Chromium treatment has no effect in patients with poorly controlled, insulin-treated type 2 diabetes in an obese western population - A randomized, double-blind, placebo-controlled trial

OBJECTIVE - Chromium treatment has been reported to improve glycemic control and insulin sensitivity in specific populations of patients with type 2 diabetes. The aim of this study was to determine the effect of chromium treatment on glycemic Control in -,I Western population of insulin-dependent patients with type 2 diabetes. RESEARCH DESIGN AND METHODS - In this 6-month double-blind study, patients with an HbA(1c) (A1C) > 8% and insulin requirements of > 50 units/day were randomly assigned to receive treatment with placebo or 500 or 1,000 mu g chromium daily in the form of chromium picolinate. The primary efficacy parameter was a change in A1C. Secondary end points were changes in lipid profile, BMI, blood pressure, and insulin requirements. RESULTS - in this per-protocol analysis (n = 46), the decrease in A1C was approximately equal across the three groups (0.4%). All Patients had a BMI > 25 kg/m(2). No differences were found in the secondary end points. We found a weak relationship between an increasing serum chromium concentration and improvement of the lipid profile. CONCLUSIONS - There is no evidence that high-dose chromium treatment is effective in obese Western patients With type 2 diabetes.