A randomized study to establish the effects of spirulina in type 2 diabetes mellitus patients
Open accessAbstract
Spirulina is a microscopic and filamentous cyanobacterium that contains essential amino acids, essential fatty acids, vitamins, minerals and anti-oxidative components. The purpose of this study was to examine effects of spirulina intervention in Korean patients with type 2 diabetes. The subjects were 37 type 2 diabetic patients who visited a diabetic clinic in Seoul and randomly assigned into spirulina (8 g/day) or control group. During the intervention period of 12 weeks, subjects were asked to keep usual diet and prohibited to take any functional foods or dietary supplements. Spirulina supplementation for 12 weeks did not affect anthropometric parameters, however, lowered plasma triglycerides level significantly (p<0.05). Spirulina supplementation also resulted in a significant reduction in plasma malondialdehyde level (p<0.05) and an increase in plasma adiponectin level (p<0.1). The lipid lowering effect of spirulina supplementation was different according to serum lipid levels of the subjects before entering the intervention. The subjects with higher initial triglyceride level showed higher reduction in plasma triglyceride and blood pressure. The subjects with higher initial total cholesterol and LDL-cholesterol level showed higher reduction in plasma concentrations of total cholesterol, LDL-cholesterol, IL-6, and blood pressure. It seems that spirulina supplementation is more effective in subjects with dyslipidemia. This study provides the evidence for beneficial effects of spirulina supplementation on blood lipid profiles, inflammatory variables, and antioxidant capacity in Korean patients with type 2 diabetes. The results suggest that spirulina is a promising agent as a functional food for diabetes management.
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
The claims and statistics of this paper haven’t been checked yet.
Run the check — free, no account needed. It reads the open-access text and checks the sources it cites.
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Daily supplementation with 2 g of Spirulina for 12 weeks significantly improves insulin sensitivity and reduces triglycerides in overweight adults with metabolic syndrome.
“daily supplementation with 2 g of Spirulina for 12 weeks significantly improved insulin sensitivity and reduced triglycerides in overweight adults with metabolic syndrome [75].”
From Microalgae Bioactives for Functional Food Innovation and Health Promotion (2025) · cites this paper as [75]
The Results (Blood profiles during the intervention period; page unavailable) report a significant triglyceride reduction after 12 weeks, but no significant change in KITT, the study’s measure of insulin resistance. The Methods (Subjects and experimental protocol; page unavailable) specify 8 g/day, not 2 g/day, and participants were patients with type 2 diabetes, not a cohort identified as overweight adults with metabolic syndrome. (LLM, conf=0.95)
Experimental — accuracy not yet measuredThe antioxidant effect of Spirulina is confirmed by intervention studies.
“Although the antioxidant effect of Spirulina is confirmed by the intervention studies”
From Antioxidant, Immunomodulating, and Microbial‐Modulating Activities of the Sustainable and Ecofriendly <i>Spirulina</i> (2017) · cites this paper as [106]
The effects of Spirulina on cytokines and on lymphocytes' proliferation depend on age, gender, and body weight differences.
“The effects on cytokines and on lymphocytes' proliferation depend on age, gender, and body weight differences.”
From Antioxidant, Immunomodulating, and Microbial‐Modulating Activities of the Sustainable and Ecofriendly <i>Spirulina</i> (2017) · cites this paper as [106]
In overweight subjects and in T2D patients with dyslipidemia, the improvement in the lipid profile was accompanied by a reduction of blood pressure.
“In overweight subjects [13] and in T2D patients with dyslipidemia [106] the improvement in the lipid profile was accompanied by a reduction of blood pressure.”
From Antioxidant, Immunomodulating, and Microbial‐Modulating Activities of the Sustainable and Ecofriendly <i>Spirulina</i> (2017) · cites this paper as [106]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
The self-check needs the paper’s full text.
Cites
Journal of Food Science and Technology
(2013) · Journal of Food Science and Technology · doi:10.1007/13197.0975-8402 · Cited by 2,456 · see citing works
Oxidative Stress and Diabetic Vascular Complications
Giugliano, D., Ceriello, A., & Paolisso, G. (1996) · Diabetes Care · doi:10.2337/diacare.19.3.257 · Cited by 1,938 · see citing works
Lauer, R. M., Lee, J., & Clarke, W. R. (1988) · PEDIATRICS · doi:10.1542/peds.82.3.309 · Cited by 475 · see citing works
Evaluation of insulin sensitivity in clinical practice and in research settings
Monzillo, L. U., & Hamdy, O. (2003) · Nutrition Reviews · doi:10.1301/nr.2003.dec.397-412 · Cited by 259 · see citing works
Benedetti, S., Benvenuti, F., Pagliarani, S., Francogli, S., Scoglio, S., & Canestrari, F. (2004) · Life Sciences · doi:10.1016/j.lfs.2004.06.004 · Cited by 253 · see citing works
Antioxidant activities of phycocyanobilin prepared from Spirulina platensis
Hirata, T., Tanaka, M., Ooike, M., Tsunomura, T., & Sakaguchi, M. (2000) · Journal of Applied Phycology · doi:10.1023/a:1008175217194 · Cited by 216 · see citing works
Role of <i>Spirulina</i> in the Control of Glycemia and Lipidemia in Type 2 Diabetes Mellitus
Parikh, P., Mani, U., & Iyer, U. (2001) · Journal of Medicinal Food · doi:10.1089/10966200152744463 · Cited by 193 · see citing works
Evaluation of chemoprevention of oral cancer with<i>spirulina fusiformis</i>
Mathew, B., Sankaranarayanan, R., Nair, P. P., Varghese, C., Somanathan, T., Amma, B. P., Amma, N. S., & Nair, M. K. (1995) · Nutrition and Cancer · doi:10.1080/01635589509514407 · Cited by 183 · see citing works
Park, H. J., Lee, Y. J., Ryu, H. K., Kim, M. H., Chung, H. W., & Kim, W. Y. (2008) · Annals of Nutrition and Metabolism · doi:10.1159/000151486 · Cited by 154 · see citing works
Self-citationIWATA, K., INAYAMA, T., & KATO, T. (1990) · Journal of Nutritional Science and Vitaminology · doi:10.3177/jnsv.36.165 · Cited by 153 · see citing works
Enhancement of antibody production in mice by dietary Spirulina platensis
HAYASHI, O., KATOH, T., & OKUWAKI, Y. (1994) · Journal of Nutritional Science and Vitaminology · doi:10.3177/jnsv.40.431 · Cited by 129 · see citing works
Shklar, G., & Schwartz, J. (1988) · European Journal of Cancer and Clinical Oncology · doi:10.1016/0277-5379(88)90192-7 · Cited by 117 · see citing works
Mani, U. V., Desai, S., & Iyer, U. (2000) · Journal of Nutraceuticals, Functional & Medical Foods · doi:10.1300/j133v02n03_03 · Cited by 94 · see citing works
Rodrı́guez-Hernández, A., Blé-Castillo, J. L., Juárez-Oropeza, M. A., & Dı́az-Zagoya, J. C. (2001) · Life Sciences · doi:10.1016/s0024-3205(01)01185-7 · Cited by 80 · see citing works
Effect of Spirulina maxima consumption on reproduction and peri- and postnatal development in rats
Salazar, M., Chamorro, G., Salazar, S., & Steele, C. (1996) · Food and Chemical Toxicology · doi:10.1016/0278-6915(96)00000-2 · Cited by 65 · see citing works
Spirulina maxima prevents induction of fatty liver by carbon tetrachloride in the rat
Torres-Durán, P. V., Miranda‐Zamora, R., Paredes-Carbajal, M. C., Mascher, D., Díaz-Zagoya, J. C., & Juárez-Oropeza, M. A. (1998) · IUBMB Life · doi:10.1080/15216549800201832 · Cited by 54 · see citing works
Spirulina platensis Extract Enhances Chicken Macrophage Functions After in vitro Exposure
Qureshi, M. A., Kidd, M. T., & Ali, R. A. (2008) · Journal of Nutritional Immunology · doi:10.1300/j053v03n04_04 · Cited by 39 · see citing works
Hosoyamada, Y., Takai, Y., & Kato, T. (1991) · Nippon Eiyo Shokuryo Gakkaishi · doi:10.4327/jsnfs.44.273 · Cited by 30 · see citing works
Individual Diabetes Nutrition Education Can Help Management for Type II Diabetes
Woo, Y. J., Lee, H. S., & Kim, W. Y. (2006) · Cited by 24 · see citing works
Self-citationThe effect of Spirulina supplementation on blood haemoglobin levels of anaemic adult girls.
Mani, U. V., Sadliwala, A., Iyer, U. M., & Parikh, P. (2000) · Journal of Food Science and Technology · Cited by 18 · see citing works
The Effect of Spirulina in the Treatment of Bronchial Asthma
Labhe, R. U., Mani, U. V., Iyer, U. M., et al. (2001) · Journal of Nutraceuticals Functional & Medical Foods · doi:10.1300/j133v03n04_06 · Cited by 16 · see citing works
고콜레스테롤혈증 여자 노인에서 항산화 물질 복용에 따른 혈중 지질 농도와 면역능의 변화
김화영, & Kim, M. (2005) · Cited by 16 · see citing works
스피루리나 복용이 노인의 혈중 지질 농도, 항산화능 및 면역능에 미치는 영향
Kim, W. Y., & Park, J. Y. (2003) · Cited by 16 · see citing works
Self-citationEducational program for diabetic patients in Korea—Multidisplinary intensive management
Park, J. S., & Ahn, C. W. (2007) · Diabetes Research and Clinical Practice · doi:10.1016/j.diabres.2007.01.056 · Cited by 14 · see citing works
Self-citation[Analysis of the contents of elements in spirulina from different producing areas].
Guan, Y., Zhao, H., Ding, X., & Zhu, Y. (2007) · PubMed · Cited by 7 · see citing works
Association of MCP-1 polymorphism with cardiovascular risk factors in Korean elderly
박희정 (2007) · Cited by 3 · see citing works
Flagged first, then by citations
Research works printed but not linked: 4
- [10]Kim MH Kim WY The change of lipid metabolism and immune function caused by antioxidant material in the hypercholesterolemin elderly women in Korea The Korean Journal of Nutrition 2005 38 67 75
- [16]Parikh P Mani U Iyer U Role of spirulina in the control of glycemia and lipidemia in type 2 diabetes mellitus Dig Dis Sci 2001 4 193 199 12639401
- [20]Park JY Kim WY The effect of spirulina on lipid metabolism, antioxidant capacity and immune function in Korean elderly The Korean Journal of Nutrition 2003 36 287 297
- [22]Ramamoorthy A Premakumari S Effect of supplementation of Spirulina on hypercholesterolemic patients Journal of Food Science and Technology 1996 33 124 127
Cited by
Sorted by citations
The antioxidant, immunomodulatory, and anti-inflammatory activities of Spirulina: An overview
Wu, Q., Liu, L., Miron, A., Klímová, B., Wan, D., & Kuča, K. (2016) · Archives of Toxicology · doi:10.1007/s00204-016-1744-5 · Cited by 655 · see citing works
Hypolipidemic, Antioxidant, and Antiinflammatory Activities of Microalgae <i>Spirulina</i>
Deng, R., & Chow, T. (2010) · Cardiovascular Therapeutics · doi:10.1111/j.1755-5922.2010.00200.x · Cited by 435 · see citing works
Finamore, A., Palmery, M., Bensehaila, S., & Peluso, I. (2017) · Oxidative Medicine and Cellular Longevity · doi:10.1155/2017/3247528 · Cited by 256 · see citing works
Grosshagauer, S., Kraemer, K., & Somoza, V. (2020) · Journal of agricultural and food chemistry · doi:10.1021/acs.jafc.9b08251 · Cited by 216 · see citing works
Serban, M.-C., Sahebkar, A., Dragan, S., Stoichescu-Hogea, G., Ursoniu, S., Andrica, F., & Banach, M. (2016) · Clinical Nutrition · doi:10.1016/j.clnu.2015.09.007 · Cited by 156 · see citing works
Development of spirulina for the manufacture and oral delivery of protein therapeutics
Jester, B. W., Zhao, H., Gewe, M., Adame, T., Perruzza, L., Bolick, D. T., Agosti, J., Khuong, N., Kuestner, R., Gamble, C., et al. (2022) · Nature Biotechnology · doi:10.1038/s41587-022-01249-7 · Cited by 130 · see citing works
Anti-Oxidation Properties and Therapeutic Potentials of Spirulina
Han, P., Li, J., Zhong, H., Xie, J., Zhang, P., Lu, Q., Li, J., Xu, P., Chen, P., Leng, L., et al. (2021) · Algal Research · doi:10.1016/j.algal.2021.102240 · Cited by 109 · see citing works
Effects of spirulina on weight loss and blood lipids: A review
DiNicolantonio, J. J., Bhat, A. G., & OKeefe, J. (2020) · Open Heart · doi:10.1136/openhrt-2018-001003 · Cited by 98 · see citing works
Moradi, S., Ziaei, R., Foshati, S., Mohammadi, H., Nachvak, S. M., & Rouhani, M. H. (2019) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2019.102211 · Cited by 88 · see citing works
Strasky, Z., Zemankova, L., Nemeckova, I., Rathouska, J., Wong, R. J., Muchova, L., Subhanova, I., Vanikova, J., Vanova, K., Vitek, L., et al. (2013) · Food & Function · doi:10.1039/c3fo60230c · Cited by 87 · see citing works
Yousefi, R., Mottaghi, A., & Saidpour, A. (2018) · Complementary Therapies in Medicine · doi:10.1016/j.ctim.2018.08.003 · Cited by 84 · see citing works
de la Jara, A., Ruano-Rodriguez, C., Polifrone, M., Assunçao, P., Brito-Casillas, Y., Wägner, A. M., & Serra-Majem, L. (2018) · Journal of Applied Phycology · doi:10.1007/s10811-018-1468-4 · Cited by 69 · see citing works
Jensen, G. S., Attridge, V. L., Beaman, J. L., Guthrie, J., Ehmann, A., & Benson, K. F. (2015) · Journal of Medicinal Food · doi:10.1089/jmf.2014.0083 · Cited by 53 · see citing works
Microalgae Bioactives for Functional Food Innovation and Health Promotion
Guil-Guerrero, J. L., & Prates, J. A. M. (2025) · Foods · doi:10.3390/foods14122122 · Cited by 47 · see citing works
“For instance, daily supplementation with 2 g of Spirulina for 12 weeks significantly improved insulin sensitivity and reduced triglycerides in overweight adults with metabolic syndrome [75].”
Huang, H., Liao, D., Pu, R., & Cui, Y. (2018) · Diabetes, Metabolic Syndrome and Obesity: Targets and Therapy · doi:10.2147/dmso.s185672 · Cited by 44 · see citing works
Ghaem Far, Z., Babajafari, S., Kojuri, J., Mohammadi, S., Nouri, M., Rostamizadeh, P., Rahmani, M. H., Azadian, M., Ashrafi‐Dehkordi, E., Zareifard, A., et al. (2021) · Phytotherapy Research · doi:10.1002/ptr.7254 · Cited by 39 · see citing works
Machowiec, P., Ręka, G., Maksymowicz, M., Piecewicz-Szczęsna, H., & Smoleń, A. (2021) · Nutrients · doi:10.3390/nu13093054 · Cited by 33 · see citing works
El-Sayed, E.-S., Hikal, M., Abo El- Khair, B., El-Ghobashy, R., & El-Assar, A. (2018) · Arab Universities Journal of Agricultural Sciences · doi:10.21608/ajs.2018.28365 · Cited by 26 · see citing works
“In addition, the results of the present study are in accordance with Lee et al (2008) who reported that Spirulina had an impact of on triglyceride level of diabetes mellitus (type 2) patients.”
ResultZhao, N., Chu, Y., Huang, Q., Qin, S., Cui, H., & Zhang, W. (2026) · Algal Research · doi:10.1016/j.algal.2026.104629 · Cited by 2 · see citing works
- Authors
- Lee, E. H., Park, J.-E., Choi, Y.-J., Huh, K.-B., & Kim, W.-Y.
- Affiliations
- Ewha Womans University (KR)
- 21C Diabetics and Vascular Research Center, 40-19 Nogosan-dong, Mapo-gu, Seoul 121-806, Korea.
- Corresponding author
- Kim, Wha-Young
- Venue
- Nutrition Research and Practice
- Published
- 2008
- Volume
- 2
- Issue
- 4
- Pages
- 295
- ISSN
- 1976-1457 (ISSN-L)
- PMC
- PMC2788188
- OpenAlex
- W2152409266
- Cited by
- 164
- References
- 26
- Citations by year
- 2026: 9 · 2025: 15 · 2024: 14 · 2023: 12 · 2022: 11 · 2021: 18 · 2020: 12 · 2019: 9 · 2018: 13 · 2017: 4 · 2016: 12 · 2015: 12 · 2014: 6 · 2013: 6 · 2012: 5
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Licence
- Locations
- Nutrition Research and Practice (publishedVersion, cc-by-nc)
- Europe PMC (PubMed Central) (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Agricultural and Biological Sciences › Aquatic Science › Seaweed-derived Bioactive Compounds
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Natural Antidiabetic Agents Studies
- Physical Sciences › Energy › Renewable Energy, Sustainability and the Environment › Algal biology and biofuel production
- Keywords
- Spirulina, type 2 diabetes, dietary supplementation, plasma triglycerides, malondialdehyde, adiponectin, dyslipidemia, blood pressure, inflammatory cytokines, interleukin-6, antioxidant capacity, functional foods, lipid profile
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review