Abstract | Cilj istraživanja: Cilj ovog istraživanja bio je utvrditi utjecaj suplementacije kanabidiolom na parametre metabolizma glukoze u bolesnika s predijabetesom. Ispitanici i postupci: Istraživanje je uključivalo 37 ispitanika s predijabetesom. U okviru istraživanja svakom je ispitaniku uz uzimanje povijesti bolesti obavljen klinički pregled te antropometrijsko mjerenje. Tijekom svakog eksperimentalnog posjeta uzet je uzorak venske krvi iz kubitalne vene i uzorak urina. Nakon vađenja inicijalnog uzorka krvi, ispitanici su procijenjeni pomoću ljestvice bioelektrične impedancije. Tijekom razdoblja od 12 tjedana, ispitanici su primali CBD (5 tjedana) i Placebo (5 tjedana) uz dvotjednu pauzu između perioda doziranja. Nakon svakog perioda doziranja, ispitanici su ponovno došli u laboratorij gdje su im ponovljena sva antropometrijska mjerenja, mjerenje tlaka, uzorkovanje krvi i urina. Rezultati: Uslijed 12-tjedne intervencije (5 tjedana CBD-a i 5 tjedana placeba, uz dvotjedni washout) došlo je do statistički značajnog smanjenja glukoze u krvi (5,3 ± 0,6 mmol/L vs. 5,1 ± 0,5 mmol/L, P = 0,029). S druge strane, uslijed iste intervencije nije došlo do značajnog smanjenja HbA1c (5,8 ± 0,2 % vs. 5,9 ± 0,2 %, P = 0,148) niti inzulina u krvi (10,5 (7,1 – 13,5) μU/mL vs. 10,7 (7,5 – 16,0) μU/mL, P = 0,976). Konačno, nije bilo značajne dinamike u koncentracijama LDL-kolesterola (3,4 ± 0,8 mmol/L vs. 3,3 ± 1,0 mmol/L, P = 0,290). Zaključak: Naši rezultati ističu važnost suplementacije kanabidiolom kao potencijalnog čimbenika u regulaciji hiperglikemije kod osoba s predijabetesom. Ova nam saznanja daju poticaj za daljnju provedbu kliničkih istraživanja kako bi sa sigurnošću utvrdili mogu li se rezultati ovog istraživanja primjenjivati na širu populaciju. |
Abstract (english) | Objective of the Study: The primary objective of this study was to determine the association between chronic cannabidiol supplementation and parameters of glucose metabolism in patients with prediabetes. Participants and Procedures: The study included 37 participants with prediabetes. As part of the research, a clinical examination and anthropometric measurement were performed on each subject along with taking a medical history. During each experimental visit, a venous blood sample was taken from the cubital vein and a urine sample was taken. After the initial blood sample was taken, subjects were assessed using a bioelectrical impedance scale. During 12-week period, the subjects received CBD (5 weeks) and Placebo (5 weeks) with a two-week washout between dosing periods. After each dosing period, the subjects came back to the laboratory where all anthropometric measurements, blood pressure measurements, blood and urine sampling were repeated. Results: Following a 12-week intervention (5 weeks of CBD and 5 weeks of placebo, with a two-week washout), there was a statistically significant decrease in fasting plasma glucose (5.3 ± 0.6 mmol/L vs. 5.1 ± 0.5 mmol /L, P = 0.029). On the other hand, as a result of the same intervention, there was no significant reduction in HbA1c (5.8 ± 0.2 % vs. 5.9 ± 0.2 %, P = 0.148) or blood insulin (10.5 (7.1 – 13.5) μU/mL vs. 10.7 (7.5 – 16.0) μU/mL, P = 0.976). Finally, there was no significant dynamics in LDL-cholesterol concentrations (3.4 ± 0.8 mmol/L vs. 3.3 ± 1.0 mmol/L, P = 0.290). Conclusion: Our results highlight the importance of cannabidiol supplementation as a potential factor in the regulation of hyperglycemia in people with prediabetes. These findings give us an incentive to carry out further clinical research in order to determine with certainty whether the results of this research can be applied to the wider population. |