Research Summary
Analyzed using Evidence Intelligence™

Prebiotic Supplementation Improves Metformin Tolerability in Youth

Last updated August 22, 2026

Key finding

Stool frequency did not differ by group or study phase.

Prebiotic supplement added to metformin in youth with type 2 diabetes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 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

Prebiotic supplement added to metformin in youth with type 2 diabetes.

Clinical relevance

This study evaluated Prebiotic supplement added to metformin in youth 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.

Sydney AD, Sidharth M, Katrina BD, et al. Prebiotic Supplementation Improves Tolerability of Metformin in Youth with Type 2 Diabetes: A Pilot Study. Frontiers in Endocrinology. 2023;14:1125187. doi:10.3389/fendo.2023.1125187

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Prebiotic supplementation and Abnormal stool frequency, Composite Lower GI Symptoms, Gut microbiota diversity, and 3 more.

Primary intervention

Prebiotic supplementation

Primary outcomes

  • Abnormal stool frequency
  • Composite Lower GI Symptoms
  • Gut microbiota diversity

Evidence relationships

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

6
Evidence pairs
6
Relationships
0
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: 50

0

Related topics

6

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Abnormal stool frequency

Prebiotic supplementation → Abnormal stool frequency

Prebiotic supplementation → Abnormal stool frequency

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

Composite Lower GI Symptoms

Prebiotic supplementation → Composite Lower GI Symptoms

Prebiotic supplementation → Composite Lower GI Symptoms

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

Gut microbiota diversity

Prebiotic supplementation → Gut microbiota diversity

Prebiotic supplementation → Gut microbiota diversity

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

Markers of metabolic endotoxemia

Prebiotic supplementation → Markers of metabolic endotoxemia

Prebiotic supplementation → Markers of metabolic endotoxemia

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

Serious adverse events

Prebiotic supplementation → Serious adverse events

Prebiotic supplementation → Serious adverse events

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

Stool consistency (stool form)

Prebiotic supplementation → Stool consistency (stool form)

Prebiotic supplementation → Stool consistency (stool form)

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

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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 Prebiotic supplementation and Gastrointestinal Adverse Events, Prebiotic supplementation and Composite Lower GI Symptoms.

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 Prebiotic supplementation improve abnormal stool frequency?

Emerging Evidence

Current evidence does not show a clear benefit of Prebiotic supplementation for Abnormal stool frequency.

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

Ranked evidence signals

  1. 1

    Abnormal stool frequency

    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: Aug 2026

Does Prebiotic supplementation improve composite lower gi symptoms?

Emerging Evidence

Current evidence does not show a clear benefit of Prebiotic supplementation for Composite Lower GI Symptoms.

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

Ranked evidence signals

  1. 1

    Composite Lower GI Symptoms

    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: Aug 2026

Does Prebiotic supplementation improve gut microbiota diversity?

Emerging Evidence

Current evidence does not show a clear benefit of Prebiotic supplementation for Gut microbiota diversity.

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

Ranked evidence signals

  1. 1

    Gut microbiota diversity

    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: Aug 2026

Does Prebiotic supplementation improve markers of metabolic endotoxemia?

Emerging Evidence

Current evidence does not show a clear benefit of Prebiotic supplementation for Markers of metabolic endotoxemia.

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

Ranked evidence signals

  1. 1

    Markers of metabolic endotoxemia

    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: Aug 2026
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