{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T21:31:21Z","timestamp":1769117481445,"version":"3.49.0"},"reference-count":83,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,1,21]],"date-time":"2026-01-21T00:00:00Z","timestamp":1768953600000},"content-version":"vor","delay-in-days":20,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["BioMed Research International"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Blood lipid abnormalities are common among Type 2 diabetes mellitus (T2DM) patients, and achieving better glycemic control may help improve their lipid profiles. Concomitant use of herbal medicines with conventional antidiabetic medications is a common practice among T2DM patients in Ethiopia. This study was conducted to evaluate the impacts of herbal medicine use on lipid profiles among T2DM patients.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      This is a cross\u2010sectional study and was conducted from May 01 to July 30, 2024. A sample of 416 participants was approached for the study. The sample size was calculated using a single population proportion formula. A systematic random sampling method was used to select the participants. The data were collected through interviewer\u2010administered questionnaire and patient medical record reviews. Patients were randomly selected, and their corresponding medical records, retrieved from the archive based on follow\u2010up schedules of the patients, were accessed and reviewed using a data collection tool adapted from previous studies. Lipid parameters, including total cholesterol (TC), triglycerides (TG), low\u2010density lipoprotein cholesterol (LDL\u2010C), and high\u2010density lipoprotein cholesterol (HDL\u2010C) levels, as well as TC\/LDL\u2010C, TG\/LDL\u2010C, and LDL\u2010C\/HDL\u2010C ratios and atherogenic index of plasma (AIP), were compared between herbal medicine users and nonusers using the Mann\u2013Whitney\n                      <jats:italic>U<\/jats:italic>\n                      Test and linear regression analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of the participants approached, 381 (91.6%) were included in the study. Among the participants included in the study, 141 (37.0%) reported having used herbal medicine since they were diagnosed with diabetes, and almost all were active users at the time of the study. The median TC, TG, and LDL\u2010C levels and TC\/HDL\u2010C, TG\/HDL\u2010C, and LDL\u2010C\/HDL\u2010C ratios and AIP of herbal medicine users were significantly lower than those of nonusers (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01), whereas the median HDL\u2010C was significantly higher (\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05). Moreover, linear regression analyses indicated that the TC, TG, and LDL\u2010C levels were decreased by 6.84\u2009mg\/dL (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22126.84,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05), 8.69\u2009mg\/dL (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22128.69,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01), and 6.75\u2009mg\/dL (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22126.75,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05), respectively, whereas HDL\u2010C values increased by 1.59 (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = 1.59,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05) in herbal drug users as compared with nonusers. Similarly, compared with nonusers, TC\/HDL\u2010C, TG\/HDL\u2010C, and LDL\u2010C\/HDL\u2010C ratios in herbal medicine users were reduced by 0.32 (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22120.32,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01), 0.34 (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22120.34,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.01), and 0.23 (\n                      <jats:italic>\u03b2<\/jats:italic>\n                      = \u22120.23,\n                      <jats:italic>p<\/jats:italic>\n                      &lt; 0.05), respectively, whereas AIP decreased by 0.041.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>In conclusion, the use of herbal medicines was associated with significant reductions in TC, TG, and LDL\u2010C levels, as well as in the TC\/HDL\u2010C, TG\/HDL\u2010C, and LDL\u2010C\/HDL\u2010C ratios and AIP, whereas also associated with a significant increase in HDL\u2010C levels. The results imply that herbal remedies may have beneficial effects in optimizing serum lipid levels in T2DM patients and could ultimately help reduce associated cardiovascular risks. However, because this study was cross\u2010sectional and carried out at a single site, we recommend conducting more rigorous, multicenter observational and trial studies to generate more comprehensive and conclusive results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/bmri\/1020727","type":"journal-article","created":{"date-parts":[[2026,1,22]],"date-time":"2026-01-22T05:10:50Z","timestamp":1769058650000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Impacts of Herbal Medicine Use on Lipid Profiles in Type 2 Diabetic Patients in Northwest Ethiopia: A Comparative Cross\u2010Sectional Study"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5935-643X","authenticated-orcid":false,"given":"Assefa Belay","family":"Asrie","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6634-5971","authenticated-orcid":false,"given":"Tafere Mulaw","family":"Belete","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3941-1811","authenticated-orcid":false,"given":"Tezera Jemere","family":"Aragaw","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1161-2373","authenticated-orcid":false,"given":"Melshew Fenta","family":"Misker","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0003-9867-5443","authenticated-orcid":false,"given":"Alemante Tafese","family":"Beyna","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-7695-4664","authenticated-orcid":false,"given":"Habtamu Semagne","family":"Ayele","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0002-8273-6830","authenticated-orcid":false,"given":"Kidist Goshime","family":"Tekle","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-5537-9394","authenticated-orcid":false,"given":"Yonas Zewdu","family":"Milikit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-1664-1261","authenticated-orcid":false,"given":"Ephrem Adane","family":"Andargie","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-8195-2178","authenticated-orcid":false,"given":"Hiwot Tesfaselassie","family":"Afework","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6727-3714","authenticated-orcid":false,"given":"Yenatfanta Gezu","family":"Lenjiso","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1665-9526","authenticated-orcid":false,"given":"Gebrehiwot Lema","family":"Legese","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,1,21]]},"reference":[{"key":"e_1_2_12_1_2","doi-asserted-by":"publisher","DOI":"10.2337\/diabetes.49.6.883"},{"key":"e_1_2_12_2_2","doi-asserted-by":"publisher","DOI":"10.1055\/s-2001-18576"},{"key":"e_1_2_12_3_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.316.7134.823"},{"key":"e_1_2_12_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.diabet.2012.07.001"},{"key":"e_1_2_12_5_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00125-015-3525-8"},{"key":"e_1_2_12_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1262-3636(07)70213-6"},{"key":"e_1_2_12_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ecl.2006.06.002"},{"key":"e_1_2_12_8_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12872-018-0914-1"},{"key":"e_1_2_12_9_2","doi-asserted-by":"publisher","DOI":"10.2337\/dcS15-3023"},{"key":"e_1_2_12_10_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11886-015-0589-5"},{"key":"e_1_2_12_11_2","doi-asserted-by":"publisher","DOI":"10.1007\/s13300-016-0167-x"},{"key":"e_1_2_12_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/s11883-010-0146-z"},{"key":"e_1_2_12_13_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM199508313330903"},{"key":"e_1_2_12_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9149(98)00038-1"},{"key":"e_1_2_12_15_2","article-title":"Diabetic Dyslipidaemia: Which Drugs to Use","volume":"19","author":"de Castro M. 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