The effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosins

Background. The problem of recurrent urinary tract infections (UTI) in patients with type 2 diabetes mellitus (DM 2) is relevant, especially when there is a combination of predisposing factors, such as female gender, history of UTI episodes, and therapy with sodium glucose cotransporter type 2 (SGLT...

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Main Authors: Oksana V. Tsygankova, Natalia E. Evdokimova, Olga V. Timoshchenko, Lydmila D. Latyntseva
Format: Article
Language:Russian
Published: "Consilium Medicum" Publishing house 2023-10-01
Series:Терапевтический архив
Subjects:
Online Access:https://ter-arkhiv.ru/0040-3660/article/viewFile/607413/136055
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author Oksana V. Tsygankova
Natalia E. Evdokimova
Olga V. Timoshchenko
Lydmila D. Latyntseva
author_facet Oksana V. Tsygankova
Natalia E. Evdokimova
Olga V. Timoshchenko
Lydmila D. Latyntseva
author_sort Oksana V. Tsygankova
collection DOAJ
description Background. The problem of recurrent urinary tract infections (UTI) in patients with type 2 diabetes mellitus (DM 2) is relevant, especially when there is a combination of predisposing factors, such as female gender, history of UTI episodes, and therapy with sodium glucose cotransporter type 2 (SGLT-2) inhibitors, and the choice of effective and safe means could cause some difficulties, including ina terms of the burden of antibiotic resistance. Aim. To evaluate the effectiveness and safety of the phytoproduct Canephron N for the prevention of exacerbations of recurrent cystitis and the effect on metabolic parameters in patients with type 2 diabetes taking SGLT-2 inhibitors. Materials and methods. Prospective, randomized, open, parallel group study in 60 women. The main group took the drug Canephron N for 3 months. The main parameters for evaluating were the frequency of recurrence of cystitis, level of albuminuria and LDL-cholesterol peroxidation product malondialdehyde. Results. Within 3 months of taking Canephron N, exacerbations of chronic cystitis were diagnosed 2 times less often, a decrease in albuminuria was found in the form of an increase in the proportion of patients with an optimal level of albuminuria by 20%, a 50% reduction in the frequency of the initial increase in albuminuria, and the absence of moderate albuminuria in all patients at the end of course of therapy. A decrease in the level of MDA by 1.4 times was noted (p=0.019). Conclusion. Thus, the herbal drug Canephron N can be used for accompanying therapy and prophylactic treatment in patients with recurrent cystitis on the background of DM 2, taking SGLT-2 inhibitors. The course of therapy should last at least 3 months.
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spelling doaj.art-6a34022af4954e1b86f715a81b68bf642023-11-07T14:05:12Zrus"Consilium Medicum" Publishing houseТерапевтический архив0040-36602309-53422023-10-0195866466910.26442/00403660.2023.08.20236278339The effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosinsOksana V. Tsygankova0https://orcid.org/0000-0003-0207-7063Natalia E. Evdokimova1https://orcid.org/0000-0003-3772-1058Olga V. Timoshchenko2https://orcid.org/0000-0002-6584-2060Lydmila D. Latyntseva3https://orcid.org/0000-0003-1913-5231Research Institute of Therapy and Preventive Medicine – branch of the Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine – branch of the Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine – branch of the Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of SciencesResearch Institute of Therapy and Preventive Medicine – branch of the Institute of Cytology and Genetics of the Siberian Branch of the Russian Academy of SciencesBackground. The problem of recurrent urinary tract infections (UTI) in patients with type 2 diabetes mellitus (DM 2) is relevant, especially when there is a combination of predisposing factors, such as female gender, history of UTI episodes, and therapy with sodium glucose cotransporter type 2 (SGLT-2) inhibitors, and the choice of effective and safe means could cause some difficulties, including ina terms of the burden of antibiotic resistance. Aim. To evaluate the effectiveness and safety of the phytoproduct Canephron N for the prevention of exacerbations of recurrent cystitis and the effect on metabolic parameters in patients with type 2 diabetes taking SGLT-2 inhibitors. Materials and methods. Prospective, randomized, open, parallel group study in 60 women. The main group took the drug Canephron N for 3 months. The main parameters for evaluating were the frequency of recurrence of cystitis, level of albuminuria and LDL-cholesterol peroxidation product malondialdehyde. Results. Within 3 months of taking Canephron N, exacerbations of chronic cystitis were diagnosed 2 times less often, a decrease in albuminuria was found in the form of an increase in the proportion of patients with an optimal level of albuminuria by 20%, a 50% reduction in the frequency of the initial increase in albuminuria, and the absence of moderate albuminuria in all patients at the end of course of therapy. A decrease in the level of MDA by 1.4 times was noted (p=0.019). Conclusion. Thus, the herbal drug Canephron N can be used for accompanying therapy and prophylactic treatment in patients with recurrent cystitis on the background of DM 2, taking SGLT-2 inhibitors. The course of therapy should last at least 3 months.https://ter-arkhiv.ru/0040-3660/article/viewFile/607413/136055recurrent cystitisurinary tract infectiontype 2 diabetes mellitusphytotherapysodium-glucose cotransporter type 2 inhibitorscanephron® n
spellingShingle Oksana V. Tsygankova
Natalia E. Evdokimova
Olga V. Timoshchenko
Lydmila D. Latyntseva
The effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosins
Терапевтический архив
recurrent cystitis
urinary tract infection
type 2 diabetes mellitus
phytotherapy
sodium-glucose cotransporter type 2 inhibitors
canephron® n
title The effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosins
title_full The effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosins
title_fullStr The effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosins
title_full_unstemmed The effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosins
title_short The effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosins
title_sort effect of a medicinal plant preparation on the frequency of episodes of exacerbation of recurrent cystitis and metabolic parameters in patients with type 2 diabetes mellitus taking glyphlosins
topic recurrent cystitis
urinary tract infection
type 2 diabetes mellitus
phytotherapy
sodium-glucose cotransporter type 2 inhibitors
canephron® n
url https://ter-arkhiv.ru/0040-3660/article/viewFile/607413/136055
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