Effect of berberine administration on metabolic syndrome, insulin sensitivity, and insulin secretion
Abstract
BACKGROUND: The aim of this study was to evaluate the effect of berberine administration on metabolic syndrome, insulin sensitivity, and insulin secretion. METHODS: A randomized, double-blind, placebo-controlled clinical trial was carried out in 24 patients with a diagnosis of metabolic syndrome. Glucose and insulin levels after a dextrose load were measured. Triglycerides and high-density lipoprotein cholesterol concentrations at baseline were also measured. Twelve patients received berberine hydrochloride (500 mg) three times daily before meals for 3 months. The remaining 12 patients received placebo. Area under the curve (AUC) of glucose and insulin, total insulin secretion, first-phase of insulin secretion, and insulin sensitivity were assessed. RESULTS: After berberine administration, patients had a remission of 36% (P=0.037) in the presence of metabolic syndrome and a significant decrease in waist circumference in females (106±4 vs. 103±3 cm, P<0.05), systolic blood pressure (SBP) (123±7 vs. 115±9 mmHg, P<0.01), triglycerides (2.4±0.7 vs. 1.4±0.5 mmol/L, P<0.01), area under the curve (AUC) of glucose (1182.1±253.6 vs. 1069.5±172.4 mmol/l, P<0.05), AUC of insulin (92,056±72,148 vs. 67,407±46,441 pmol/L, P<0.01), and insulinogenic index (0.78±0.69 vs. 0.62±0.46, P<0.05), as well as an increase in the Matsuda index (2.1±1.0 vs. 3.1±1.6, P<0.01). CONCLUSIONS: Administration of berberine leads to remission of metabolic syndrome and decreases in waist circumference, SBP, triglycerides, and total insulin secretion, with an increase in insulin sensitivity.
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- Authors
- Pérez-Rubio, K. G., González-Ortiz, M., Martínez-Abundis, E., Robles-Cervantes, J. A., & Espinel-Bermúdez, M. C.
- Affiliations
- Universidad de Guadalajara (MX)
- Cardiovascular Research Unit, Physiology Department, Health Science University Center, University of Guadalajara, Guadalajara, Mexico.
- Mexican Social Security Institute (MX)
- Medical Research Unit in Clinical Epidemiology, Specialties Hospital, Medical Unit of High Specialty, West National Medical Center, Mexican Institute of Social Security, Guadalajara, Mexico.
- Venue
- Metabolic Syndrome and Related Disorders
- Publisher
- SAGE Publications
- Published
- 2013-10
- Volume
- 11
- Issue
- 5
- Pages
- 366-369
- ISSN
- 1540-4196 (ISSN-L)
- 1557-8518
- OpenAlex
- W4229627330
- Cited by
- 113
- References
- 15
- Citations by year
- 2026: 3 · 2025: 7 · 2024: 16 · 2023: 14 · 2022: 8 · 2021: 14 · 2020: 16 · 2019: 10 · 2018: 9 · 2017: 2 · 2016: 4 · 2015: 5 · 2014: 4
- FWCI
- 3.18
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Metabolic Syndrome and Related Disorders (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Pharmacology › Berberine and alkaloids research
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Natural Antidiabetic Agents Studies
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Diabetes, Cardiovascular Risks, and Lipoproteins
- Keywords
- berberine, metabolic syndrome, insulin sensitivity, insulin secretion, first-phase insulin secretion, insulinogenic index, Matsuda index, triglycerides, waist circumference, systolic blood pressure, glucose tolerance, berberine hydrochloride
- MeSH terms
- Insulin Secretion, Adult, Berberine, Blood Glucose, Blood Pressure, Double-Blind Method, Female, Humans, Insulin, Insulin Resistance, Cholesterol, HDL, Male, Triglycerides, Area Under Curve, Metabolic Syndrome
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