The effect of saffron (Crocus sativus L.) on glycemia, lipid profile, and antioxidant status in patients with type-2 diabetes mellitus: A randomized placebo-controlled trial

Phytother Res. 2023 Feb;37(2):388-398. doi: 10.1002/ptr.7600. Epub 2022 Dec 29.

Abstract

In the current study, we aimed to investigate the effect of saffron supplementation on glycemic status, lipid profile, atherogenic indices, and oxidative status in patients with type-2 diabetes (T2DM). In a randomized, double-blind controlled trial, 70 patients were randomly allocated into two groups (n = 35, each) and received 100 mg/day of saffron or placebo for eight weeks. Dietary intake, weight, body mass index (BMI), waist and hip circumferences (WC and HC), waist to hip ratio (WHR), fasting blood sugar (FBS), hemoglobin A1c (HbA1c), insulin, and Homeostatic model assessment for insulin resistance (HOMA-IR), lipid profile, atherogenic indices, oxidative status, and liver enzymes were determined before and after the intervention. At the end of the eighth week, saffron intervention could significantly reduce FBS (7.57%), lipid profile (except high-density lipoprotein cholesterol [HDL-C]), atherogenic indices, and liver enzymes (p < .05). Moreover, saffron could improve oxidative status (nitric oxide [NO] and malondialdehyde [MDA] reduced by 26.29% and 16.35%, respectively). Catalase (CAT) concentration remained unchanged. Saffron supplementation may alleviate T2DM by improving glycemic status, lipid profile, liver enzymes, and oxidative status. Further investigation is necessary to assess possible side effects and confirm the positive effect of saffron as a complementary therapy in clinical recommendations for T2DM.

Keywords: Atherogenic indices; Type-2 Diabetes mellitus; antioxidant status; lipid profile; liver enzymes; saffron.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Antioxidants / pharmacology
  • Antioxidants / therapeutic use
  • Blood Glucose
  • Crocus*
  • Diabetes Mellitus, Type 2* / drug therapy
  • Double-Blind Method
  • Glycated Hemoglobin
  • Lipids

Substances

  • Antioxidants
  • Glycated Hemoglobin
  • Lipids
  • Blood Glucose