Objective: The aim of this randomized controlled trial was to investigate the effects of a
polyherbal compound consisting of Aloe vera, black seed, fenugreek, garlic, milk thistle, and psyllium
on diabetic patients with uncontrolled dyslipidemia.
Methods: Fifty patients with type 2 diabetes who had dyslipidemia in spite of statin therapy were randomly
allocated to two groups: control group (n = 25) receiving a conventional therapy with hypolipidemic
and hypoglycemic drugs and intervention group (n = 25) receiving both the conventional therapy
and the herbal compound (one sachet twice daily) for 12 weeks. Each sachet contained 300 mg of
Aloe vera leaf gel, 1.8 g of black seed, 300 mg of garlic, 2.5 g of fenugreek seed, 1 g of psyllium seed,
and 500 mg of milk thistle seed.
Results: The levels of serum triglyceride, total cholesterol, low-density lipoprotein, and HbA1c
showed a significant in-group improvement in the intervention group. However, the effects of the
herbal compound on fasting blood glucose remained insignificant. The compound had no unwanted
effect on the kidney function parameters (urea, creatinine) and serum liver enzymes (alanine
aminotransferase and aspartate transaminase).
Conclusion: The tested herbal compound, as an add-on to statin therapy, was effective in lowering the
serum lipids in diabetic patients with uncontrolled dyslipidemia.