Type 2 Diabetes (T2D)Supplements and Vitamins
RESEARCH SUMMARY

Oxygen-enriched water may modestly lower HbA1c in type 2 diabetes

Moderate confidence
some concerns bias
Last updated June 3, 2026

Key takeaway:

In adults with type 2 diabetes, oxygen-enriched ELO water modestly lowered HbA1c over 12 weeks, while fasting glucose and body weight did not clearly change.

Study at a glance

What was studied

Oxygen-enriched ELO water as add-on therapy for adults with type 2 diabetes

Study type

Randomized Controlled Trials (RCTs)

duration

Short-Term (≤3 mo)

Intervention

Oxygen-enriched water

Outcomes

HbA1c, Fasting glucose, Body weight, Hypoglycemia events, Adverse events incidence

Funding

Industry sponsored

Main effects

HbA1c ↓ (ELO water -0.3 ± 0.7% at 12 weeks)

Fasting plasma glucose → (no significant change in either group)

Body weight → (no significant change in either group)

evidence suggest

Evidence Suggest

  • ELO water produced a modest within-group HbA1c decrease after 12 weeks in adults with type 2 diabetes.
  • The between-group HbA1c change was significant at week 6, and 39.1% of ELO participants had at least a 0.5% HbA1c decrease versus 18.9% with placebo.
  • No significant changes were reported for fasting plasma glucose or body weight.
who this applies

Who this applies to

Adults aged 21 to 70 years with type 2 diabetes

keep in mind

Keep in Mind

Participants were advised not to change diet, exercise, or medications during the study.

between the lines

Between the Lines

  • Short 12-week proof-of-concept trial
  • Commercial sponsorship by the ELO water manufacturer
  • Small HbA1c change with no significant week-12 between-group difference in Table 1
  • No direct human measurements of tissue oxygenation, mitochondrial function, or insulin resistance

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Journal Reference

Khoo J, Hagemeyer CE, Henstridge DC, et al. Effects of water stably-enriched with oxygen as a novel method of tissue oxygenation on mitochondrial function, and as adjuvant therapy for type 2 diabetes in a randomized placebo-controlled trial. PLoS One. 2021;16(7):e0254619. doi:10.1371/journal.pone.0254619

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