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Glucose- and glycaemic factor-lowering effects of probiotics on diabetes: a meta-analysis of randomised placebo-controlled trials
Open accessAbstract
This meta-analysis examined the effect of probiotics on glucose and glycaemic factors in diabetes and its associated risk factors. All randomised-controlled trials published in English in multiple databases from January 2000 to June 2015 were systematically searched. Only studies that addressed glucose- and glycaemic-related factors as outcome variables were included. The main outcomes of interest in trials were mean changes in glucose, HbA1c, insulin and homoeostasis model assessment-estimated insulin resistance (HOMA-IR). Using the Physiotherapy Evidence Database (PEDro) scale to assess the quality of studies, a total of eleven studies with 614 subjects were included. The pooled mean difference and effect size with a 95 % CI were extracted using a random-effect model. It was found that there are statistically significant pooled mean differences between the probiotics and the placebo-controlled groups on the reduction of glucose (−0·52 mmol/l, 95 % CI −0·92, −0·11 mmol/l; P=0·01) and HbA1c (−0·32 %, 95 % CI −0·57, −0·07 %; P=0·01). There was no statistically significant pooled mean difference between the probiotics and the placebo-controlled groups on the reduction of insulin (−0·48 µIU/ml, 95 % CI −1·34, 0·38 µIU/ml; P=0·27) and HOMA-IR (pooled effect of –0·44, 95 % CI −1·57, 0·70; P=0·45). Meta-regression analysis identified that probiotics had significant effects on reduction of glucose, HbA1c, insulin and HOMA-IR in participants with diabetes, but not in participants with other risk factors. The present meta-analysis suggested that probiotics may be used as an important dietary supplement in reducing the glucose metabolic factors associated with diabetes.
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“This policy permits special issuance of medical certification to some applicants who provide medical documentation of their history of treatment, accidents, and current medical status by an endocrinologist.”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1694]
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“Similarly, in 2019, the Federal Aviation Administration outlined considerations for insulin-treated T1D or T2D with a CGM option.”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1694]
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“For first- and second-class airman certification, CGM data is a requirement, whereas third-class airmen may use non-CGM protocol.1694”
From American Association of Clinical Endocrinology Clinical Practice Guideline: Developing a Diabetes Mellitus Comprehensive Care Plan-2022 Update. (2022) · cites this paper as [1694]
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Cites
Bias in meta-analysis detected by a simple, graphical test
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Gut Microbiota in Human Adults with Type 2 Diabetes Differs from Non-Diabetic Adults
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Probiotic yogurt improves antioxidant status in type 2 diabetic patients
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Self-citationProbiotics as modulators of the gut flora
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- Harisa, 2009, Oral administration of Lactobacillus acidophilus restores nitric oxide level in diabetic rats, Aust J Basic Appl Sci, 3, 2963
- Gilliland, 2001, Health and Nutritional Properties of Probiotics in Food Including Powder Milk with Live Lactic Acid Bacteria
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Zmora, N., Zilberman-Schapira, G., Suez, J., Mor, U., Dori-Bachash, M., Bashiardes, S., Kotler, E., Zur, M., Regev-Lehavi, D., Brik, R. B.-Z., et al. (2018) · Cell · doi:10.1016/j.cell.2018.08.041 · Cited by 1,695
Gut Microbiota as a Trigger for Metabolic Inflammation in Obesity and Type 2 Diabetes
Scheithauer, T. P. M., Rampanelli, E., Nieuwdorp, M., Vallance, B. A., Verchere, C. B., van Raalte, D. H., & Herrema, H. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.571731 · Cited by 715
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The role of the gut microbiome and its metabolites in metabolic diseases
Wu, J., Wang, K., Wang, X., Pang, Y., & Jiang, C. (2020) · Protein & Cell · doi:10.1007/s13238-020-00814-7 · Cited by 592
Blonde, L., Umpierrez, G. E., Reddy, S. S., McGill, J. B., Berga, S. L., Bush, M., Chandrasekaran, S., DeFronzo, R. A., Einhorn, D., Galindo, R. J., et al. (2022) · Endocrine Practice · doi:10.1016/j.eprac.2022.08.002 · Cited by 507
Metadata
- Authors
- Sun, J., & Buys, N. J.
- Affiliations
- Griffith University (AU)
- Corresponding author
- Sun, Jing
- Venue
- British Journal of Nutrition
- Publisher
- Cambridge University Press (CUP)
- Published
- 2016-02-22
- Volume
- 115
- Issue
- 7
- Pages
- 1167-1177
- ISSN
- 0007-1145 (ISSN-L)
- 1475-2662
- OpenAlex
- W2273827122
- Cited by
- 122
- References
- 36
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 7 · 2023: 10 · 2022: 15 · 2021: 16 · 2020: 20 · 2019: 15 · 2018: 16 · 2017: 12 · 2016: 6
- FWCI
- 1.87
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- British Journal Of Nutrition (publishedVersion)
- PubMed (publishedVersion)
- Griffith Research Online (submittedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Food Science › Probiotics and Fermented Foods
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Natural Antidiabetic Agents Studies
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Gut microbiota and health
- Keywords
- probiotics, diabetes mellitus, blood glucose, HbA1c, insulin, insulin resistance, HOMA-IR, glycemic control, dietary supplements, diabetes risk factors
- MeSH terms
- Blood Glucose, Diabetes Mellitus, Fasting, Glycated Hemoglobin, Homeostasis, Humans, Insulin, Insulin Resistance, Placebos, Risk Factors, Randomized Controlled Trials as Topic, Dietary Supplements, Probiotics
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