Glycemic Control

Last updated: 29 de agosto de 2026

Key takeaway

Glycemic Control has evidence across 10 diabetes-related interventions, with strongest support for Diabetes Self-Management Education and Support (DSMES) Programs, Insulin Delivery Systems and Insulin Delivery Systems.

Evidence status
Extensive Research
Evidence Base: 82/100

Related Evidence Topics

Evidence Intelligence™

Every evidence topic is generated from structured relationships across diabetes research, including topics, interventions, outcomes, and individual studies.

1,142
Evidence relationships
1,625
Studies reviewed
25
Interventions evaluated
Strongest evidence area
Diabetes Self-Management Education and Support (DSMES) Programs

Top Evidence Areas

Showing grouped evidence. Expand in Evidence Explorer for detailed intervention-outcome pairs.Open Evidence Explorer

#1 Fasting Glucose

Diabetes Self-Management Education and Support (DSMES) Programs → Fasting Glucose

Evidence Intelligence™
EvidenceScore™
89
Strong
ImpactScore™
70
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 20 estudios
Explore evidence

#2 HbA1c

Insulin Delivery Systems → HbA1c

Evidence Intelligence™
EvidenceScore™
88
Strong
ImpactScore™
88
Very Positive
ConsistencyScore™
88
consistent
Estudios de apoyo: Basado en 17 estudios
Explore evidence

#3 CGM Time in Range

Insulin Delivery Systems → CGM Time in Range

Evidence Intelligence™
EvidenceScore™
88
Strong
ImpactScore™
69
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 27 estudios
Explore evidence

#4 HbA1c

Diabetes Self-Management Education and Support (DSMES) Programs → HbA1c

Evidence Intelligence™
EvidenceScore™
88
Strong
ImpactScore™
79
Positive
ConsistencyScore™
69
generally_consistent
Estudios de apoyo: Basado en 41 estudios
Explore evidence

#5 HbA1c

Insulin Therapies → HbA1c

Evidence Intelligence™
EvidenceScore™
88
Strong
ImpactScore™
75
Positive
ConsistencyScore™
73
generally_consistent
Estudios de apoyo: Basado en 15 estudios
Explore evidence

#6 HbA1c

SGLT2 Inhibitors → HbA1c

Evidence Intelligence™
EvidenceScore™
86
Strong
ImpactScore™
82
Positive
ConsistencyScore™
89
consistent
Estudios de apoyo: Basado en 22 estudios
Explore evidence

#7 HbA1c

GLP-1 Receptor Agonists → HbA1c

Evidence Intelligence™
EvidenceScore™
86
Strong
ImpactScore™
90
Very Positive
ConsistencyScore™
94
consistent
Estudios de apoyo: Basado en 33 estudios
Explore evidence

#8 HbA1c

DPP-4 Inhibitors → HbA1c

Evidence Intelligence™
EvidenceScore™
86
Strong
ImpactScore™
96
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 11 estudios
Explore evidence

#9 Fasting Glucose

Metformin Therapies → Fasting Glucose

Evidence Intelligence™
EvidenceScore™
85
Strong
ImpactScore™
73
Positive
ConsistencyScore™
35
mixed
Estudios de apoyo: Basado en 11 estudios
Explore evidence

#10 HbA1c

Probiotics and Synbiotics → HbA1c

Evidence Intelligence™
EvidenceScore™
85
Strong
ImpactScore™
95
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 11 estudios
Explore evidence

Practical Questions

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

Which interventions have the strongest evidence for affecting Glycemic Control?

evidence strength
Strong Evidence

Hybrid closed-loop system, Low-carbohydrate diet, and Non-surgical periodontal treatment have the strongest available evidence signals for Glycemic Control.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Hybrid closed-loop system

    EvidenceScore™ Strong | EvidenceScore™ 87.9 | moderate positive | ConsistencyScore™ Generally Consistent | 17 studies

  2. 2

    Low-carbohydrate diet

    EvidenceScore™ Strong | EvidenceScore™ 85.4 | strong positive | ConsistencyScore™ Generally Consistent | 16 studies

  3. 3

    Non-surgical periodontal treatment

    EvidenceScore™ Strong | EvidenceScore™ 84.0 | moderate positive | ConsistencyScore™ Mixed | 14 studies

Why this answer: This answer is based on 47 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
47 supporting studies45 RCTsLatest publication: Apr 2026Updated: Aug 2026

Which interventions are most often studied for Glycemic Control?

most studied
Emerging Evidence

Hybrid closed-loop system, Insulin therapy, and Low-carbohydrate diet are among the most studied areas in relation to Glycemic Control.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Evidence caveat: The evidence includes both beneficial and harmful or worsening results.

Ranked evidence signals

  1. 1

    Hybrid closed-loop system

    EvidenceScore™ Strong | EvidenceScore™ 87.9 | moderate positive | ConsistencyScore™ Generally Consistent | 20 studies

  2. 2

    Low-carbohydrate diet

    EvidenceScore™ Strong | EvidenceScore™ 85.4 | strong positive | ConsistencyScore™ Generally Consistent | 21 studies

  3. 3

    Insulin therapy

    EvidenceScore™ Strong | EvidenceScore™ 83.3 | moderate positive | ConsistencyScore™ Generally Consistent | 15 studies

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Consistency cannot yet be determined.
  • Population details are unavailable.
52 supporting studies51 RCTsLatest publication: Apr 2026Updated: Aug 2026

Where are results mixed or inconsistent for Glycemic Control?

consistency issues
Moderate Evidence

Results are mixed or unclear for Acarbose, Bilberry extract, and Continuous glucose monitoring in relation to Glycemic Control.

ConsistencyScore™: Results are mixed and should be interpreted cautiously.

Evidence caveat: The evidence includes both beneficial and harmful or worsening results.

Ranked evidence signals

  1. 1

    Non-surgical periodontal treatment

    EvidenceScore™ Strong | EvidenceScore™ 84.0 | moderate positive | ConsistencyScore™ Mixed | 14 studies

  2. 2

    Insulin therapy

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Mixed | 10 studies

  3. 3

    Mediterranean diet

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Mixed | 4 studies

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Population details are unavailable.
105 supporting studies103 RCTsLatest publication: Feb 2026Updated: Aug 2026

Which interventions need more research for Glycemic Control?

research gaps
Emerging Evidence

10 kHz Spinal Cord Stimulation (SCS), 5:2 diet, and Low-carbohydrate diet need more research in relation to Glycemic Control.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    10 kHz Spinal Cord Stimulation (SCS)

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

  2. 2

    5:2 diet

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study

  3. 3

    Low-carbohydrate diet

    EvidenceScore™ Emerging | EvidenceScore™ 56.1 | strong positive | ConsistencyScore™ Consistent | 2 studies

Why this answer: This answer is based on 4 supporting studies and existing graph evidence signals.

Limitations

  • Consistency cannot yet be determined.
  • Population details are unavailable.
4 supporting studies3 RCTsUpdated: Aug 2026

How does Hybrid closed-loop system compare with DSMES for Glycemic Control?

compare
Strong Evidence

DSMES and Hybrid closed-loop system have available evidence for Glycemic Control, but the comparison requires review of the underlying studies.

ConsistencyScore™: Results are generally consistent across studies.

Evidence caveat: The evidence includes both beneficial and harmful or worsening results.

Ranked evidence signals

  1. 1

    Hybrid closed-loop system

    EvidenceScore™ Strong | EvidenceScore™ 87.9 | moderate positive | ConsistencyScore™ Generally Consistent | 17 studies

  2. 2

    DSMES

    EvidenceScore™ Strong | EvidenceScore™ 86.1 | moderate positive | ConsistencyScore™ Generally Consistent | 11 studies

Why this answer: This answer is cautious because the available studies report mixed findings.

Limitations

  • Population details are unavailable.
28 supporting studies28 RCTsLatest publication: Feb 2026Updated: Aug 2026

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Evidence Landscape

Evidence landscape

Each bubble represents an evidence relationship. Position shows effectiveness and EvidenceScoreâ„¢; size reflects study volume.

  • Strong evidence
  • Moderate evidence
  • Limited evidence

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