Alzheimer Disease Clinical Trial
Official title:
Effects of Chromium on Insulin Resistance in Alzheimer Disease Patients
The effect of Chromium to improve glucose levels in Alzheimer Disease (AD) is controversial. The hypothesis of the study is to evaluate the effect of supplementing the AD individuals with Chromium combined with exercise and assessing the effect of the supplementation on glucose metabolism.
Chromium is an essential nutrient required for optimal insulin activity and normal
carbohydrate and lipid metabolism. Beyond its nutritional effects, dietary supplement of
chromium causes beneficial outcomes against several diseases, in particular
diabetes-associated complications such as Alzheimer Disease. Common forms include chromium
chloride, chromium nicotinate, and chromium picolinate.
The argument for chromium supplementation relies on evidence from case reports of resolution
of diabetic symptoms refractory to insulin via chromium added to total parenteral nutrition,
and experiments in which animals deficient in chromium exhibited impaired glucose
metabolism.
Chromium may influence glucose metabolism by increasing the number of insulin receptors or
by binding insulin to receptors. The US Food and Drug Administration concludes that, based
on recent studies, chromium picolinate may reduce the risk of insulin resistance and
therefore may reduce the risk of type 2 diabetes.
A number of systematic reviews and meta-analyses have been conducted to determine the effect
of chromium on glycemic control, although large, quality trials are limited. The majority of
studies have found no effect on measured outcomes, with a few studies contributing to the
positive observed effects. Variations of preparations used in the trials and study
conditions make generalization of the results difficult.
In order to provide a comprehensive clinical evaluation of the effects of Chromium in AD
patients, we will conduct a double-blinded and placebo-controlled trial in subjects with AD.
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