Supplement
Pinitol is a compound found in soybeans and some other plants, and the body converts it into a form of inositol that appears to help cells respond to insulin. People mostly look at it for blood sugar, and small trials in people with type 2 diabetes found lower after-meal glucose, fasting glucose and HbA1c, especially in those whose control was poorer. The evidence is limited, though: the trials were small, one found no clear benefit, and much of the wider research comes from animal or lab work.
Sources: PMID 16822203; PMID 17467106
- Updated
- How we grade
- 9 studies cited
- Best evidence
- Grade C
- Conditions studied
- 3
- Outcomes
- 5
- Graded outcomes
- 0014
Evidence by condition
- Strong
- Moderate
- Limited
- Very limited
General
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Blood Glucose Multiple small human trials in type 2 diabetics show reductions in postprandial glucose, fasting glucose, and HbA1c with 1.2 g/day pinitol. An RCT (Kim 2012, n=66) found significant HbA1c and HOMA-IR improvements, especially in poorly controlled patients (HbA1c >8%). Two smaller trials (Kang 2006, n=15; Kim 2007, n=20) also showed glucose reductions. However, one RCT (Davis 2000, n=22) found no effect in insulin-resistant subjects over 28 days, and studies in non-diabetic older adults were also negative. An animal study confirmed glucose-lowering via PI3K/Akt signaling. | Improves (the measure goes down) | Moderate effect | 6 studies | 153 people | ||
Studies that measured blood glucose
| ||||||
| Liver Protection In a rat study (Magielse 2013), D-pinitol at 2-20 mg/kg/day showed preventive hepatoprotective effects against galactosamine-induced liver damage, significantly reducing AST and ALT levels. No curative effects were observed when administered after acetaminophen or chronic liver injury. No human data available. | Improves (the measure goes up) | Small effect | 1 study | |||
Studies that measured liver protection | ||||||
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Anxiolytic and Antidepressant Effects In a mouse study (Alonso-Castro 2019), oral D-pinitol at 1-100 mg/kg exhibited anxiolytic-like effects (ED50 70 mg/kg, mediated via GABAergic system) and antidepressant-like activity (ED50 26 mg/kg, via noradrenergic system). Anticonvulsant properties were also observed. No human data available. | Changes; see studies | Small effect | 1 study | |||
Studies that measured anxiolytic and antidepressant effects | ||||||
Bone Health
- Bone Health: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Bone Health An in vitro study (Yu 2012) showed D-chiro-inositol, pinitol's active metabolite, dose-dependently inhibited RANKL-induced osteoclast differentiation by downregulating NFATc1 transcription factor. No animal or human studies have examined pinitol directly for bone outcomes. | Improves (the measure goes up) | Small effect | 1 study | |||
Studies that measured bone health | ||||||
Athletic Performance
- Creatine Retention: improves
| Grade | Outcome | Effect | Size | Studies | People | Studies list |
|---|---|---|---|---|---|---|
| Creatine Retention One small human trial (Greenwood 2001, n=12) found low-dose D-pinitol (1 g/day) co-ingested with creatine increased whole-body creatine retention over a 3-day loading phase. However, a double-blind RCT (Kerksick 2009, n=24) found creatine plus D-pinitol did not improve lean mass, strength, or body composition over 4 weeks of resistance training compared to creatine alone. | Improves (the measure goes up) | Small effect | 36 people |
Key findings
- Blood GlucoseImproves (the measure goes down)
- Liver ProtectionImproves (the measure goes up)
- Anxiolytic and Antidepressant EffectsChanges; see studies
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- Grade C
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Studies cited
9 studies from PubMed
- Neuropharmacological effects of d-pinitol and its possible mechanisms of action
- Effects of D-Pinitol on Insulin Resistance through the PI3K/Akt Signaling Pathway in Type 2 Diabetes Mellitus Rats
- A single acute dose of pinitol from a naturally-occurring food ingredient decreases hyperglycaemia and circulating insulin levels in healthy subjects
- Antihepatotoxic activity of a quantified Desmodium adscendens decoction and D-pinitol against chemically-induced liver damage in rats
- Effects of pinitol on glycemic control, insulin resistance and adipocytokine levels in patients with type 2 diabetes mellitus
- D-chiro-inositol negatively regulates the formation of multinucleated osteoclasts by down-regulating NFATc1
- Effect of pinitol on glucose metabolism and adipocytokines in uncontrolled type 2 diabetes
- Pinitol from soybeans reduces postprandial blood glucose in patients with type 2 diabetes mellitus
- Effect of pinitol treatment on insulin action in subjects with insulin resistance