Type 2 Diabetes

Type 2 diabetes (T2D) is a disease in which blood glucose levels are too high. It is characterized by insulin resistance in muscle, fat, and pancreas cells and an inability of the pancreas to manufacture enough insulin to control blood glucose levels. T2D is strongly associated with excess body fat, and weight loss induced by lifestyle changes is extremely effective for treating T2D.

Quick Answer

What it is

Type 2 diabetes (T2D) is a disease in which blood glucose levels are too high. It is characterized by insulin resistance in muscle, fat, and pancreas cells and an inability of the pancreas to manufacture enough insulin to control blood glucose levels.

Key findings

  • Grade A: Blood glucose (Beta-glucans)
  • Grade A: Fasting Blood Glucose (Black Seed Oil)
  • Grade A: HbA1c (Black Seed Oil)

Safety

  • Safe in high-risk post-ACS patients.
ℹ️ Quick Facts

Quick Facts: Type 2 Diabetes

  • Supplements Studied:108
  • Research Trials:207
  • Total Participants:245,888
  • Grade A Supplements:3
  • Top Supplement:Red Yeast Rice (A)
207 trials
245,888 ppts
108 supps · 868 outcomes

Evidence-Based Protocol

Supplement stack ranked by research quality

Strong Evidence

Primary Stack (Tier 1)

500mg 2-3x daily with meals

Activates AMPK pathway to enhance glucose uptake, reduces hepatic gluconeogenesis, and improves insulin sensitivity

27 studies | 2,500 participants
600-1200mg daily

Enhances glucose uptake via GLUT4 translocation, reduces oxidative stress, and improves diabetic neuropathy symptoms

22 studies | 1,800 participants

Supporting Stack (Tier 2)

200-1000mcg daily (chromium picolinate)

Potentiates insulin action by enhancing insulin receptor signaling and GLUT4 expression

25 studies | 1,500 participants
300-450mg daily

Essential cofactor for insulin signaling enzymes, improves insulin sensitivity and glucose metabolism

18 studies | 1,200 participants
1-6g daily (Ceylon cinnamon preferred)

Enhances insulin receptor sensitivity and mimics insulin action on glucose transporters

16 studies | 1,000 participants
5-10g before meals

Slows glucose absorption, reduces postprandial glucose spikes, and improves glycemic control

20 studies | 1,100 participants

How It Works

Type 2 diabetes occurs when the body becomes resistant to insulin or doesn't produce enough insulin to maintain normal blood sugar levels. This leads to chronically elevated blood glucose, which over time damages blood vessels, nerves, kidneys, and eyes. While medication is often necessary, several supplements have strong evidence for improving blood sugar control.

•Berberine is one of the most effective natural compounds for diabetes—studies show it can lower blood sugar as effectively as metformin. It works by activating AMPK (the 'metabolic master switch'), which increases glucose uptake in cells and reduces sugar production by the liver. Take it with meals to maximize effectiveness and minimize GI side effects.
•Alpha-Lipoic Acid improves insulin sensitivity and is particularly valuable for diabetic neuropathy—the nerve damage that causes numbness, tingling, and burning pain in the feet and hands. It's a powerful antioxidant that protects against the oxidative damage caused by high blood sugar.
•Chromium helps insulin work more effectively by enhancing insulin receptor signaling. Many people with diabetes are chromium deficient, and supplementation can modestly improve HbA1c and fasting glucose.
•Magnesium deficiency is extremely common in diabetes (up to 47% of patients) because high blood sugar increases urinary magnesium loss. Low magnesium worsens insulin resistance, creating a vicious cycle. Supplementation can improve insulin sensitivity.
•Cinnamon contains compounds that mimic insulin and may enhance insulin receptor sensitivity. Ceylon cinnamon is preferred over cassia cinnamon due to lower coumarin content.
•Fiber (Psyllium) slows down carbohydrate absorption, preventing glucose spikes after meals. It also helps with weight management and cholesterol—both important in diabetes.

Expected timeline: Berberine and fiber effects on blood sugar may be noticeable within 2-4 weeks. ALA benefits for neuropathy typically require 3-5 weeks of consistent use. Full glycemic benefits develop over 2-3 months.

Generated from peer-reviewed researchSchema v2.0

Supplements for Type 2 Diabetes

Sorted by strength of evidence

ARed Yeast Rice
2
↓Low-density lipoprotein (LDL)Improves↑High-density lipoprotein (HDL)Improves↓Total cholesterolImproves
ABeta-glucans
1
↓Blood glucoseImproves↓HbA1cImproves↑InsulinWorsens
ABlack Seed Oil
1
↓Fasting Blood GlucoseImproves↓HbA1cImproves
BResveratrol
2
↓Blood glucoseImproves↑AdiponectinImproves↓Body Mass Index (BMI)Improves
BZinc
1
↓Blood glucoseImproves↓HbA1cImproves↓Low-density lipoprotein (LDL)Improves
BTriphala (Emblica officinalis, Terminalia chebula, Terminalia bellirica)
1
↓Blood Glucose ReductionImproves
BSaffron
1
↓Anxiety SymptomsImproves↓Blood glucoseImproves↓Total cholesterolImproves
BFlaxseed
1
↓Blood glucoseImproves↑InsulinWorsens↓Body Mass Index (BMI)Improves
BBlack seed
1
↓Blood glucoseImproves↑Oxidative Stress BiomarkersWorsens↑Total Antioxidant Capacity (TAC)Improves
BJiaogulan
1
↓Blood glucoseImproves↑Glycemic ControlImproves↓HbA1cImproves
BBlack Barberry Extract
1
↓Fasting Blood GlucoseImproves↓HbA1cImproves
BDihydroberberine
1
↓Fasting Blood GlucoseImproves↓HbA1cImproves↓Postprandial Blood GlucoseImproves
BCarnosine
1
↓Blood glucoseImproves↑Beta-cell functionImproves↑High-density lipoprotein (HDL)Improves
BVitamin D
1
↓Blood glucoseImproves↓HbA1cImproves↑InsulinWorsens
BInulin
1
↓Blood glucoseImprovesBody Mass Index (BMI)↑InsulinWorsens
BFenugreek
1
↓Blood glucoseImproves↑Glycemic ControlImproves↓HbA1cImproves
BCinnamon
1
↓Blood glucoseImproves↓Body Mass Index (BMI)Improves↓HbA1cImproves
BMilk Protein
1
Blood glucose↓Blood PressureImproves↑InsulinWorsens
BBerberine
1
↓Blood glucoseImproves↓Apolipoprotein BImproves↓TriglyceridesImproves
BWhey Protein
1
Blood glucose↑High-density lipoprotein (HDL)Improves↓Total cholesterolImproves

Detailed Outcomes

Grade:
Effect:
Size:
Sort:
|
A
Blood glucose
Moderate Improvement
98 studies
moderate↓Improves
B
HbA1c
Small Improvement
4 studies
small↓Improves
?
Insulin
34 studies
↑Worsens
A
Fasting Blood Glucose
Meta-analysis (16 RCTs): FBG reduced by -21.43 mg/dL (p=0.005). Another meta-analysis: WMD -15.18 mg/dL (95% CI -19.82 to -10.55). Effect stronger with oil form >1g/day and duration >8 weeks.
16 studies
moderate↓Improves
A
HbA1c
Meta-analyses: Consistently reduced HbA1c by -0.44% to -0.45% (p<0.01). Effect more pronounced with higher doses (>1g/day).
12 studies
moderate↓Improves
A
Low-density lipoprotein (LDL)
Moderate Improvement
4 studies
moderate↓Improves
B
High-density lipoprotein (HDL)
Moderate Improvement
5 studies
moderate↑Improves
?
Total cholesterol
5 studies
↓Improves
?
Triglycerides
5 studies
↓Improves
A
HbA1c Reduction
DURATION trials showed HbA1c reductions of 1.1-2.0%. DURATION-1 showed sustained 2.0% reduction at 52 weeks with once-weekly formulation.
large↓Improves
A
Glycemic Control (HbA1c <7%)
DURATION-1 showed 71% achieved HbA1c <7% and 54% achieved ≤6.5% at 52 weeks with exenatide once weekly.
large↑Worsens
A
Body Weight Reduction
DURATION trials showed mean weight loss of 2-4 kg over 6 months. DURATION-5 showed 5.1 lb weight loss with Bydureon vs 3.0 lb with Byetta.
moderate↓Improves
A
Fasting Plasma Glucose
DURATION trials showed significant reductions in fasting plasma glucose across all studies vs comparators.
large↓Improves
A
Systolic Blood Pressure
Long-term therapy showed sustained decrease in systolic blood pressure of approximately 2 mmHg over 3-6 years.
small↓Improves
B
Lipid Profile
DURATION trials showed improvements in fasting lipid profiles with exenatide therapy.
small↓Improves
A
HbA1c Reduction
SURPASS trials showed HbA1c reductions of 1.87-2.58%. SURPASS-2 showed tirzepatide superior to semaglutide 1mg (2.0-2.3% vs 1.86% reduction).
large↓Improves
A
Glycemic Control (HbA1c <7%)
SURPASS-1 showed 87-92% reached HbA1c <7% vs 20% placebo. Up to 52% reached HbA1c <5.7% (normoglycemia).
large↑Worsens
A
Weight Loss in Diabetes
SURPASS trials showed 5.4-12.9 kg weight loss in T2DM patients. SURPASS-2 showed tirzepatide 15mg achieved nearly twice the weight loss of semaglutide 1mg.
large↓Improves
A
Beta-Cell Function
SURPASS-1 analysis showed tirzepatide improved markers of beta-cell function and insulin sensitivity as monotherapy.
moderate↑Improves
A
Fasting Plasma Glucose
SURPASS trials showed substantial reductions in fasting glucose across all dose levels compared to placebo and active comparators.
large↓Improves
A
HbA1c Reduction
AWARD trials showed HbA1c reductions of 1.10-1.77% depending on dose. AWARD-5 showed 1.10% reduction with 1.5mg vs 0.39% with sitagliptin.
large↓Improves
A
Glycemic Control (HbA1c <7%)
AWARD trials showed higher proportions reaching HbA1c <7% and ≤6.5% vs comparators including sitagliptin, exenatide, and insulin glargine.
large↑Worsens
A
Body Weight Reduction
REWIND showed 1.5kg greater weight loss vs placebo sustained over 5.4 years. AWARD trials showed weight loss vs weight-neutral or weight-gaining comparators.
moderate↓Improves
A
Fasting Plasma Glucose
AWARD trials showed significant reductions in fasting plasma glucose across all studies vs comparators.
large↓Improves
A
Postprandial Glucose
AWARD-CHN2 analysis showed dulaglutide reduces both fasting and postprandial glucose components of HbA1c.
moderate↓Improves
A
HbA1c Reduction
SUSTAIN trials showed HbA1c reductions of 1.4-1.8% with semaglutide 1.0mg. SUSTAIN 1 demonstrated 1.55% reduction vs 0.02% placebo (P<0.0001).
large↓Improves
A
Glycemic Control
SUSTAIN 7 showed semaglutide superior to dulaglutide for glycemic control. SUSTAIN 3 showed 1.5% HbA1c reduction vs 0.9% with exenatide ER.
large↑Improves
A
Fasting Plasma Glucose
SUSTAIN trials showed significant reductions in fasting plasma glucose. SUSTAIN 5 showed 2.0-2.4 mmol/L reductions vs 0.1 mmol/L with placebo.
large↓Improves
A
HbA1c Reduction
GetGoal program (13 trials, n>5,000): Consistent HbA1c reductions. ELIXA: 0.27% greater reduction vs placebo. GetGoal-L: Significant improvement when added to basal insulin. All trials met primary HbA1c endpoints.
moderate↓Improves
A
Postprandial Glucose Control
GetGoal-Mono: 75% reduction in postprandial glucose excursion. GetGoal-L: Placebo-corrected PPG reduction of 3.8 mmol/L (P<0.0001). Pronounced prandial effect distinguishes from other GLP-1 RAs.
large↓Improves
A
Cardiovascular Safety (MACE)
ELIXA (n=6,068): CV death/MI/stroke/UA hospitalization 13.4% vs 13.2% placebo (HR 1.02, noninferiority P<0.001, superiority P=0.81). No CV harm or benefit. Safe in high-risk post-ACS patients.
none
A
Add-on to Basal Insulin
GetGoal-L, GetGoal-L-Asia, GetGoal-Duo: Significant HbA1c and PPG improvements when added to basal insulin. Alternative to prandial insulin without weight gain. Less hypoglycemia than basal-bolus regimens.
moderate↑Improves
A
Gastrointestinal Side Effects
Most common: Nausea (dose-dependent), vomiting, diarrhea. Generally mild-moderate, resolve within 3-6 weeks. Similar GI profile to other GLP-1 RAs. Gradual dose titration recommended.
moderate↑Worsens
A
HbA1c Reduction
LEAD trials showed HbA1c reductions of 1.0-1.14% with liraglutide. LEADER showed sustained 0.40% greater reduction vs placebo at 36 months.
large↓Improves
A
Glycemic Control
LEAD-3 showed liraglutide 1.8mg superior to glimepiride monotherapy for glycemic control (1.14% vs 0.51% HbA1c reduction, P<0.0001).
large↑Improves
A
Hypoglycemia Risk
LEAD trials showed liraglutide associated with lower hypoglycemia rates compared to sulfonylureas due to glucose-dependent action.
moderate↓Improves
B
Beta-Cell Function
Studies suggest liraglutide may preserve beta-cell function and reduce glycemic deterioration over time.
moderate↑Improves
A
Glycemic Control (HbA1c)
Phase 2 T2DM (n=281): HbA1c reduction of 2.0-2.2% at 36 weeks. 82% achieved HbA1c ≤6.5%. Superior to 1.5mg dulaglutide comparator. Fasting glucose significantly improved across all doses.
large↓Improves
A
HbA1c Reduction
52-week RCT: 0.3-0.62% HbA1c reduction vs placebo. Improvement achieved without increase in insulin dose or severe hypoglycemia.
moderate↓Improves
A
Postprandial Glucose
1-hour PPG reduced by 4.8 mmol/L, 2-hour PPG reduced by 3.4 mmol/L in clinical trials.
large↓Improves
A
Body Weight
Significant weight reduction in all dose groups vs placebo. 48% achieved combined HbA1c + weight reduction (vs 16% placebo).
moderate↓Improves
A
Postprandial Glucagon
Significant suppression of postprandial glucagon secretion, reducing inappropriate hepatic glucose output after meals.
moderate↓Improves
B
Lipid Profile
Reductions in plasma total and LDL cholesterol observed in 4-week trial supporting improved metabolic control.
small↓Improves
B
Blood glucose
Mixed effect
85 studies
B
Blood Pressure
Small Improvement
2 studies
small↓Improves
?
Insulin
57 studies
↑Worsens
?
High-density lipoprotein (HDL)
2 studies
↑Improves
?
Low-density lipoprotein (LDL)
2 studies
↓Improves
?
Total cholesterol
2 studies
↓Improves
?
Triglycerides
2 studies
↓Improves
B
High-density lipoprotein (HDL)
Small Improvement
34 studies
small↑Improves
?
Total cholesterol
36 studies
↓Improves
?
Triglycerides
36 studies
↓Improves
?
Low-density lipoprotein (LDL)
31 studies
↓Improves
B
Blood glucose
Small Improvement
33 studies
small↓Improves
D
Body Mass Index (BMI)
No effect
1 study
none
?
Insulin
26 studies
↑Worsens
?
Total cholesterol
20 studies
↓Improves
?
High-density lipoprotein (HDL)
19 studies
↑Improves
?
Triglycerides
19 studies
↓Improves
?
Insulin Resistance
18 studies
↓Improves
?
HbA1c
12 studies
↓Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
B
Blood glucose
Small Improvement
30 studies
small↓Improves
?
HbA1c
36 studies
↓Improves
?
Insulin
18 studies
↑Worsens
?
Insulin Resistance
17 studies
↓Improves
?
High-density lipoprotein (HDL)
16 studies
↑Improves
?
Low-density lipoprotein (LDL)
15 studies
↓Improves
?
Total cholesterol
14 studies
↓Improves
?
Triglycerides
14 studies
↓Improves
?
Weight
14 studies
↓Improves
?
Waist circumference
8 studies
↓Improves
?
Glycemic Control
2 studies
↑Improves
?
Depression Symptoms
1 study
↓Improves
?
Type 2 Diabetes Incidence
1 study
↑Worsens
B
Blood glucose
Small Improvement
24 studies
small↓Improves
?
Insulin
18 studies
↑Worsens
?
Body Mass Index (BMI)
13 studies
↓Improves
?
High-density lipoprotein (HDL)
13 studies
↑Improves
?
Insulin Resistance
13 studies
↓Improves
?
Low-density lipoprotein (LDL)
13 studies
↓Improves
?
Total cholesterol
13 studies
↓Improves
?
Weight
13 studies
↓Improves
?
HbA1c
11 studies
↓Improves
?
Blood Pressure
4 studies
↓Improves
?
C-Reactive Protein (CRP)
3 studies
↓Improves
?
Triglycerides
3 studies
↓Improves
B
Blood glucose
Small Improvement
21 studies
small↓Improves
B
Body Mass Index (BMI)
Small Decrease
10 studies
small↓Improves
?
HbA1c
17 studies
↓Improves
?
Total cholesterol
14 studies
↓Improves
?
Triglycerides
14 studies
↓Improves
?
High-density lipoprotein (HDL)
13 studies
↑Improves
?
Low-density lipoprotein (LDL)
13 studies
↓Improves
?
Insulin Resistance
7 studies
↓Improves
?
Insulin
2 studies
↑Worsens
?
Liver Enzymes
2 studies
↑Worsens
B
Blood glucose
Mixed effect
21 studies
?
High-density lipoprotein (HDL)
21 studies
↑Improves
?
Total cholesterol
20 studies
↓Improves
?
Triglycerides
20 studies
↓Improves
?
Low-density lipoprotein (LDL)
19 studies
↓Improves
?
Blood Pressure
16 studies
↓Improves
?
Insulin
11 studies
↑Worsens
?
Glucagon-like peptide 1 (GLP-1)
3 studies
↑Improves
B
Blood glucose
Small Improvement
16 studies
small↓Improves
?
Insulin
15 studies
↑Worsens
?
HbA1c
4 studies
↓Improves
?
Insulin Resistance
3 studies
↓Improves
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
Interleukin 6
1 study
↓Improves
?
Oxidative Stress Biomarkers
1 study
↓Improves
?
Superoxide Dismutase Activity
1 study
↑Improves
?
TNF-Alpha
1 study
↓Improves
?
Total Antioxidant Capacity (TAC)
1 study
↑Improves
B
C-Reactive Protein (CRP)
Small Decrease
16 studies
small↓Improves
?
Oxidative Stress Biomarkers
11 studies
↓Improves
?
Total Antioxidant Capacity (TAC)
8 studies
↑Improves
?
Superoxide Dismutase Activity
6 studies
↑Improves
?
Interleukin 6
5 studies
↓Improves
?
TNF-Alpha
5 studies
↓Improves
B
Fasting Blood Glucose
Meta-analysis: significant FBS reduction; single study showed drop from 10.6 to 6.9 mmol/L
11 studies
moderate↓Improves
B
HbA1c
Berberine comparable to metformin: HbA1c dropped from 9.5% to 7.5% (PMID: 18442638); meta-analysis confirms glycemic benefit
5 studies
moderate↓Improves
B
Blood glucose
Moderate Improvement
11 studies
moderate↓Improves
C
Glycemic Control
Small Improvement
1 study
small↑Improves
?
HbA1c
7 studies
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Triglycerides
1 study
↓Improves
B
Blood glucose
Large Improvement
11 studies
large↓Improves
B
Apolipoprotein B
Small Improvement
2 studies
small↓Improves
?
Triglycerides
25 studies
↓Improves
?
Total cholesterol
24 studies
↓Improves
?
Blood Pressure
20 studies
↓Improves
?
Low-density lipoprotein (LDL)
20 studies
↓Improves
?
High-density lipoprotein (HDL)
18 studies
↑Improves
?
Insulin
16 studies
↑Worsens
?
Insulin Resistance
15 studies
↓Improves
?
C-Reactive Protein (CRP)
10 studies
↓Improves
?
HbA1c
10 studies
↓Improves
?
Interleukin 6
6 studies
↓Improves
?
TNF-Alpha
5 studies
↓Improves
?
Glycemic Control
1 study
↑Improves
B
Blood glucose
Small Improvement
9 studies
small↓Improves
C
Adiponectin
Small Increase
1 study
small↑Improves
?
Body Mass Index (BMI)
25 studies
↓Improves
?
Weight
23 studies
↓Improves
?
Blood Urea Nitrogen (BUN)
17 studies
↑Improves
?
Triglycerides
15 studies
↓Improves
?
High-density lipoprotein (HDL)
14 studies
↑Improves
?
TNF-Alpha
12 studies
↓Improves
?
Blood Pressure
11 studies
↓Improves
?
Vascular Function
11 studies
↑Improves
?
Serum Albumin
10 studies
↑Improves
?
Body Fat
8 studies
↓Improves
?
Insulin Resistance
7 studies
↓Improves
?
HbA1c
6 studies
↓Improves
?
Insulin
6 studies
↑Worsens
?
Low-density lipoprotein (LDL)
6 studies
↓Improves
?
Liver Enzymes
5 studies
↑Worsens
?
Total cholesterol
5 studies
↓Improves
?
Waist circumference
5 studies
↓Improves
?
Uric Acid
4 studies
↓Improves
?
C-Reactive Protein (CRP)
3 studies
↓Improves
?
Kidney Function
3 studies
↑Improves
?
Superoxide Dismutase Activity
3 studies
↑Improves
?
Glycemic Control
2 studies
↑Improves
?
Interleukin 6
2 studies
↓Improves
?
Oxidative Stress Biomarkers
2 studies
↓Improves
?
Intercellular Adhesion Molecule 1
1 study
↑Worsens
?
Plasminogen Inhibitor-1
1 study
↑Improves
B
Fasting Blood Glucose
Large Decrease - FBG reduced from 10.6 to 6.9 mmol/L in trials
8 studies
large↓Improves
B
HbA1c
Large Decrease - HbA1c reduced from 9.5% to 7.5% (similar to metformin)
6 studies
large↓Improves
B
Postprandial Blood Glucose
Large Decrease - PBG reduced from 19.8 to 11.1 mmol/L
5 studies
large↓Improves
B
Insulin Resistance (HOMA-IR)
44.7% reduction in HOMA-IR
4 studies
large↓Improves
B
Blood glucose
Small Improvement
7 studies
small↓Improves
B
Beta-cell function
Small Increase
3 studies
small↑Improves
?
High-density lipoprotein (HDL)
6 studies
↑Improves
?
Total cholesterol
6 studies
↓Improves
?
Insulin
4 studies
↑Worsens
?
Low-density lipoprotein (LDL)
4 studies
↓Improves
?
Insulin Resistance
3 studies
↓Improves
?
Body Fat
1 study
↓Improves
?
Bone Mineral Density
1 study
↑Improves
?
Muscle Strength
1 study
↑Improves
B
Blood glucose
Small Improvement
5 studies
small↓Improves
?
HbA1c
7 studies
↓Improves
?
Insulin
4 studies
↑Worsens
?
Insulin Resistance
4 studies
↓Improves
?
Blood Pressure
3 studies
↓Improves
?
Serum Magnesium
3 studies
↑Improves
?
Triglycerides
3 studies
↓Improves
?
High-density lipoprotein (HDL)
2 studies
↑Improves
?
Glycemic Control
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Magnesium Excretion
1 study
↑Improves
?
Total cholesterol
1 study
↓Improves
?
Weight
1 study
↓Improves
B
Blood glucose
Small Improvement
5 studies
small↓Improves
?
Blood Pressure
29 studies
↓Improves
?
Total cholesterol
18 studies
↓Improves
?
Triglycerides
17 studies
↓Improves
?
High-density lipoprotein (HDL)
16 studies
↑Improves
?
Low-density lipoprotein (LDL)
15 studies
↓Improves
?
HbA1c
12 studies
↓Improves
?
Body Fat
4 studies
↓Improves
?
Insulin
4 studies
↑Worsens
?
Glycemic Control
1 study
↑Improves
?
Subjective Well-Being
1 study
↑Improves
?
Weight
1 study
↓Improves
B
Blood glucose
Small Improvement
4 studies
small↓Improves
?
Low-density lipoprotein (LDL)
4 studies
↓Improves
?
HbA1c
3 studies
↓Improves
?
High-density lipoprotein (HDL)
3 studies
↑Improves
?
Insulin
3 studies
↑Worsens
?
Total cholesterol
3 studies
↓Improves
?
Triglycerides
3 studies
↓Improves
?
Carbohydrate Absorption
1 study
↑Improves
?
Fructosamine
1 study
↑Worsens
?
Insulin Resistance
1 study
↓Improves
?
Uric Acid
1 study
↓Improves
?
Weight
1 study
↓Improves
B
Adiponectin
Small Increase
3 studies
small↑Improves
?
Weight
14 studies
↓Improves
?
Body Mass Index (BMI)
13 studies
↓Improves
?
Blood glucose
10 studies
↓Improves
?
C-Reactive Protein (CRP)
10 studies
↓Improves
?
HbA1c
9 studies
↓Improves
?
High-density lipoprotein (HDL)
8 studies
↑Improves
?
Insulin
8 studies
↑Worsens
?
Low-density lipoprotein (LDL)
8 studies
↓Improves
?
Total cholesterol
8 studies
↓Improves
?
Triglycerides
8 studies
↓Improves
?
Glycemic Control
7 studies
↑Improves
?
Interleukin 6
6 studies
↓Improves
?
TNF-Alpha
6 studies
↓Improves
?
Kidney Function
5 studies
↑Improves
?
Liver Enzymes
5 studies
↑Worsens
?
Oxidative Stress Biomarkers
5 studies
↓Improves
?
Waist circumference
5 studies
↓Improves
?
Superoxide Dismutase Activity
4 studies
↑Improves
?
Body Fat
3 studies
↓Improves
?
Serum Albumin
3 studies
↑Improves
?
Urea
3 studies
↑Improves
?
Waist-Hip Ratio
3 studies
↑Improves
?
Anti-Oxidant Enzyme Profile
2 studies
↑Improves
?
Apolipoprotein A
2 studies
↑Improves
?
Apolipoprotein B
2 studies
↓Improves
?
C-Peptide
2 studies
↑Improves
?
Hip Circumference
2 studies
↓Improves
?
Total Antioxidant Capacity (TAC)
2 studies
↑Improves
?
Arterial Stiffness
1 study
↓Improves
?
Blood Pressure
1 study
↓Improves
?
Diabetic Neuropathy Symptoms
1 study
↓Improves
?
Free Fatty Acids
1 study
↑Improves
?
Hemoglobin
1 study
↑Improves
?
Leptin
1 study
↑Improves
?
Lipoprotein Lipase Activity
1 study
↑Improves
?
Liver Fat
1 study
↓Improves
?
Uric Acid
1 study
↓Improves
?
vLDL-C
1 study
↓Improves
?
White Blood Cell Count
1 study
↑Improves
B
Beta-cell function
Small Decrease
3 studies
small↓Worsens
?
Insulin
3 studies
↑Worsens
?
Insulin Resistance
3 studies
↑Worsens
?
HbA1c
2 studies
↑Worsens
?
Blood glucose
1 study
↑Worsens
B
Blood glucose
Small Improvement
2 studies
small↓Improves
?
HbA1c
16 studies
↓Improves
?
Low-density lipoprotein (LDL)
13 studies
↓Improves
?
Total cholesterol
13 studies
↓Improves
?
High-density lipoprotein (HDL)
12 studies
↑Improves
?
Body Mass Index (BMI)
9 studies
↓Improves
?
Insulin
9 studies
↑Worsens
?
Insulin Resistance
7 studies
↓Improves
?
Blood Pressure
5 studies
↓Improves
?
Glycemic Control
3 studies
↑Improves
?
IGF-1
2 studies
↑Improves
?
LDL Oxidation
1 study
↓Improves
B
Anxiety Symptoms
Small Improvement
2 studies
small↓Improves
?
Blood glucose
12 studies
↓Improves
?
Total cholesterol
12 studies
↓Improves
?
Triglycerides
12 studies
↓Improves
?
High-density lipoprotein (HDL)
11 studies
↑Improves
?
Low-density lipoprotein (LDL)
11 studies
↓Improves
?
HbA1c
8 studies
↓Improves
?
Blood Urea Nitrogen (BUN)
7 studies
↑Improves
?
Creatinine
7 studies
↑Improves
?
Kidney Function
7 studies
↑Improves
?
Liver Enzymes
7 studies
↑Worsens
?
Body Mass Index (BMI)
6 studies
↓Improves
?
Insulin
5 studies
↑Worsens
?
Insulin Resistance
5 studies
↓Improves
?
Blood Pressure
4 studies
↓Improves
?
C-Reactive Protein (CRP)
3 studies
↓Improves
?
Oxidative Stress Biomarkers
3 studies
↓Improves
?
Waist circumference
3 studies
↓Improves
?
Weight
3 studies
↓Improves
?
Sleep Quality
2 studies
↑Improves
?
TNF-Alpha
2 studies
↓Improves
?
Total Antioxidant Capacity (TAC)
2 studies
↑Improves
?
Urea
2 studies
↑Improves
?
Body Fat
1 study
↓Improves
?
Depression Symptoms
1 study
↓Improves
?
Erections
1 study
↑Improves
?
Homocysteine
1 study
↓Improves
?
Interleukin 10
1 study
↑Improves
?
Interleukin 6
1 study
↓Improves
?
Oxygen Uptake
1 study
↑Improves
?
Sexual Function
1 study
↑Improves
?
sICAM-1
1 study
↑Improves
?
Uric Acid
1 study
↓Improves
B
Blood glucose
Moderate Improvement
2 studies
moderate↓Improves
?
Oxidative Stress Biomarkers
12 studies
↑Worsens
?
Total Antioxidant Capacity (TAC)
9 studies
↑Improves
?
HbA1c
7 studies
↑Worsens
?
High-density lipoprotein (HDL)
7 studies
↑Improves
?
Low-density lipoprotein (LDL)
7 studies
↑Worsens
?
Superoxide Dismutase Activity
7 studies
↑Improves
?
Triglycerides
7 studies
↑Worsens
?
TNF-Alpha
6 studies
↑Worsens
?
Total cholesterol
6 studies
↑Worsens
?
Body Mass Index (BMI)
5 studies
↑Worsens
?
Insulin
5 studies
↑Worsens
?
Insulin Resistance
5 studies
↑Worsens
?
C-Reactive Protein (CRP)
3 studies
↑Worsens
?
Interleukin 6
3 studies
↑Worsens
B
Blood glucose
Moderate Improvement
2 studies
moderate↓Improves
C
Glycemic Control
Moderate Improvement
1 study
moderate↑Improves
?
HbA1c
2 studies
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
B
Adiponectin
Small Increase
2 studies
small↑Improves
D
Apolipoprotein A
No effect
6 studies
none
?
Blood glucose
17 studies
↓Improves
?
Triglycerides
17 studies
↓Improves
?
Low-density lipoprotein (LDL)
16 studies
↓Improves
?
HbA1c
15 studies
↓Improves
?
Body Mass Index (BMI)
14 studies
↓Improves
?
Total cholesterol
14 studies
↓Improves
?
High-density lipoprotein (HDL)
11 studies
↑Improves
?
Weight
9 studies
↓Improves
?
Insulin
8 studies
↑Worsens
?
Insulin Resistance
8 studies
↓Improves
?
Glycemic Control
7 studies
↑Improves
?
Apolipoprotein B
6 studies
↓Improves
?
C-Reactive Protein (CRP)
4 studies
↓Improves
?
Lipoprotein(a)
4 studies
↑Improves
?
Blood Pressure
3 studies
↓Improves
?
Body Fat
3 studies
↓Improves
?
Leptin
3 studies
↑Improves
?
TNF-Alpha
3 studies
↓Improves
?
Liver Enzymes
2 studies
↑Worsens
?
Beta-cell function
1 study
↑Improves
?
Bilirubin
1 study
↑Worsens
?
C-Peptide
1 study
↑Improves
?
Carbohydrate Oxidation
1 study
↑Improves
?
Diabetic Neuropathy Symptoms
1 study
↓Improves
?
DNA Damage
1 study
↑Worsens
?
Erections
1 study
↑Improves
?
Hemoglobin
1 study
↑Improves
?
Kidney Function
1 study
↑Improves
?
LDL Oxidation
1 study
↓Improves
?
Oxidative Stress Biomarkers
1 study
↓Improves
?
Waist-Hip Ratio
1 study
↑Improves
?
White Blood Cell Count
1 study
↑Improves
?
Whole Body Glucose Uptake
1 study
↑Worsens
B
Blood glucose
Small Improvement
2 studies
small↓Improves
?
Endothelin-1
2 studies
↑Improves
?
HbA1c
2 studies
↑Worsens
?
Blood Pressure
1 study
↑Worsens
?
Insulin
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
B
Blood Glucose Reduction
Systematic review: Triphala significantly decreased fasting blood glucose in diabetic patients. 12-month trial (n=50): Triphala 5g twice daily significantly reduced blood glucose (p<0.001). 45-day study: Both fasting and postprandial blood glucose reduced. Mechanism via alpha-amylase and alpha-glucosidase inhibition.
moderate↓Improves
B
Pancreatic Islet Cell Senescence
MOTS-c prevents pancreatic islet cell senescence and delays diabetes progression by acting as a senotherapeutic agent.
moderate↓Improves
C
Type 2 Diabetes Risk
In humans, serum MOTS-c levels are lower in patients with inadequately controlled T2DM (HbA1c >7%). Higher physical activity may rescue metabolic effects in individuals with certain mtDNA polymorphisms.
moderate↓Improves
C
Blood glucose
Small Improvement
32 studies
small↓Improves
?
HbA1c
23 studies
↓Improves
?
Insulin
17 studies
↑Worsens
?
Insulin Resistance
17 studies
↓Improves
C
Fasting Blood Glucose
Meta-analysis: FBG reduced by 2.77mg/dL; insulin and HOMA-IR also improved
10 studies
small↓Improves
C
Blood Glucose
Small reduction in postprandial glucose
3 studies
small↓Improves
C
Blood Glucose
Small reduction in fasting glucose in small trials
2 studies
small↓Improves
C
Blood glucose
Small Improvement
1 study
small↓Improves
?
Insulin
1 study
↑Worsens
C
Anxiety Symptoms
Small Improvement
1 study
small↓Improves
?
HbA1c
1 study
↓Improves
?
Quality of Life
1 study
↑Improves
C
Blood glucose
Moderate improvement in blood glucose
1 study
moderate↓Improves
C
High-density lipoprotein (HDL)
Small improvement in HDL
1 study
small↑Improves
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Total cholesterol
1 study
↑Worsens
?
Triglycerides
1 study
↑Worsens
C
Anti-Oxidant Enzyme Profile
Small Increase
1 study
small↑Improves
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
Glycemic Control
1 study
↑Improves
?
Inflammation
1 study
↓Improves
?
Oxidative Stress Biomarkers
1 study
↓Improves
?
TNF-Alpha
1 study
↓Improves
?
Weight
1 study
↓Improves
C
Blood glucose
Small Improvement
1 study
small↓Improves
C
Fructosamine
Small Decrease
1 study
small↓Improves
?
HbA1c
Improvement
1 study
↓Improves
?
Visual acuity (VA)
Improvement (diabetic retinopathy context)
1 study
↑Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Total cholesterol
1 study
↑Worsens
?
Triglycerides
1 study
↑Worsens
C
Blood glucose
Small Improvement
1 study
small↓Improves
?
Diuresis
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
C
Blood glucose
Small Improvement
1 study
small↓Improves
?
HbA1c
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
C
Blood Pressure
Small Improvement
1 study
small↓Improves
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
C
Blood glucose
Small improvement in blood glucose
1 study
small↓Improves
?
HbA1c
6 studies
↑Worsens
C
Blood Pressure
Small Improvement
1 study
small↓Improves
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
HbA1c
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Uric Acid
1 study
↓Improves
?
Weight
1 study
↓Improves
C
Blood glucose
Small improvement in fasting blood glucose
1 study
small↓Improves
D
Glycemic Control
No effect on overall glycemic control
1 study
none
?
HbA1c
2 studies
↑Worsens
?
Oxidative Stress Biomarkers
1 study
↑Worsens
C
Appetite
Reduced appetite in diabetics leading to weight loss
1 study
moderate↓Improves
?
Weight
1 study
↑Worsens
C
Blood glucose
Small Improvement
1 study
small↓Improves
C
Blood glucose
Moderate Improvement (but N=5 only)
1 study
moderate↓Improves
C
Adiponectin
Small Increase
1 study
small↑Improves
?
Blood glucose
2 studies
↓Improves
?
HbA1c
2 studies
↓Improves
?
High-density lipoprotein (HDL)
2 studies
↑Improves
?
Triglycerides
2 studies
↓Improves
?
Interleukin 6
1 study
↓Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Oxidative Stress Biomarkers
1 study
↓Improves
?
TNF-Alpha
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Weight
1 study
↓Improves
C
Blood glucose
Small Improvement
1 study
small↓Improves
?
Blood Pressure
1 study
↑Worsens
?
HbA1c
1 study
↑Worsens
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Kidney Function
1 study
↑Improves
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Total cholesterol
1 study
↑Worsens
?
Triglycerides
1 study
↑Worsens
?
Urea
1 study
↑Improves
?
Weight
1 study
↑Worsens
C
Adiponectin
Small Increase
1 study
small↑Improves
?
Anti-Oxidant Enzyme Profile
1 study
↑Improves
?
Blood Flow
1 study
↑Improves
?
Blood glucose
1 study
↑Worsens
?
Blood Pressure
1 study
↑Worsens
?
Body Fat
1 study
↑Worsens
?
Endothelin-1
1 study
↑Improves
?
Glycemic Control
1 study
↑Improves
?
HbA1c
1 study
↑Worsens
?
Insulin
1 study
↑Worsens
?
Muscle Mass
1 study
↑Improves
?
Nitric Oxide
1 study
↑Improves
?
Plasma Arginine
1 study
↑Improves
?
Vascular Function
1 study
↑Improves
C
HbA1c
Small Improvement
1 study
small↓Improves
?
Insulin
1 study
↑Worsens
C
Blood Flow
Mixed effect
1 study
?
Blood glucose
1 study
↓Improves
?
Kidney Function
1 study
↑Improves
?
Nitric Oxide
1 study
↑Improves
?
Proteinuria
1 study
↑Improves
C
C-Reactive Protein (CRP)
Small Decrease
1 study
small↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Oxidative Stress Biomarkers
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
C
Blood glucose
Small Improvement
1 study
small↓Improves
?
Ketone Bodies
1 study
↑Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
C
Blood Pressure
Small Improvement
1 study
small↓Improves
?
Glycemic Control
1 study
↑Improves
?
Plasma Nitrate
1 study
↑Improves
?
Vascular Function
1 study
↑Improves
C
Blood glucose
Moderate Improvement
1 study
moderate↓Improves
C
HbA1c
Small Improvement
1 study
small↓Improves
?
Insulin
1 study
↑Worsens
C
Blood Flow
Moderate Increase
1 study
moderate↑Improves
?
Blood glucose
1 study
↓Improves
?
Blood Pressure
1 study
↓Improves
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
HbA1c
1 study
↓Improves
?
Heart Rate
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Kidney Function
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Mitochondrial Protection
1 study
↑Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
?
Urea
1 study
↑Improves
?
Weight
1 study
↓Improves
C
HbA1c
Significant reduction in HbA1c (only in those with low baseline A. muciniphila)
1 study
moderate↓Improves
C
Blood glucose
Small Improvement
1 study
small↓Improves
?
Total cholesterol
6 studies
↓Improves
?
Triglycerides
6 studies
↓Improves
?
High-density lipoprotein (HDL)
4 studies
↑Improves
?
Low-density lipoprotein (LDL)
4 studies
↓Improves
?
Blood Pressure
3 studies
↓Improves
?
Body Mass Index (BMI)
3 studies
↓Improves
?
HbA1c
3 studies
↓Improves
?
Waist circumference
3 studies
↓Improves
C
Glycemic Control
Small Improvement
1 study
small↑Improves
?
Kidney Function
1 study
↑Improves
C
Adiponectin
Small Increase
1 study
small↑Improves
?
Blood glucose
1 study
↑Worsens
?
Blood Pressure
1 study
↑Worsens
?
Fructosamine
1 study
↑Worsens
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Total cholesterol
1 study
↑Worsens
?
Triglycerides
1 study
↑Worsens
?
vLDL-C
1 study
↑Worsens
D
Blood glucose
No effect
17 studies
none
?
Insulin
13 studies
↑Worsens
?
Body Mass Index (BMI)
11 studies
↓Improves
?
Weight
9 studies
↓Improves
?
HbA1c
7 studies
↓Improves
?
Waist circumference
6 studies
↓Improves
?
Insulin Resistance
5 studies
↓Improves
?
Body Fat
4 studies
↓Improves
?
Glycemic Control
3 studies
↑Improves
D
Blood glucose
No effect
10 studies
none
?
Triglycerides
21 studies
↓Improves
?
High-density lipoprotein (HDL)
20 studies
↑Improves
?
Total cholesterol
20 studies
↓Improves
?
Low-density lipoprotein (LDL)
19 studies
↓Improves
?
Blood Pressure
7 studies
↓Improves
?
Insulin
1 study
↑Worsens
D
Body Mass Index (BMI)
No effect
7 studies
none
?
Total cholesterol
7 studies
↓Improves
?
Triglycerides
7 studies
↓Improves
?
HbA1c
6 studies
↓Improves
?
Insulin Resistance
6 studies
↓Improves
D
Blood glucose
No effect
6 studies
none
?
Blood Pressure
6 studies
↓Improves
?
Weight
5 studies
↓Improves
?
Body Fat
4 studies
↓Improves
?
HbA1c
4 studies
↓Improves
?
Body Mass Index (BMI)
3 studies
↓Improves
?
Waist circumference
3 studies
↓Improves
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
Fibrinogen
1 study
↑Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Insulin
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
D
Blood glucose
No effect
5 studies
none
?
High-density lipoprotein (HDL)
6 studies
↑Improves
?
Low-density lipoprotein (LDL)
6 studies
↓Improves
?
Total cholesterol
6 studies
↓Improves
?
Triglycerides
6 studies
↓Improves
?
Glycemic Control
2 studies
↑Improves
?
Insulin
2 studies
↑Worsens
D
Anti-Oxidant Enzyme Profile
No effect
4 studies
none
D
Adiponectin
No effect
1 study
none
?
Weight
12 studies
↓Improves
?
Blood glucose
10 studies
↓Improves
?
Glutathione (GSH)
9 studies
↑Improves
?
HbA1c
9 studies
↓Improves
?
Insulin
9 studies
↑Worsens
?
C-Reactive Protein (CRP)
8 studies
↓Improves
?
Total Antioxidant Capacity (TAC)
8 studies
↑Improves
?
Glycemic Control
7 studies
↑Improves
?
High-density lipoprotein (HDL)
7 studies
↑Improves
?
Low-density lipoprotein (LDL)
7 studies
↓Improves
?
Total cholesterol
7 studies
↓Improves
?
Triglycerides
7 studies
↓Improves
?
Blood Pressure
5 studies
↓Improves
?
Superoxide Dismutase Activity
5 studies
↑Improves
?
TNF-Alpha
5 studies
↓Improves
?
Oxidative Stress Biomarkers
4 studies
↓Improves
?
Interleukin 6
3 studies
↓Improves
?
Food Intake
2 studies
↑Worsens
?
Fructosamine
2 studies
↑Worsens
?
Apolipoprotein A
1 study
↑Improves
?
Apolipoprotein B
1 study
↓Improves
?
Appetite
1 study
↑Worsens
?
Body Fat
1 study
↓Improves
?
Fat Oxidation
1 study
↑Improves
?
Heart Rate
1 study
↓Improves
?
Hepatic Glucose Production
1 study
↑Worsens
?
Kidney Function
1 study
↑Improves
?
Liver Enzymes
1 study
↑Worsens
?
Metabolic Rate
1 study
↑Improves
?
QTc Intervals
1 study
↑Improves
?
Resistin
1 study
↑Improves
?
Urea
1 study
↑Improves
?
vLDL-C
1 study
↓Improves
D
Blood glucose
No effect
4 studies
none
?
HbA1c
5 studies
↓Improves
D
Blood glucose
No effect
4 studies
none
?
HbA1c
4 studies
↑Worsens
D
Adiponectin
No effect
3 studies
none
?
Blood glucose
3 studies
↓Improves
?
C-Reactive Protein (CRP)
3 studies
↓Improves
?
Insulin
3 studies
↑Worsens
?
Insulin Resistance
3 studies
↓Improves
?
Glycemic Control
2 studies
↑Improves
?
Interleukin 6
2 studies
↓Improves
?
Leptin
2 studies
↑Improves
D
Blood glucose
No effect on blood glucose
3 studies
none
D
Glucagon
No effect on glucagon
1 study
none
?
Insulin
6 studies
↑Worsens
?
Insulin Resistance
6 studies
↑Worsens
?
HbA1c
3 studies
↑Worsens
?
High-density lipoprotein (HDL)
2 studies
↑Improves
?
Low-density lipoprotein (LDL)
2 studies
↑Worsens
?
Total cholesterol
2 studies
↑Worsens
?
Triglycerides
2 studies
↑Worsens
?
Type 2 Diabetes Incidence
2 studies
↑Worsens
D
HbA1c
No effect
3 studies
none
?
Homocysteine
4 studies
↓Improves
D
Adiponectin
No effect
2 studies
none
?
HbA1c
13 studies
↓Improves
?
High-density lipoprotein (HDL)
13 studies
↑Improves
?
Low-density lipoprotein (LDL)
13 studies
↓Improves
?
Total cholesterol
12 studies
↓Improves
?
Blood glucose
10 studies
↓Improves
?
Blood Pressure
10 studies
↓Improves
?
Triglycerides
10 studies
↓Improves
?
Insulin
4 studies
↑Worsens
?
Insulin Resistance
4 studies
↓Improves
?
Oxidative Stress Biomarkers
3 studies
↓Improves
?
Glycemic Control
2 studies
↑Improves
?
Anti-Oxidant Enzyme Profile
1 study
↑Improves
?
Blood Flow
1 study
↑Improves
?
Endogenous Advanced Glycation End Products
1 study
↑Improves
?
Interleukin 6
1 study
↓Improves
?
Leptin
1 study
↑Improves
?
Lipoprotein(a)
1 study
↑Improves
?
Vascular Function
1 study
↑Improves
?
vLDL-C
1 study
↓Improves
D
Blood glucose
No effect
2 studies
none
?
Blood Pressure
5 studies
↓Improves
?
High-density lipoprotein (HDL)
3 studies
↑Improves
?
Low-density lipoprotein (LDL)
3 studies
↓Improves
?
Total cholesterol
3 studies
↓Improves
?
Triglycerides
3 studies
↓Improves
?
Insulin
1 study
↑Worsens
D
Diabetic Neuropathy Symptoms
No effect
2 studies
none
?
Pain
1 study
↓Improves
D
Blood glucose
No effect
2 studies
none
?
C-Reactive Protein (CRP)
2 studies
↓Improves
?
Glycemic Control
2 studies
↑Improves
?
High-density lipoprotein (HDL)
2 studies
↑Improves
?
Body Fat
1 study
↓Improves
?
HbA1c
1 study
↓Improves
?
Inflammation
1 study
↓Improves
?
Insulin
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Muscle Mass
1 study
↑Improves
?
Weight
1 study
↓Improves
D
Blood glucose
No effect
1 study
none
?
Insulin
5 studies
↑Worsens
?
HbA1c
2 studies
↓Improves
?
Insulin Resistance
1 study
↓Improves
D
Adiponectin
No effect
1 study
none
?
Triglycerides
14 studies
↓Improves
?
Total cholesterol
13 studies
↓Improves
?
Blood glucose
12 studies
↓Improves
?
HbA1c
11 studies
↓Improves
?
Low-density lipoprotein (LDL)
10 studies
↓Improves
?
Insulin
8 studies
↑Worsens
?
Glycemic Control
5 studies
↑Improves
?
High-density lipoprotein (HDL)
5 studies
↑Improves
?
vLDL-C
4 studies
↓Improves
?
Weight
4 studies
↓Improves
?
Apolipoprotein B
2 studies
↓Improves
?
Blood Pressure
2 studies
↓Improves
?
C-Reactive Protein (CRP)
2 studies
↓Improves
?
Inflammation
2 studies
↓Improves
?
Apolipoprotein A
1 study
↑Improves
?
Blood Flow
1 study
↑Improves
?
Body Fat
1 study
↓Improves
?
Cell Adhesion Factors
1 study
↓Improves
?
Glucagon
1 study
↑Worsens
?
Homocysteine
1 study
↓Improves
?
Leptin
1 study
↑Improves
?
Non-HDL Cholesterol
1 study
↑Worsens
?
Oxidative Stress Biomarkers
1 study
↓Improves
?
Plasminogen Inhibitor-1
1 study
↑Improves
?
Platelet Aggregation
1 study
↑Worsens
?
Resistin
1 study
↑Improves
?
Vascular Function
1 study
↑Improves
?
Waist circumference
1 study
↓Improves
?
Waist-Hip Ratio
1 study
↑Improves
D
Adiponectin
No effect
1 study
none
?
Blood glucose
1 study
↓Improves
?
Blood Pressure
1 study
↓Improves
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
Glycemic Control
1 study
↑Improves
?
HbA1c
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Insulin
1 study
↑Worsens
?
Liver Enzymes
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
?
Weight
1 study
↓Improves
D
Endogenous Advanced Glycation End Products
No effect
1 study
none
?
Proteinuria
1 study
↑Improves
D
Adiponectin
No effect
1 study
none
?
Blood glucose
13 studies
↓Improves
?
Total cholesterol
10 studies
↓Improves
?
Triglycerides
10 studies
↓Improves
?
HbA1c
8 studies
↓Improves
?
High-density lipoprotein (HDL)
8 studies
↑Improves
?
Low-density lipoprotein (LDL)
8 studies
↓Improves
?
Insulin
5 studies
↑Worsens
?
Blood Pressure
4 studies
↓Improves
?
C-Reactive Protein (CRP)
3 studies
↓Improves
?
Glycemic Control
3 studies
↑Improves
?
Plasma Vitamin C
3 studies
↑Improves
?
Blood Flow
2 studies
↑Improves
?
Body Fat
2 studies
↓Improves
?
Interleukin 6
2 studies
↓Improves
?
Kidney Function
2 studies
↑Improves
?
Oxidative Stress Biomarkers
2 studies
↓Improves
?
Weight
2 studies
↓Improves
?
Anti-Oxidant Enzyme Profile
1 study
↑Improves
?
Creatinine
1 study
↑Improves
?
Fat Oxidation
1 study
↑Improves
?
Fructosamine
1 study
↑Worsens
?
Inflammation
1 study
↓Improves
?
LDL Oxidation
1 study
↓Improves
?
Liver Enzymes
1 study
↑Worsens
?
Muscle Mass
1 study
↑Improves
?
TNF-Alpha
1 study
↓Improves
?
Urea
1 study
↑Improves
?
Uric Acid
1 study
↓Improves
?
Vascular Function
1 study
↑Improves
D
Blood glucose
No effect
1 study
none
D
Diabetic Neuropathy Symptoms
No effect
1 study
none
?
HbA1c
1 study
↓Improves
D
Blood Flow
No effect
1 study
none
?
Blood glucose
1 study
↓Improves
?
Blood Pressure
1 study
↓Improves
?
Fibrinogen
1 study
↑Improves
?
HbA1c
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Insulin
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
?
Weight
1 study
↓Improves
D
Apolipoprotein A
No effect
1 study
none
?
Blood Pressure
2 studies
↓Improves
?
Apolipoprotein B
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
D
Anti-Oxidant Enzyme Profile
No effect
1 study
none
?
DNA Damage
3 studies
↑Worsens
?
Blood glucose
2 studies
↓Improves
?
Cell Adhesion Factors
2 studies
↓Improves
?
Leukotriene B4
2 studies
↑Improves
?
Blood Flow
1 study
↑Improves
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
HbA1c
1 study
↓Improves
?
Insulin
1 study
↑Worsens
?
Interleukin 6
1 study
↓Improves
?
Kidney Function
1 study
↑Improves
?
LDL Oxidation
1 study
↓Improves
?
Oxidative Stress Biomarkers
1 study
↓Improves
?
Platelet Aggregation
1 study
↑Worsens
?
Thromboxane B2
1 study
↑Improves
?
TNF-Alpha
1 study
↓Improves
?
Type 2 Diabetes Incidence
1 study
↑Worsens
?
White Blood Cell Count
1 study
↑Improves
D
Blood glucose
No effect
1 study
none
D
Body Fat
No effect
1 study
none
?
C-Reactive Protein (CRP)
1 study
↓Improves
?
Glycemic Control
1 study
↑Improves
?
HbA1c
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Insulin
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Muscle Mass
1 study
↑Improves
?
Triglycerides
1 study
↓Improves
?
Weight
1 study
↓Improves
D
Apolipoprotein A
No effect
1 study
none
?
Blood Pressure
2 studies
↓Improves
?
Apolipoprotein B
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
D
Blood Pressure
No effect
1 study
none
?
Glycemic Control
2 studies
↑Improves
D
Blood glucose
No effect
1 study
none
D
Apolipoprotein A
No effect
1 study
none
?
Apolipoprotein B
1 study
↓Improves
?
Blood glucose
1 study
↓Improves
?
Glycemic Control
1 study
↑Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Insulin
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
?
Weight
1 study
↓Improves
D
Anti-Oxidant Enzyme Profile
No effect
1 study
none
?
Blood glucose
1 study
↓Improves
?
Oxidative Stress Biomarkers
1 study
↓Improves
?
Plasma Nitrate
1 study
↑Improves
?
Total Antioxidant Capacity (TAC)
1 study
↑Improves
D
Blood Pressure
No effect
1 study
none
?
Glycemic Control
1 study
↑Improves
?
Glycogen Resynthesis
1 study
↑Improves
?
HbA1c
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
D
Blood glucose
No effect
1 study
none
?
HbA1c
1 study
↑Worsens
?
Total cholesterol
1 study
↑Worsens
?
Triglycerides
1 study
↑Worsens
D
Blood glucose
No effect
1 study
none
?
Blood Pressure
1 study
↓Improves
?
C-Peptide
1 study
↑Improves
?
HbA1c
1 study
↓Improves
?
Heart Rate
1 study
↓Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Insulin
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↓Improves
?
Total cholesterol
1 study
↓Improves
?
Triglycerides
1 study
↓Improves
?
High-density lipoprotein (HDL)
8 studies
↑Improves
?
Low-density lipoprotein (LDL)
7 studies
↓Improves
?
Triglycerides
7 studies
↓Improves
?
Blood glucose
Small Detriment
6 studies
small
?
Total cholesterol
6 studies
↓Improves
?
HbA1c
5 studies
↓Improves
?
Blood glucose
1 study
↓Improves
?
Blood Pressure
1 study
↓Improves
?
Blood glucose
Small Detriment
1 study
small
?
Blood Pressure
1 study
↑Worsens
?
Glycemic Control
1 study
↑Improves
?
High-density lipoprotein (HDL)
1 study
↑Improves
?
Insulin
1 study
↑Worsens
?
Low-density lipoprotein (LDL)
1 study
↑Worsens
?
Triglycerides
1 study
↑Worsens

Research Citations (29)

Randomized placebo-controlled, single blind trial of holy basil leaves in patients with noninsulin-dependent diabetes mellitus
PMID: 8880292
Effect of a very low-carbohydrate ketogenic diet vs recommended diets in patients with type 2 diabetes: a meta-analysis
PMID: 34338787
Long-Term Effects of a Novel Continuous Remote Care Intervention Including Nutritional Ketosis for the Management of Type 2 Diabetes: A 2-Year Non-randomized Clinical Trial
PMID: 31231311
Effect of Dietary Approaches on Glycemic Control in Patients with Type 2 Diabetes: A Systematic Review with Network Meta-Analysis of Randomized Trials.
PMID: 37513574
The effects of the ketogenic diet for the management of type 2 diabetes mellitus: A systematic review and meta-analysis of recent studies.
PMID: 38006799
The effect of a short-term low-carbohydrate, high-fat diet with or without postmeal walks on glycemic control and inflammation in type 2 diabetes: a randomized trial
PMID: 30303707
Carbohydrate restriction with postmeal walking effectively mitigates postprandial hyperglycemia and improves endothelial function in type 2 diabetes
PMID: 29030343
Vegetarian and Vegan Dietary Patterns to Treat Adult Type 2 Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.
PMID: 39415400
A low-fat vegan diet improves glycemic control and cardiovascular risk factors in a randomized clinical trial in individuals with type 2 diabetes
PMID: 16873779
Effect of a Brown Rice Based Vegan Diet and Conventional Diabetic Diet on Glycemic Control of Patients with Type 2 Diabetes: A 12-Week Randomized Clinical Trial
PMID: 27253526

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