A.M.H.S. Attanayake , A. Upadhyay , R.P. Mendis , C.P. Kahingalage , W. Weerapana , A.K. Sahu , U.M.G.D. De Silva
{"title":"Triphalakatakanpathadi Kashaya对斯里兰卡2型糖尿病患者血糖控制和生活质量的影响——一项描述性观察研究","authors":"A.M.H.S. Attanayake , A. Upadhyay , R.P. Mendis , C.P. Kahingalage , W. Weerapana , A.K. Sahu , U.M.G.D. De Silva","doi":"10.1016/j.hermed.2025.101014","DOIUrl":null,"url":null,"abstract":"<div><h3>Introduction</h3><div>Diabetes mellitus (DM) presents a significant global health burden, often leading to complications and reduced quality of life. Ayurveda, a traditional system of medicine practiced globally, often uses <em>Kashaya</em> (herbal decoctions) for the management of diabetes.</div></div><div><h3>Aim</h3><div>This article aims to assess the effect of <em>Triphalakatakanpathadi Kashaya</em> (TKPK) on glycemic control and quality of life in patients with type 2 diabetes.</div></div><div><h3>Material and methods</h3><div>A descriptive observational study was conducted involving 46 patients treated with TKPK for six months at Bandaranaike Memorial Ayurveda Research Institute (BMARI), Sri Lanka. Data on glycemic parameters, diabetes related signs and symptoms, and quality of life using the short form of quality of life questionnaire (SF-36) were collected and analyzed using paired t-test, and Wilcoxon signed rank test.</div></div><div><h3>Results</h3><div>TKPK led to significant reduction in mean baseline value of HbAIc from 7.11% to 6.58% (<em>p</em> < 0.05) and mean baseline fasting blood sugar level from 172.4 ± 6.03 mg/dl to 141.4±4.99 mg/dl (<em>p</em> < 0.05) after six months. Significant improvements (<em>p</em> < 0.05) were observed in diabetes related signs and symptoms. Transaminases (AST & ALT) and serum creatinine levels remained within normal ranges throughout the study period reflecting the safety of TKPK. Quality of life was enhanced significantly (<em>p</em> < 0.05) in all the patients.</div></div><div><h3>Conclusion</h3><div>TKPK demonstrates the efficacy to lower blood glucose and improve the quality of life in type 2 DM patients. Scientific evidence of TKPK’s ingredients, suggest anti-inflammatory and anti-oxidant properties as contributing factors for its hypoglycemic effect. However, observational study imposes limitations, and warrant further clinical trials to establish the efficacy of this formulation.</div></div>","PeriodicalId":56077,"journal":{"name":"Journal of Herbal Medicine","volume":"51 ","pages":"Article 101014"},"PeriodicalIF":2.2000,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Effect of Triphalakatakanpathadi Kashaya on glycaemic control and quality of life in type 2 diabetes mellitus in Sri Lankan population – A descriptive observational study\",\"authors\":\"A.M.H.S. Attanayake , A. Upadhyay , R.P. Mendis , C.P. Kahingalage , W. Weerapana , A.K. Sahu , U.M.G.D. De Silva\",\"doi\":\"10.1016/j.hermed.2025.101014\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><h3>Introduction</h3><div>Diabetes mellitus (DM) presents a significant global health burden, often leading to complications and reduced quality of life. Ayurveda, a traditional system of medicine practiced globally, often uses <em>Kashaya</em> (herbal decoctions) for the management of diabetes.</div></div><div><h3>Aim</h3><div>This article aims to assess the effect of <em>Triphalakatakanpathadi Kashaya</em> (TKPK) on glycemic control and quality of life in patients with type 2 diabetes.</div></div><div><h3>Material and methods</h3><div>A descriptive observational study was conducted involving 46 patients treated with TKPK for six months at Bandaranaike Memorial Ayurveda Research Institute (BMARI), Sri Lanka. Data on glycemic parameters, diabetes related signs and symptoms, and quality of life using the short form of quality of life questionnaire (SF-36) were collected and analyzed using paired t-test, and Wilcoxon signed rank test.</div></div><div><h3>Results</h3><div>TKPK led to significant reduction in mean baseline value of HbAIc from 7.11% to 6.58% (<em>p</em> < 0.05) and mean baseline fasting blood sugar level from 172.4 ± 6.03 mg/dl to 141.4±4.99 mg/dl (<em>p</em> < 0.05) after six months. Significant improvements (<em>p</em> < 0.05) were observed in diabetes related signs and symptoms. Transaminases (AST & ALT) and serum creatinine levels remained within normal ranges throughout the study period reflecting the safety of TKPK. Quality of life was enhanced significantly (<em>p</em> < 0.05) in all the patients.</div></div><div><h3>Conclusion</h3><div>TKPK demonstrates the efficacy to lower blood glucose and improve the quality of life in type 2 DM patients. Scientific evidence of TKPK’s ingredients, suggest anti-inflammatory and anti-oxidant properties as contributing factors for its hypoglycemic effect. 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Effect of Triphalakatakanpathadi Kashaya on glycaemic control and quality of life in type 2 diabetes mellitus in Sri Lankan population – A descriptive observational study
Introduction
Diabetes mellitus (DM) presents a significant global health burden, often leading to complications and reduced quality of life. Ayurveda, a traditional system of medicine practiced globally, often uses Kashaya (herbal decoctions) for the management of diabetes.
Aim
This article aims to assess the effect of Triphalakatakanpathadi Kashaya (TKPK) on glycemic control and quality of life in patients with type 2 diabetes.
Material and methods
A descriptive observational study was conducted involving 46 patients treated with TKPK for six months at Bandaranaike Memorial Ayurveda Research Institute (BMARI), Sri Lanka. Data on glycemic parameters, diabetes related signs and symptoms, and quality of life using the short form of quality of life questionnaire (SF-36) were collected and analyzed using paired t-test, and Wilcoxon signed rank test.
Results
TKPK led to significant reduction in mean baseline value of HbAIc from 7.11% to 6.58% (p < 0.05) and mean baseline fasting blood sugar level from 172.4 ± 6.03 mg/dl to 141.4±4.99 mg/dl (p < 0.05) after six months. Significant improvements (p < 0.05) were observed in diabetes related signs and symptoms. Transaminases (AST & ALT) and serum creatinine levels remained within normal ranges throughout the study period reflecting the safety of TKPK. Quality of life was enhanced significantly (p < 0.05) in all the patients.
Conclusion
TKPK demonstrates the efficacy to lower blood glucose and improve the quality of life in type 2 DM patients. Scientific evidence of TKPK’s ingredients, suggest anti-inflammatory and anti-oxidant properties as contributing factors for its hypoglycemic effect. However, observational study imposes limitations, and warrant further clinical trials to establish the efficacy of this formulation.
期刊介绍:
The Journal of Herbal Medicine, the official journal of the National Institute of Medical Herbalists, is a peer reviewed journal which aims to serve its readers as an authoritative resource on the profession and practice of herbal medicine. The content areas of the journal reflect the interests of Medical Herbalists and other health professionals interested in the clinical and professional application of botanical medicines. The objective is to strengthen the research and educational base of herbal medicine with research papers in the form of case studies, original research articles and reviews, monographs, clinical trials and relevant in vitro studies. It also publishes policy statements, opinion pieces, book reviews, conference proceedings and profession related information such as pharmacovigilance reports providing an information source for not only the Herbal Practitioner but any Health professional with an interest in phytotherapy.