Resumen de Investigación

BL21 probiotic improves glycemic control in type 2 diabetes patients

Moderate confidence
Low bias
Última actualización 18 de junio de 2026

Conclusión Clave:

This study evaluated the efficacy and safety of Bifidobacterium longum subsp. longum BL21 as an adjunctive therapy to metformin in patients with type 2 diabetes, finding a significant reduction in HbA1c levels.

Estudio de un Vistazo

Participantes

Intervención

Bifidobacterium longum subsp. longum BL21, Placebo

Resultados

HbA1c, fasting blood glucose (FBG), insulin resistance (HOMA-IR), lipid profiles, gut microbiota composition, HbA1c levels (Placebo)

Financiamiento

No Patrocinado por la Industria

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Efectos Principales

Supplementation with BL21 led to a significant reduction in HbA1c levels (p = 0.026).

Non-significant trends toward reduction were observed for fasting blood glucose.

Gut microbiota analysis revealed an increase in beneficial genera, including Bifidobacterium and Faecalibacterium.

Resumen de Evidencia

InterventionOutcomeMeasured ChangeStudy Effect
Supplements
Bifidobacterium longum subsp. longum BL21
(Supplements)
Glycemic Control
Fasting blood sugar (FBS)
(Glycemic Control)
No Change
Unclear
Supplements
Bifidobacterium longum subsp. longum BL21
(Supplements)
Metabolic Health
gut microbiota composition
(Metabolic Health)
Increase
Strong
Supplements
Bifidobacterium longum subsp. longum BL21
(Supplements)
Glycemic Control
HbA1c
(Glycemic Control)
Decrease
Strong
Supplements
Bifidobacterium longum subsp. longum BL21
(Supplements)
Metabolic Health
Insulin resistance
(Metabolic Health)
No Change
Unclear
Supplements
Bifidobacterium longum subsp. longum BL21
(Supplements)
Metabolic Health
lipid profiles
(Metabolic Health)
No Change
Unclear
Medications
Placebo
(Medications)
Glycemic Control
HbA1c levels (Placebo)
(Glycemic Control)
No Change
Unclear

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evidence suggest

La Evidencia Sugiere

  • HbA1c levels decreased by 0.3% in the intervention group (p = 0.026).
  • No significant change in HbA1c levels was observed in the placebo group.
  • Trends toward improvement in fasting blood glucose and insulin resistance were noted.
who this applies

A quién se aplica

  • Adults diagnosed with type 2 diabetes mellitus.
  • Patients currently receiving metformin therapy.
keep in mind

Tener en Cuenta

  • Results may not apply to populations outside the study's demographic.
  • The study did not measure long-term effects beyond the trial duration.
  • Further research is needed to confirm the findings and explore mechanisms.
between the lines

Entre Líneas

  • The study's sample size may limit the generalizability of the findings.
  • Non-significant trends in other outcomes suggest further research is needed.
  • The study duration may not be sufficient to assess long-term effects.

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Referencia de la Revista

Chengsheng Z, Yinhua L, Yanyan C, et al. Efficacy and Safety of Bifidobacterium longum subsp. longum BL21 as an Adjunctive Therapy to Metformin in Patients with Type 2 Diabetes Mellitus: A Randomized, Double-Blind, Placebo-Controlled Trial. Food Science & Nutrition. 2026;14(1):e71437. doi:10.1002/fsn3.71437

Connected Evidence

Discover how this study fits into the broader diabetes evidence landscape.

This study contributes to evidence on Probiotics and Synbiotics and gut microbiota composition, Probiotics and Synbiotics and Glycemic Control.

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