The impact of vitamins and/or mineral supplementation on blood pressure in type 2 diabetes

J Am Coll Nutr. 2004 Jun;23(3):272-9. doi: 10.1080/07315724.2004.10719370.

Abstract

Objective: The present study designed to assess the effect of Mg+Zn, vitamin C+E, and combination of these micronutrients on blood pressure in type 2 diabetic patients.

Materials and methods: In a randomized, double-blind, placebo controlled clinical trial, 69 type 2 diabetic patients were randomly divided into four groups, each group receiving one of the following daily supplement for three months; group M: 200 mg Mg and 30 mg Zn (n = 16), group V: 200 mg vitamin C and 150 mg vitamin E (n = 18), group MV: minerals plus vitamins (n = 17), group P: placebo (n = 18). Blood pressure was measured at the beginning and at the end of the trial. Treatment effects were analyzed by general linear modeling.

Results: Results indicate that after three months of supplementation levels of systolic, diastolic and mean blood pressure decreased significantly in the MV group by 8 mmHg (122 +/- 16 vs. 130 +/- 19 mmHg), 6 mmHg (77 +/- 9 vs. 83 +/- 11 mmHg), and 7 mmHg (92 +/- 9 vs. 99 +/- 13 mmHg), respectively (p < 0.05). Also combination of vitamin and mineral supplementation had significantly effects in increasing serum potassium (p < 0.05) and in decreasing serum malondialdehyde (p < 0.05). There was no significant change in the levels of these parameters in the other three groups.

Conclusion: The results of the present study indicated that in type 2 diabetic patients a combination of vitamins and minerals, rather than vitamin C and E or Mg and Zn, might decrease blood pressure.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Analysis of Variance
  • Antioxidants / administration & dosage
  • Antioxidants / metabolism
  • Antioxidants / pharmacology
  • Ascorbic Acid / administration & dosage
  • Ascorbic Acid / blood
  • Ascorbic Acid / pharmacology
  • Ascorbic Acid / urine
  • Blood Pressure / drug effects*
  • Diabetes Mellitus, Type 2 / blood*
  • Diabetes Mellitus, Type 2 / urine*
  • Dietary Supplements*
  • Double-Blind Method
  • Drug Therapy, Combination
  • Female
  • Humans
  • Linear Models
  • Magnesium / administration & dosage
  • Magnesium / blood
  • Magnesium / pharmacology
  • Magnesium / urine
  • Male
  • Malondialdehyde / blood
  • Middle Aged
  • Minerals / administration & dosage
  • Minerals / blood
  • Minerals / pharmacology*
  • Minerals / urine
  • Potassium / blood
  • Potassium / urine
  • Sodium / blood
  • Sodium / urine
  • Time
  • Vitamin E / administration & dosage
  • Vitamin E / blood
  • Vitamin E / pharmacology
  • Vitamin E / urine
  • Vitamins / administration & dosage
  • Vitamins / blood
  • Vitamins / pharmacology*
  • Vitamins / urine
  • Zinc / administration & dosage
  • Zinc / blood
  • Zinc / pharmacology
  • Zinc / urine

Substances

  • Antioxidants
  • Minerals
  • Vitamins
  • Vitamin E
  • Malondialdehyde
  • Sodium
  • Magnesium
  • Zinc
  • Ascorbic Acid
  • Potassium