Gut microbiota interventions in type 2 diabetes mellitus: An umbrella review of glycemic indices

We aimed to explore how probiotics, prebiotics, or synbiotics impact glycemic indices in patients with diabetes mellitus. A comprehensive search was conducted on PubMed, Scopus, and Web of Science from inception up to April 2023. The random-effects model was employed for the study analysis. Furtherm...

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Veröffentlicht in:Diabetes & metabolic syndrome clinical research & reviews 2024-08, Vol.18 (8), p.103110, Article 103110
Hauptverfasser: Keivanlou, Mohammad-Hossein, Amini-Salehi, Ehsan, Sattari, Nazila, Hashemi, Mohammad, Saberian, Parsa, Prabhu, Shrinidhi Vilas, Javid, Mona, Mirdamadi, Arian, Heidarzad, Forough, Bakhshi, Arash, Letafatkar, Negin, Zare, Reza, Hassanipour, Soheil, Nayak, Sandeep Samethadka
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container_issue 8
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container_title Diabetes & metabolic syndrome clinical research & reviews
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creator Keivanlou, Mohammad-Hossein
Amini-Salehi, Ehsan
Sattari, Nazila
Hashemi, Mohammad
Saberian, Parsa
Prabhu, Shrinidhi Vilas
Javid, Mona
Mirdamadi, Arian
Heidarzad, Forough
Bakhshi, Arash
Letafatkar, Negin
Zare, Reza
Hassanipour, Soheil
Nayak, Sandeep Samethadka
description We aimed to explore how probiotics, prebiotics, or synbiotics impact glycemic indices in patients with diabetes mellitus. A comprehensive search was conducted on PubMed, Scopus, and Web of Science from inception up to April 2023. The random-effects model was employed for the study analysis. Furthermore, sensitivity and subgroup analyses were conducted to investigate potential sources of heterogeneity. AMSTAR2 checklist was used to determine the quality of studies. Comprehensive meta-analysis version 3 was used for the study analysis. A total of 31 studies were included in the final analysis. Based on the results of the meta-analysis, gut microbial therapy could significantly decrease serum fasting blood glucose levels in patients with type 2 diabetes mellitus (effect size: −0.211; 95 % CI: −0.257, −0.164; P 
doi_str_mv 10.1016/j.dsx.2024.103110
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A comprehensive search was conducted on PubMed, Scopus, and Web of Science from inception up to April 2023. The random-effects model was employed for the study analysis. Furthermore, sensitivity and subgroup analyses were conducted to investigate potential sources of heterogeneity. AMSTAR2 checklist was used to determine the quality of studies. Comprehensive meta-analysis version 3 was used for the study analysis. A total of 31 studies were included in the final analysis. Based on the results of the meta-analysis, gut microbial therapy could significantly decrease serum fasting blood glucose levels in patients with type 2 diabetes mellitus (effect size: −0.211; 95 % CI: −0.257, −0.164; P &lt; 0.001). Additionally, significant associations were also found between gut microbial therapy and improved serum levels of fasting insulin, glycated hemoglobin, and homeostatic model assessment for insulin resistance (effect size: −0.087; 95 % confidence interval: −0.120, −0.053; P &lt; 0.001; effect size: −0.166; 95 % confidence interval: −0.200, −0.132; P &lt; 0.001; effect size: −0.230; 95 % confidence interval: −0.288, −0.172; P &lt; 0.001, respectively). Our results revealed promising effects of gut microbiota modulation on glycemic profile of patients with type 2 diabetes mellitus. 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Additionally, significant associations were also found between gut microbial therapy and improved serum levels of fasting insulin, glycated hemoglobin, and homeostatic model assessment for insulin resistance (effect size: −0.087; 95 % confidence interval: −0.120, −0.053; P &lt; 0.001; effect size: −0.166; 95 % confidence interval: −0.200, −0.132; P &lt; 0.001; effect size: −0.230; 95 % confidence interval: −0.288, −0.172; P &lt; 0.001, respectively). Our results revealed promising effects of gut microbiota modulation on glycemic profile of patients with type 2 diabetes mellitus. The use of these agents as additional treatments can be considered. •Managing blood glucose levels is crucial for controlling type 2 diabetes progression.•Significant improvements in glycemic profile were observed by gut microbiota modulation.•Probiotics can be considered as an adjuvant therapy in type 2 diabetes mellitus management.</abstract><cop>Netherlands</cop><pub>Elsevier Ltd</pub><pmid>39213690</pmid><doi>10.1016/j.dsx.2024.103110</doi><orcidid>https://orcid.org/0000-0002-5305-1288</orcidid></addata></record>
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subjects Blood Glucose - analysis
Diabetes mellitus
Diabetes Mellitus, Type 2 - blood
Diabetes Mellitus, Type 2 - microbiology
Diabetes Mellitus, Type 2 - therapy
Gastrointestinal Microbiome
Glycemic Index - physiology
Glycemic indices
Gut microbiota
Humans
Meta-analysis
Prebiotics - administration & dosage
Probiotics - therapeutic use
Probiotics prebiotics synbiotics
Prognosis
Umbrella review
title Gut microbiota interventions in type 2 diabetes mellitus: An umbrella review of glycemic indices
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