Page last updated: 2024-10-19

inositol and Hypoglycemia

inositol has been researched along with Hypoglycemia in 18 studies

Inositol: An isomer of glucose that has traditionally been considered to be a B vitamin although it has an uncertain status as a vitamin and a deficiency syndrome has not been identified in man. (From Martindale, The Extra Pharmacopoeia, 30th ed, p1379) Inositol phospholipids are important in signal transduction.
inositol : Any cyclohexane-1,2,3,4,5,6-hexol.
1D-chiro-inositol : Belonging to the inositol family of compounds, D-chiro-inositol (DCI) is an isomer of glucose. It is an important secondary messenger in insulin signal transduction.
muco-inositol : An inositol that is cyclohexane-1,2,3,4,5,6-hexol having a (1R,2R,3r,4R,5S,6r)-configuration.

Hypoglycemia: A syndrome of abnormally low BLOOD GLUCOSE level. Clinical hypoglycemia has diverse etiologies. Severe hypoglycemia eventually lead to glucose deprivation of the CENTRAL NERVOUS SYSTEM resulting in HUNGER; SWEATING; PARESTHESIA; impaired mental function; SEIZURES; COMA; and even DEATH.

Research Excerpts

ExcerptRelevanceReference
"Adding mitiglinide/voglibose to vildagliptin therapy results in more efficient postprandial glucose control and less hypoglycemia than adding glimepiride."9.27Glucose excursions and hypoglycemia in patients with type 2 diabetes treated with mitiglinide/voglibose versus glimepiride: A randomized cross-over trial. ( Fujimoto, K; Hamamoto, Y; Hamasaki, A; Honjo, S; Shibayama, Y; Yamaguchi, E, 2018)
"Adding mitiglinide/voglibose to vildagliptin therapy results in more efficient postprandial glucose control and less hypoglycemia than adding glimepiride."5.27Glucose excursions and hypoglycemia in patients with type 2 diabetes treated with mitiglinide/voglibose versus glimepiride: A randomized cross-over trial. ( Fujimoto, K; Hamamoto, Y; Hamasaki, A; Honjo, S; Shibayama, Y; Yamaguchi, E, 2018)
"Peripheral hyperglycemia was associated with significant increases in brain sorbitol (7."3.74Hyperglycemia not hypoglycemia alters neuronal dendrites and impairs spatial memory. ( Chong, L; Diamond, DM; Hanna, S; Malone, JI; Mervis, RF; Park, CR; Saporta, S, 2008)
"Although gestational diabetes mellitus (GDM) has several short- and long-term adverse effects on the mother and the offspring, no medicine is generally prescribed to prevent GDM."3.01Myoinositols Prevent Gestational Diabetes Mellitus and Related Complications: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. ( Ács, N; Greff, D; Hegyi, P; Horváth, EM; Nyirády, P; Park, S; Szinte, J; Váncsa, S; Váradi, A; Várbíró, S, 2023)
"Patients with type 2 diabetes who were inadequately controlled on twice-daily premixed insulin were randomly assigned (1:1) to receive either insulin lispro mix (mix 50 before breakfast and lunch plus mix 25 before dinner) or basal-bolus therapy (insulin glargine at bedtime plus prandial insulin lispro thrice-daily) for 24 weeks."2.80Comparison of thrice-daily premixed insulin (insulin lispro premix) with basal-bolus (insulin glargine once-daily plus thrice-daily prandial insulin lispro) therapy in east Asian patients with type 2 diabetes insufficiently controlled with twice-daily pre ( Ahn, KJ; Bao, Y; Chen, L; Chuang, LM; Gao, F; Ji, Q; Jia, W; Li, P; Pang, C; Tu, Y; Xiao, X; Yang, J, 2015)
"An open-label prospective cross-over trial was performed to compare the efficacy and adverse effects of nateglinide with those of voglibose on Japanese early type 2 diabetes (who were oral hypoglycemic agent naïve and whose HbA(1C) levels were between 7."2.72Efficacy and adverse effects of nateglinide in early type 2 diabetes. Comparison with voglibose in a cross-over study. ( Hirose, T; Kawamori, R; Kawasumi, M; Kurebayashi, S; Tanaka, Y; Watada, H, 2006)
"Nocturnal hypoglycemia is one of the serious complications of intensive insulin therapy in patients with insulin-dependent diabetes mellitus (IDDM; type 1 DM)."2.69Voglibose administration before the evening meal improves nocturnal hypoglycemia in insulin-dependent diabetic patients with intensive insulin therapy. ( Komiya, I; Taira, M; Taira, T; Takasu, N; Tanaka, H, 2000)
"She was diagnosed with postprandial reactive hypoglycemia according to the results of oral glucose and sucrose tolerance tests, having undergone an endocrinological examination and image inspection."1.43Postprandial Reactive Hypoglycemia Treated with a Low-dose Alpha-glucosidase Inhibitor: Voglibose May Suppress Oxidative Stress and Prevent Endothelial Dysfunction. ( Aoki, C; Aso, Y; Katsura, D; Nishida, M; Sagara, M; Suzuki, K, 2016)

Research

Studies (18)

TimeframeStudies, this research(%)All Research%
pre-19900 (0.00)18.7374
1990's2 (11.11)18.2507
2000's7 (38.89)29.6817
2010's8 (44.44)24.3611
2020's1 (5.56)2.80

Authors

AuthorsStudies
Greff, D1
Váncsa, S1
Váradi, A1
Szinte, J1
Park, S1
Hegyi, P1
Nyirády, P1
Ács, N1
Horváth, EM1
Várbíró, S1
Koyama, H1
Ohguchi, H1
Yagi, T1
Imaeda, K1
Fujimoto, K1
Shibayama, Y1
Yamaguchi, E1
Honjo, S1
Hamasaki, A1
Hamamoto, Y1
Kaneko, K1
Satake, C1
Izumi, T1
Tanaka, M1
Yamamoto, J1
Asai, Y1
Sawada, S1
Imai, J1
Yamada, T1
Katagiri, H1
Kobayashi, K1
Yokoh, H1
Sato, Y1
Takemoto, M1
Uchida, D1
Kanatsuka, A1
Kuribayashi, N1
Terano, T1
Hashimoto, N1
Sakurai, K1
Hanaoka, H1
Ishikawa, K1
Onishi, S1
Yokote, K1
Costantino, D1
Guaraldi, C1
Jia, W1
Xiao, X1
Ji, Q1
Ahn, KJ1
Chuang, LM1
Bao, Y1
Pang, C1
Chen, L1
Gao, F1
Tu, Y1
Li, P1
Yang, J1
Suzuki, K1
Katsura, D1
Sagara, M1
Aoki, C1
Nishida, M1
Aso, Y1
Malone, JI1
Hanna, S1
Saporta, S1
Mervis, RF1
Park, CR1
Chong, L1
Diamond, DM1
Abe, M1
Okada, K1
Maruyama, T1
Maruyama, N1
Matsumoto, K1
Katahira, H1
Ishida, H2
Kawamori, R2
Kadowaki, T1
Rankins, D1
Wellard, RM1
Cameron, F1
McDonnell, C1
Northam, E1
Kurebayashi, S1
Watada, H1
Tanaka, Y1
Kawasumi, M1
Hirose, T1
Sakaguchi, K1
Kasuga, M1
Ishii, J1
Inoue, I1
Ihara, K1
Kuromaru, R1
Ryu, A1
Fukushige, J1
Hara, T1
Taira, M1
Takasu, N1
Komiya, I1
Taira, T1
Tanaka, H1

Clinical Trials (1)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
A Comparison of Premixed and Basal-Bolus Insulin Intensification Therapies in Patients With Type 2 Diabetes Mellitus With Inadequate Glycaemic Control on Twice-daily Premixed Insulin[NCT01175811]Phase 4402 participants (Actual)Interventional2011-02-28Completed
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

Change in Haemoglobin A1c (HbA1c) From Baseline to 24 Week Endpoint

Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) with the change from baseline in HbA1c at all post baseline measurement as dependent variables, treatment, country, visit and treatment by visit interaction as fixed effects, baseline HbA1c value as a covariate and participant as a random effect. (NCT01175811)
Timeframe: Baseline, 24 weeks

Interventionpercent HbA1c (Least Squares Mean)
Premixed Insulin-1.05
Basal-Bolus-1.06

Change in HbA1c From Baseline to 12 Week Endpoint

Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) with the change from baseline in HbA1c at all post baseline measurement as dependent variables, treatment, country, visit and treatment by visit interaction as fixed effects, baseline HbA1c value as a covariate and participant as a random effect. (NCT01175811)
Timeframe: Baseline, 12 weeks

Interventionpercent HbA1c (Least Squares Mean)
Premixed Insulin-0.96
Basal-Bolus-0.96

Percentage of Participants Experiencing a Severe Hypoglycemic Episode

Severe hypoglycemic episode is defined as any event requiring the assistance of another person to actively administer carbohydrate, glucagon, or other resuscitative actions. The percentage of participants experiencing a severe hypoglycemic episode is defined as the 100 multiplied by the number of participants experiencing a severe hypoglycemic episode divided by the number of participants exposed to study drug. (NCT01175811)
Timeframe: baseline through 24 weeks

InterventionPercentage of participants (Number)
Premixed Insulin0.0
Basal-Bolus0.0

Percentage of Participants With Hypoglycemic Episodes (Incidence)

Incidence of hypoglycemic episodes is defined as 100 multiplied by the number of participants experiencing a hypoglycemic episode divided by the number of participants exposed to study drug. Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <= 70 mg/dL (3.9 mmol/L). (NCT01175811)
Timeframe: baseline through 24 weeks

Interventionpercentage of participants (Number)
Premixed Insulin54.8
Basal-Bolus55.0

The Rate of Hypoglycemic Episodes

The rate of hypoglycemic episodes is defined as the mean number of hypoglycemic episodes per 30 days per participant. Hypoglycemic episodes are defined as an event which is associated with reported signs and symptoms of hypoglycemia, and/or a documented blood glucose (BG) concentration of <= 70 mg/dL (3.9 mmol/L). (NCT01175811)
Timeframe: baseline through 24 weeks

Interventionhypoglycemic episode/30 days/participant (Mean)
Premixed Insulin0.468
Basal-Bolus0.409

Change in Body Mass Index (BMI) From Baseline to 12 and 24 Weeks

Body mass index is an estimate of body fat based on body weight divided by height squared. Least Squares (LS) means are calculated using mixed model repeating measures (MMRM) using change from baseline in BMI at all post baseline measurement as dependent variables, treatment, country, visit and treatment by visit interaction as fixed effects, baseline BMI value as a covariate and participants as a random effect. (NCT01175811)
Timeframe: Baseline, 12 weeks, and 24 weeks

,
Interventionkilogram per square meter (kg/m^2) (Least Squares Mean)
Change at 12 weeksChange at 24 weeks
Basal-Bolus0.200.29
Premixed Insulin0.260.31

Daily Dose of Insulin Per Kilogram of Body Weight: Total, Basal and Prandial

(NCT01175811)
Timeframe: 24 weeks

,
InterventionInternational Units per kilogram (IU/kg) (Mean)
Total Daily DoseDaily Insulin Dose BasalDaily Insulin Dose Bolus (prandial)
Basal-Bolus0.7600.3480.412
Premixed Insulin0.7380.4400.298

Daily Dose of Insulin: Total, Basal, and Prandial

(NCT01175811)
Timeframe: 24 weeks

,
InterventionInternational Units (IU) (Mean)
Total Daily DoseDaily Insulin Dose BasalDaily Insulin Dose Bolus (prandial)
Basal-Bolus54.024.71729.269
Premixed Insulin52.931.53921.385

The 7-point Self-monitored Blood Glucose (SMBG) Profiles at Baseline, 12 Weeks and 24 Weeks.

7-point Self-monitored Blood Glucose (SMBG) Profiles are measures of blood glucose taken 7 times a day at the morning pre-meal, morning 2-hours post-meal, midday pre-meal, midday 2-hours post-meal, evening pre-meal, evening 2-hours post-meal, and 0300 hour [3 am]. Each participant took measures on 3 non-consecutive days and the average was calculated for each of the 7 time points. The mean of the 7-point averages was calculated for all the participants at baseline, Weeks 12 and 24. (NCT01175811)
Timeframe: Baseline, 12 weeks, and 24 weeks

,
Interventionmilligrams per deciliter (mg/dL) (Mean)
Morning Pre-meal (Week 0) (n=195, 201)Morning Pre-meal (Week 12) (n=187, 191)Morning Pre-meal (Week 24) (n=177, 186)Morning 2 hours Post-meal (Week 0) (n=194, 201)Morning 2 hours Post-meal (Week 12) (n=187, 190)Morning 2 hours Post-meal (Week 24) (n=176, 184)Midday Pre-meal (Week 0) (n=195, 200)Midday Pre-meal (Week 12) (n=187, 190)Midday Pre-meal (Week 24) (n=177, 186)Midday 2 hours Post-meal (Week 0) (n=194, 201)Midday 2 hours Post-meal (Week 12) (n=186, 189)Midday 2 hours Post-meal (Week 24) (n=175, 184)Evening Pre-meal (Week 0) (n=195, 200)Evening Pre-meal (Week 12) (n=187, 190)Evening Pre-meal (Week 24) (n=177, 186)Evening 2 hours Post-meal (Week 0) (n=194, 201)Evening 2 hours Post-meal (Week 12) (n=186, 190)Evening 2 hours Post-meal (Week 24)(n=176, 185)0300 Hours (3 am) (Week 0) (n=185, 193)0300 Hours (3 am) (Week 12) (n=177, 185)0300 Hours (3 am) (Week 24) (n=171, 179)
Basal-Bolus157.7136.5132.4213.6176.5165.8164.9149.4142.1227.5177.2171.1190.0157.6151.1209.9176.2165.6180.0163.6155.8
Premixed Insulin155.0141.8137.4207.1179.6169.7160.7142.5139.5219.7162.5161.9186.6148.1145.0204.8177.1172.0175.9150.3145.1

The Percentage of Participants Who Achieved Haemoglobin A1c (HbA1c) Less Than or Equal to 6.5% and Less Than or Equal to 7% at 12 Weeks and 24 Weeks

The Percentage of participants achieving a haemoglobin A1c (HbA1c) less than or equal (<=) to 6.5% or 7% is defined as 100 multiplied by the number of participants with a HbA1c of the cut-off value (6% or 7%) divided by the number of participants exposed to study drug. Participants with missing HbA1c values at endpoint were treated as not achieving the HbA1c goal. (NCT01175811)
Timeframe: 12 weeks, 24 weeks

,
InterventionPercentage of participants (Number)
<=6.5 Percent HbA1c at 12 weeks<=7.0 Percent HbA1c at 12 weeks<=6.5 Percent HbA1c at 24 weeks<=7.0 Percent HbA1c at 24 weeks
Basal-Bolus8.927.711.934.2
Premixed Insulin6.126.49.129.9

Reviews

4 reviews available for inositol and Hypoglycemia

ArticleYear
Myoinositols Prevent Gestational Diabetes Mellitus and Related Complications: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
    Nutrients, 2023, Sep-30, Volume: 15, Issue:19

    Topics: Diabetes, Gestational; Female; Humans; Hypertension, Pregnancy-Induced; Hypoglycemia; Infant, Newbor

2023
[Indication and side effect of alpha glucosidase inhibitor].
    Nihon rinsho. Japanese journal of clinical medicine, 2002, Volume: 60 Suppl 9

    Topics: Acarbose; Chemical and Drug Induced Liver Injury; Contraindications; Diabetes Mellitus, Type 2; Drug

2002
[Adverse effects of alpha-glucosidase inhibitors].
    Nihon rinsho. Japanese journal of clinical medicine, 2007, Oct-28, Volume: 65 Suppl 8

    Topics: 1-Deoxynojirimycin; Acarbose; Digestive System Diseases; Drug Interactions; Enzyme Inhibitors; Glyco

2007
[Measures to meet the side effects of the orally administered antihyperglycemic drugs].
    Nihon rinsho. Japanese journal of clinical medicine, 1997, Volume: 55 Suppl

    Topics: Acarbose; Administration, Oral; Animals; Biguanides; Cardiovascular System; Chromans; Drug Interacti

1997

Trials

6 trials available for inositol and Hypoglycemia

ArticleYear
Glucose excursions and hypoglycemia in patients with type 2 diabetes treated with mitiglinide/voglibose versus glimepiride: A randomized cross-over trial.
    Journal of diabetes, 2018, Volume: 10, Issue:8

    Topics: Adult; Aged; Blood Glucose; Cross-Over Studies; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV I

2018
Efficacy and safety of the dipeptidyl peptidase-4 inhibitor sitagliptin compared with α-glucosidase inhibitor in Japanese patients with type 2 diabetes inadequately controlled on sulfonylurea alone (SUCCESS-2): a multicenter, randomized, open-label, non-i
    Diabetes, obesity & metabolism, 2014, Volume: 16, Issue:8

    Topics: 1-Deoxynojirimycin; Aged; alpha-Glucosidases; Diabetes Mellitus, Type 2; Dipeptidyl-Peptidase IV Inh

2014
Comparison of thrice-daily premixed insulin (insulin lispro premix) with basal-bolus (insulin glargine once-daily plus thrice-daily prandial insulin lispro) therapy in east Asian patients with type 2 diabetes insufficiently controlled with twice-daily pre
    The lancet. Diabetes & endocrinology, 2015, Volume: 3, Issue:4

    Topics: Acarbose; Aged; China; Diabetes Mellitus, Type 2; Drug Therapy, Combination; Female; Glycated Hemogl

2015
Combination therapy with mitiglinide and voglibose improves glycemic control in type 2 diabetic patients on hemodialysis.
    Expert opinion on pharmacotherapy, 2010, Volume: 11, Issue:2

    Topics: Aged; Diabetes Mellitus, Type 2; Female; Glycated Hemoglobin; Humans; Hyperglycemia; Hypoglycemia; H

2010
Efficacy and adverse effects of nateglinide in early type 2 diabetes. Comparison with voglibose in a cross-over study.
    Endocrine journal, 2006, Volume: 53, Issue:2

    Topics: Aged; alpha-Glucosidases; Appetite; Body Weight; Cross-Over Studies; Cyclohexanes; Diabetes Mellitus

2006
Voglibose administration before the evening meal improves nocturnal hypoglycemia in insulin-dependent diabetic patients with intensive insulin therapy.
    Metabolism: clinical and experimental, 2000, Volume: 49, Issue:4

    Topics: Adolescent; Adult; Aged; Blood Glucose; Circadian Rhythm; Diabetes Mellitus, Type 1; Drug Administra

2000

Other Studies

8 other studies available for inositol and Hypoglycemia

ArticleYear
Nocturnal reactive hypoglycaemia well treated subjectively and objectively with voglibose.
    BMJ case reports, 2017, Oct-04, Volume: 2017

    Topics: Blood Glucose; Circadian Rhythm; Diagnosis, Differential; Female; Glucose Tolerance Test; Humans; Hy

2017
Enhancement of postprandial endogenous insulin secretion rather than exogenous insulin injection ameliorated insulin antibody-induced unstable diabetes: a case report.
    BMC endocrine disorders, 2019, Jan-08, Volume: 19, Issue:1

    Topics: Aged; Blood Glucose; Diabetes Mellitus, Type 2; Diabetic Angiopathies; Drug Therapy, Combination; Gl

2019
[Role of D-chiro-inositol in glucidic metabolism alterations during pregnancy].
    Minerva ginecologica, 2014, Volume: 66, Issue:3

    Topics: Adult; Blood Glucose; Diabetes, Gestational; Female; Humans; Hunger; Hypoglycemia; Hypoglycemic Agen

2014
Postprandial Reactive Hypoglycemia Treated with a Low-dose Alpha-glucosidase Inhibitor: Voglibose May Suppress Oxidative Stress and Prevent Endothelial Dysfunction.
    Internal medicine (Tokyo, Japan), 2016, Volume: 55, Issue:8

    Topics: Female; Glycoside Hydrolase Inhibitors; Humans; Hypoglycemia; Hypoglycemic Agents; Inositol; Middle

2016
Hyperglycemia not hypoglycemia alters neuronal dendrites and impairs spatial memory.
    Pediatric diabetes, 2008, Volume: 9, Issue:6

    Topics: Animals; Brain Chemistry; Cerebral Cortex; Dendrites; Dendritic Spines; Diabetes Mellitus, Experimen

2008
[Achieving better control of blood sugar--understanding of oral hypoglycemic agents according to their characteristics in pharmacological action mechanism (discussion)].
    Nihon rinsho. Japanese journal of clinical medicine, 2004, Volume: 62, Issue:4

    Topics: Administration, Oral; Cardiovascular Diseases; Cyclohexanes; Diabetes Complications; Diabetes Mellit

2004
The impact of acute hypoglycemia on neuropsychological and neurometabolite profiles in children with type 1 diabetes.
    Diabetes care, 2005, Volume: 28, Issue:11

    Topics: Acute Disease; Aspartic Acid; Attention; Blood Glucose; Child; Diabetes Mellitus, Type 1; Female; Fo

2005
Prevention of hypoglycaemia in a patient with type Ib glycogen storage disease by an amylase (alpha-glucosidase) inhibitor.
    Acta paediatrica (Oslo, Norway : 1992), 1998, Volume: 87, Issue:5

    Topics: Adolescent; Blood Glucose; Glycogen Storage Disease Type I; Glycoside Hydrolase Inhibitors; Humans;

1998