Research Summary
Analyzed using Evidence Intelligence™

Citrulline may improve vascular function and glucose levels in T2D

Key finding

FMD increased from 4.3% to 5.6% in the fasted state (p < 0.01).

L-Citrulline supplementation added to standard treatment in adults with type 2 diabetes.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Some Concerns bias
Last updated July 3, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

L-citrulline supplementation (Phase 1), Placebo (Phase 1)

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Primary outcome

Brachial artery flow-mediated dilation (FMD)

Comparator

Placebo Group

Plain-language summary

What this paper says

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

Study focus

L-Citrulline supplementation added to standard treatment in adults with type 2 diabetes.

Clinical relevance

This study evaluated L-Citrulline supplementation added to standard treatment in adults with type 2 diabetes.

Keep in mind

Limitations were not clearly described in the extracted text.

Published in

Journal Reference

Publication details and source links for this paper.

Yejin K, Katherine ND, Danielle EL, Arturo F, Iv&#225;n CR, Alicia S. Citrulline Supplementation Improves Vascular Function and Glycemic Control in Adults with Type 2 Diabetes. Nutrients. 2025;17(23):3739. doi:10.3390/nu17233739

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Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to L-citrulline supplementation (Phase 1) and Blood glucose, Brachial artery flow-mediated dilation (FMD), Femoral-ankle pulse wave velocity (faPWV), and 2 more.

Primary intervention

L-citrulline supplementation (Phase 1)

Primary outcomes

  • Blood glucose
  • Brachial artery flow-mediated dilation (FMD)
  • Femoral-ankle pulse wave velocity (faPWV)

Evidence relationships

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

5
Evidence pairs
5
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: 68

2

Related topics

5

Evidence pairs

142

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

StrongDecrease

Blood glucose

L-citrulline supplementation (Phase 1) → Blood glucose

L-citrulline supplementation (Phase 1) → Blood glucose

Evidence profile

StrongDecreaseGlycemic Control
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StrongIncrease

Brachial artery flow-mediated dilation (FMD)

L-citrulline supplementation (Phase 1) → Brachial artery flow-mediated dilation (FMD)

L-citrulline supplementation (Phase 1) → Brachial artery flow-mediated dilation (FMD)

Evidence profile

StrongIncreaseClinical Outcomes
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StrongDecrease

Femoral-ankle pulse wave velocity (faPWV)

L-citrulline supplementation (Phase 1) → Femoral-ankle pulse wave velocity (faPWV)

L-citrulline supplementation (Phase 1) → Femoral-ankle pulse wave velocity (faPWV)

Evidence profile

StrongDecreaseMetabolic Health
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StrongDecrease

Femoral-ankle pulse wave velocity (faPWV) during acute hyperglycemia

L-citrulline supplementation (Phase 1) → Femoral-ankle pulse wave velocity (faPWV) during acute hyperglycemia

L-citrulline supplementation (Phase 1) → Femoral-ankle pulse wave velocity (faPWV) during acute hyperglycemia

Evidence profile

StrongDecreaseClinical Outcomes
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StrongDecrease

Systolic blood pressure

L-citrulline supplementation (Phase 1) → Systolic blood pressure

L-citrulline supplementation (Phase 1) → Systolic blood pressure

Evidence profile

StrongDecreaseMetabolic Health
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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 L-citrulline supplementation (Phase 1) and Fasting Glucose, L-citrulline supplementation (Phase 1) and Cardiovascular Outcomes.

Related evidence relationships

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 L-citrulline supplementation (Phase 1) improve blood glucose?

Emerging Evidence

L-citrulline supplementation (Phase 1) appears to improve Blood glucose.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ Consistent | 1 study

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

Limitations

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

Does L-citrulline supplementation (Phase 1) improve brachial artery flow-mediated dilation (fmd)?

Emerging Evidence

L-citrulline supplementation (Phase 1) appears to improve Brachial artery flow-mediated dilation (FMD).

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Brachial artery flow-mediated dilation (FMD)

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ Consistent | 1 study

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

Limitations

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

Does L-citrulline supplementation (Phase 1) improve systolic blood pressure?

Emerging Evidence

L-citrulline supplementation (Phase 1) appears to improve Systolic blood pressure.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ Consistent | 1 study

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

Limitations

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

Does L-citrulline supplementation (Phase 1) improve femoral-ankle pulse wave velocity (fapwv)?

Emerging Evidence

L-citrulline supplementation (Phase 1) appears to improve Femoral-ankle pulse wave velocity (faPWV).

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

Ranked evidence signals

  1. 1

    Femoral-ankle pulse wave velocity (faPWV)

    EvidenceScore™ Emerging | EvidenceScore™ 50.5 | strong positive | ConsensusScore™ 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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