Research Summary
Analyzed using Evidence Intelligence™

Curcumin and Piperine Show Little Effect on Glycemic Indices in Prediabetes

Last updated September 4, 2026

Key finding

After 3 months, CRP was significantly reduced in the curcumin + piperine group (p=0.01)

This study evaluated the effects of curcumin and piperine on glycemic indices in prediabetic patients, finding significant reductions in C-reactive protein and increases in insulin levels.

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 evaluated the effects of curcumin and piperine on glycemic indices in prediabetic patients, finding significant reductions in C-reactive protein and increases in insulin levels.

Clinical relevance

These findings suggest that curcumin and piperine could be beneficial for managing inflammation in prediabetic patients, potentially aiding in the prevention of diabetes progression. However, since blood sugar levels did not significantly change, further research is needed to fully understand their role in glycemic control.

Keep in mind

The study's sample size may limit the generalizability of the findings. The duration of the intervention was only three months, which may not capture long-term effects. Adjustment for confounding factors like weight may have influenced the outcomes.

Published in

Journal Reference

Publication details and source links for this paper.

Hossein G, Amirhossein S, Zahra MK, Maryam E. The Effect of Curcumin and Piperine on Glycemic Indices in Patients with Prediabetes: A Triple-Blind Randomized Controlled Trial. Avicenna Journal of Phytomedicine. 2026;16(3):540-551. doi:10.22038/ajp.2025.26567

Main Effects

C-reactive protein significantly reduced by 1.33 mg/L in the curcumin + piperine group (p=0.01)

Insulin levels increased by 2.55 micIU/ml in the curcumin + piperine group (p=0.03)

No significant change in fasting blood glucose (p=0.32) and HbA1c (p=0.24) between groups

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Curcumin plus piperine and C-reactive protein, Fasting blood sugar (FBS), HbA1c, and 2 more.

Primary intervention

Curcumin plus piperine

Primary outcomes

  • C-reactive protein
  • Fasting blood sugar (FBS)
  • HbA1c

Evidence relationships

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

5
Evidence pairs
5
Relationships
5
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: 72

5

Related topics

5

Evidence pairs

2290

Related studies

High relevance in at least one topic

Why it is useful

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

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Curcumin Supplements and Inflammatory Markers

Related evidence

Evidence relationship

Curcumin Supplements and HbA1c

Save evidence

Evidence relationship

Curcumin Supplements and Fasting Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

C-reactive protein

Curcumin plus piperine → C-reactive protein

Curcumin plus piperine → C-reactive protein

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

Fasting blood sugar (FBS)

Curcumin plus piperine → Fasting blood sugar (FBS)

Curcumin plus piperine → Fasting blood sugar (FBS)

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

HbA1c

Curcumin plus piperine → HbA1c

Curcumin plus piperine → HbA1c

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

Insulin

Curcumin plus piperine → Insulin

Curcumin plus piperine → Insulin

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

Insulin resistance

Curcumin plus piperine → Insulin resistance

Curcumin plus piperine → Insulin resistance

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

Evidence Library

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evidence suggest

Evidence Suggest

  • C-reactive protein decreased significantly in the curcumin + piperine group (p=0.01).
  • Insulin levels increased significantly in the curcumin + piperine group (p=0.03).
  • No significant differences in fasting blood glucose and HbA1c levels were observed.
who this applies

Who this applies to

  • Adults diagnosed with prediabetes.
  • Individuals seeking alternative treatments for managing glycemic indices.
keep in mind

Keep in Mind

  • The findings may not apply to populations outside of the study sample.
  • The lack of significant changes in blood glucose levels suggests limited efficacy for glycemic control.
  • Further research is needed to explore long-term effects and mechanisms of action.
between the lines

Between the Lines

  • The study's sample size may limit the generalizability of the findings.
  • The duration of the intervention was only three months, which may not capture long-term effects.
  • Adjustment for confounding factors like weight may have influenced the outcomes.

Evidence Library

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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 Curcumin Supplements and Inflammatory Markers, Curcumin Supplements and Fasting Glucose.

Related evidence relationships

Explore in Evidence Explorer

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 Curcumin Supplements improve inflammatory markers?

Strong Evidence

Curcumin Supplements appears to improve inflammatory markers.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    C-reactive protein

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

Why this answer: This answer is based on 5 supporting studies with consistent results and a positive effect signal.

5 supporting studies

Does Curcumin Supplements lower HbA1c?

Strong Evidence

Curcumin Supplements may lower HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

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

Why this answer: This answer is based on 5 supporting studies with generally consistent results and a positive effect signal.

5 supporting studies

Does Curcumin Supplements improve fasting glucose?

Strong Evidence

Curcumin Supplements may improve fasting glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Fasting blood sugar (FBS)

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

Why this answer: This answer is based on 5 supporting studies with consistent results and a positive effect signal.

5 supporting studies

Does Curcumin Supplements improve insulin resistance?

Strong Evidence

Curcumin Supplements may improve insulin resistance.

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

Evidence caveat: The available evidence reports mixed findings.

Ranked evidence signals

  1. 1

    Insulin

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

  2. 2

    Insulin resistance

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

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

3 supporting studies
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