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Study type: Meta-analysisConfidence: Moderate

Overall and Sex-Specific Effect of Berberine on Glycemic and Insulin-Related Traits: a Systematic Review and Meta-Analysis

Zhao JV, Huang X, Zhang J, Chan YH, Tse HF, Blais JE

Year2023
Sample sizen=1761
JournalThe Journal of Nutrition
AuthorsZhao JV, Huang X, Zhang J, Chan YH, Tse HF, Blais JE

Evidence is still building up

Summary

Summary

A meta-analysis of 20 randomized trials of berberine versus placebo (n=1,761). Fasting glucose fell by 0.52 mmol/L (95% CI −0.72 to −0.33; 18 studies, n=1,522) and HbA1c by 4.48 mmol/mol (95% CI −6.53 to −2.44; 7 studies, n=756). Larger effects were suggested in women, in people with diabetes and in Asian participants, though the authors note the limited number of studies means these subgroup comparisons need replication.

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DOI: 10.1016/j.tjnut.2023.08.016

Key Findings

Key findings

  • 1

    Fasting glucose fell 0.52 mmol/L (95% CI −0.72 to −0.33)

  • 2

    HbA1c fell 4.48 mmol/mol (95% CI −6.53 to −2.44)

  • 3

    Pooled from 20 randomized trials totalling 1,761 participants

  • 4

    Larger effects were suggested in women, in people with diabetes and in Asian participants

  • 5

    The authors note the limited number of studies means subgroup comparisons need replication

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