Resumen de Investigación
Analyzed using Evidence Intelligence™

Bilberry and grape seed extract may improve blood pressure.

Última actualización 8 de julio de 2026

Key finding

Intervention with bilberry and grape seed extract decreased systolic blood pressure by 4.7 mmHg (p < 0.001).

This study investigated the effects of long-term bilberry and grape seed extract supplementation on blood pressure in individuals at risk of type 2 diabetes mellitus (T2DM). It found significant reductions in systolic and diastolic blood pressure.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study's main message and where it applies.

Study focus

This study investigated the effects of long-term bilberry and grape seed extract supplementation on blood pressure in individuals at risk of type 2 diabetes mellitus (T2DM). It found significant reductions in systolic and diastolic blood pressure.

Clinical relevance

Managing blood pressure is crucial for individuals at risk of T2DM, as hypertension can lead to serious cardiovascular complications. The significant reductions in blood pressure observed in this study suggest that bilberry and grape seed extract may offer a natural dietary approach to improve cardiovascular health in this population, potentially reducing the risk of diabetes-related complications.

Keep in mind

The study did not assess long-term effects beyond the intervention period. Sample size and demographic diversity may limit generalizability. Lack of significant changes in other metabolic markers raises questions about broader efficacy.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Teresa G, Alan WW, Wendy RR, et al. Long-term supplementation with bilberry and grape seed extract can improve blood pressure in individuals at risk of T2DM. Frontiers in Nutrition. 2023;10:1139880. doi:10.3389/fnut.2023.1139880

Efectos Principales

Systolic blood pressure decreased by 4.7 mmHg (p < 0.001).

Diastolic blood pressure decreased by 2.3 mmHg (p = 0.0009).

No significant effects on fasting HbA1c, fasting plasma glucose, or cholesterol levels.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Bilberry extract and 2-hour plasma glucose, Advanced glycation end products (AGEs), Diastolic blood pressure, and 10 more.

Primary intervention

Bilberry extract

Primary outcomes

  • 2-hour plasma glucose
  • Advanced glycation end products (AGEs)
  • Diastolic blood pressure

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

13
Evidence pairs
13
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 64

2

Related topics

13

Evidence pairs

319

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 13 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Tema de evidencia

Glycemic Control

matched_outcome

Evidencia relacionada

Tema de evidencia

HbA1c Reduction

Seguir evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

2-hour plasma glucose

Bilberry extract → 2-hour plasma glucose

Bilberry extract → 2-hour plasma glucose

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Advanced glycation end products (AGEs)

Bilberry extract → Advanced glycation end products (AGEs)

Bilberry extract → Advanced glycation end products (AGEs)

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Diastolic blood pressure

Bilberry extract → Diastolic blood pressure

Bilberry extract → Diastolic blood pressure

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Bilberry extract → Fasting Plasma Glucose (FPG)

Bilberry extract → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fecal levels of phenolic metabolites

Bilberry extract → Fecal levels of phenolic metabolites

Bilberry extract → Fecal levels of phenolic metabolites

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Glucagon

Bilberry extract → Glucagon

Bilberry extract → Glucagon

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

gut microbiota composition

Bilberry extract → gut microbiota composition

Bilberry extract → gut microbiota composition

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Bilberry extract → HbA1c

Bilberry extract → HbA1c

Evidence Intelligence™
ImpactScore™
75
Positive
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ConsistencyScore™
35
mixed
Supporting studies: Based on 2 studies
Add to Evidence Tracker

HDL cholesterol

Bilberry extract → HDL cholesterol

Bilberry extract → HDL cholesterol

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Insulin

Bilberry extract → Insulin

Bilberry extract → Insulin

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

LDL cholesterol

Bilberry extract → LDL cholesterol

Bilberry extract → LDL cholesterol

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Systolic blood pressure

Bilberry extract → Systolic blood pressure

Bilberry extract → Systolic blood pressure

Evidence Intelligence™
ImpactScore™
100
Very Positive
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Total cholesterol

Bilberry extract → Total cholesterol

Bilberry extract → Total cholesterol

Evidence Intelligence™
ImpactScore™
50
Neutral
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Weekly Evidence Digest

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evidence suggest

La Evidencia Sugiere

  • Bilberry and grape seed extract reduced systolic blood pressure by 4.7 mmHg.
  • Diastolic blood pressure was lowered by 2.3 mmHg.
  • No significant impact on glucose or cholesterol levels was observed.
who this applies

A quién se aplica

  • Individuals at risk for type 2 diabetes mellitus.
  • Adults with elevated blood pressure.
  • Patients seeking dietary interventions for cardiovascular health.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study's demographic.
  • Further research is needed to confirm long-term benefits.
  • The study did not evaluate the effects of other lifestyle factors on outcomes.
between the lines

Entre Líneas

  • The study did not assess long-term effects beyond the intervention period.
  • Sample size and demographic diversity may limit generalizability.
  • Lack of significant changes in other metabolic markers raises questions about broader efficacy.

Save this study

Keep this study in your Evidence Tracker so you can easily find it again whenever you need it.

Today's Activity

Your Evidence Workspace

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Saved this study

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Evidence Tracker

12 tracked topics

Saved Studies

48 studies

Research Notes

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Coming Soon

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Bilberry extract and HbA1c, Bilberry extract and Postprandial and OGTT Glucose.

Relaciones de evidencia relacionadas

Explore in Evidence Archive

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Bilberry extract improve HbA1c?

Moderate Evidence

Bilberry extract may improve HbA1c.

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | moderate positive | ConsistencyScore™ Mixed | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Bilberry extract improve diastolic blood pressure?

Emerging Evidence

Bilberry extract appears to improve Diastolic blood pressure.

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

Ranked evidence signals

  1. 1

    Diastolic blood pressure

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

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Bilberry extract improve systolic blood pressure?

Emerging Evidence

Bilberry extract appears to improve Systolic blood pressure.

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

Ranked evidence signals

  1. 1

    Systolic blood pressure

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

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026

Does Bilberry extract improve 2-hour plasma glucose?

Emerging Evidence

Current evidence does not show a clear benefit of Bilberry extract for 2-hour plasma glucose.

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

Ranked evidence signals

  1. 1

    2-hour plasma glucose

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

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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