126.com
© Copyright 2016 Elsevier B.V., All rights reserved.