Qingre Yiqi Method along with Oral Hypoglycemic Drugs in Treating Adults with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

Li Jiang; Shidong Wang; Jinxi Zhao; Weijun Huang; Jiayue Li; Yonghua Xiao; Hua Zhang; Qiang Fu; Yu Chen; Tao Yang; Esther Aijia Shen; Guanxun Su; Yaofu Zhang; Zhuang Li

doi:10.1155/2021/4395228

Qingre Yiqi Method along with Oral Hypoglycemic Drugs in Treating Adults with Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis

Evid Based Complement Alternat Med. 2021 Sep 11:2021:4395228. doi: 10.1155/2021/4395228. eCollection 2021.

Authors

Li Jiang^{1

2}, Shidong Wang², Jinxi Zhao², Weijun Huang³, Jiayue Li², Yonghua Xiao², Hua Zhang², Qiang Fu², Yu Chen¹, Tao Yang¹, Esther Aijia Shen^{1

2}, Guanxun Su^{1

2}, Yaofu Zhang^{1

2}, Zhuang Li^{1

2}

Affiliations

¹ Graduate School, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China.
² Section II of Endocrinology & Nephropathy Department of Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China.
³ Key Laboratory of Chinese Internal Medicine of Ministry of Education and Beijing, Dongzhimen Hospital Affiliated to Beijing University of Chinese Medicine, Beijing, China.

Abstract

Objective: To evaluate the efficacy of the Qingre Yiqi method in the treatment of type 2 diabetes mellitus (T2DM) with meta-analysis.

Method: The randomized controlled trials (RCTs) of the Qingre Yiqi method in the treatment of T2DM in the PubMed, Medline, EMBase, Cochrane Library, Web of Science, Weipu Journal, China Knowledge Network (CNKI), and Wanfang database were conducted. Three reviewers independently conducted the screening, extracted the data, and assessed methodological quality. Data analysis was performed using Rev Man 5.3 software for statistical analysis.

Results: A total of 15 RCTs, including 1440 patients, were included. The results showed that compared with oral hypoglycemic drugs alone, the add-on treatment of the Qingre Yiqi method could significantly improve Chinese medicine syndrome (OR (95%CI) = 3.66 [2.47,5.42], P < 0.00001) and lower the level of HbA1c (MD (95%CI) = -0.68 [0.91, -0.45], P < 0.00001), triglyceride (TG) (MD (95%CI) = -0.38 [-0.58,-0.17], P=0.0004), low-density lipoprotein cholesterol (LDL-C) (MD (95%CI) = -0.25 [-0.37, -0.13], P < 0.0001), and total cholesterol(TC) (MD(95%CI) = -0.40[-0.67, -0.13], P=0.003). In terms of fasting blood glucose (FBG) and postprandial blood sugar (PBG), subgroup analysis showed that the baseline of FBG and the number of combined oral hypoglycemic drugs of PBG were the major sources of heterogeneity.

Conclusion: Compared with the standard treatment, the Qingre Yiqi method along with oral hypoglycemic drugs showed the more beneficial effects for T2DM on improving TCM syndromes and reducing the blood glucose and partial lipid parameter.