Research Summary
Analyzed using Evidence Intelligence™

Probiotic and Beta-Glucan Show No Benefit for Pre-Diabetes

Last updated September 2, 2026

Key finding

The estimated difference between HN001-placebo capsules was -0.83, 95% CI -1.93 to 0.27 mmol/mol, p=0.63.

This study evaluated the effects of Lactobacillus rhamnosus HN001 and oat-derived beta-glucan on adults with pre-diabetes, finding no significant differences in key metabolic outcomes.

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

High Risk

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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 Lactobacillus rhamnosus HN001 and oat-derived beta-glucan on adults with pre-diabetes, finding no significant differences in key metabolic outcomes.

Clinical relevance

Understanding the effectiveness of dietary interventions in pre-diabetes is crucial for developing strategies to prevent diabetes. This study suggests that Lactobacillus rhamnosus HN001 and oat-derived beta-glucan may not provide the expected benefits for metabolic health in this population.

Keep in mind

The study may have limited generalizability due to a specific participant demographic. The sample size may not have been large enough to detect small but clinically relevant effects. The duration of the study may have been insufficient to observe long-term benefits.

Published in

Journal Reference

Publication details and source links for this paper.

Christine B, Fiona H, Julian C, et al. Effect of Lactobacillus rhamnosus HN001 and Oat-Derived Beta-Glucan on Adults with Pre-Diabetes: A Randomized Controlled Trial. BMJ Open. 2022;12(3):e055214. doi:10.1136/bmjopen-2021-055214

Main Effects

HbA1c levels at 6 months showed no significant difference (mean 45.9 vs 46.7 mmol/mol, p=0.63).

No differences were found in fasting plasma glucose levels between groups.

No significant changes were observed in fasting insulin levels or body weight.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Lactobacillus rhamnosus HN001 capsules with OBG cereal and BMI, Body weight, Fasting Plasma Glucose (FPG), and 7 more.

Primary intervention

Lactobacillus rhamnosus HN001 capsules with OBG cereal

Primary outcomes

  • BMI
  • Body weight
  • Fasting Plasma Glucose (FPG)

Evidence relationships

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

10
Evidence pairs
10
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: 68

5

Related topics

10

Evidence pairs

1546

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 10 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

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Weight Loss

matched_outcome

Related evidence

Evidence topic

Blood Pressure

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

BMI

Lactobacillus rhamnosus HN001 capsules with OBG cereal → BMI

Lactobacillus rhamnosus HN001 capsules with OBG cereal → BMI

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

Body weight

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Body weight

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Body weight

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

Fasting insulin levels

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Fasting insulin levels

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Fasting insulin levels

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

Fasting lipids

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Fasting lipids

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Fasting lipids

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

Fasting Plasma Glucose (FPG)

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Fasting Plasma Glucose (FPG)

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Fasting Plasma Glucose (FPG)

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

Homeostatic model assessment (HOMA2-B)

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Homeostatic model assessment (HOMA2-B)

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Homeostatic model assessment (HOMA2-B)

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

Improvement in Well-Being

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Improvement in Well-Being

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Improvement in Well-Being

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

Percentage of patients with HbA1c > 8.5% after 3 months

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Percentage of patients with HbA1c > 8.5% after 3 months

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Percentage of patients with HbA1c > 8.5% after 3 months

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

Systolic blood pressure

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Systolic blood pressure

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Systolic blood pressure

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

Waist circumference

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Waist circumference

Lactobacillus rhamnosus HN001 capsules with OBG cereal → Waist circumference

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

  • No significant changes in HbA1c levels were observed (p=0.63).
  • Fasting plasma glucose levels did not differ between treatment groups.
  • No improvements in body weight or mental well-being were noted.
who this applies

Who this applies to

  • Adults aged 18-65 with pre-diabetes.
  • Individuals at risk for developing type 2 diabetes.
keep in mind

Keep in Mind

  • The findings may not apply to populations outside the study demographic.
  • The lack of significant results does not rule out potential benefits in other contexts.
  • Further research is needed to explore different dosages or combinations of interventions.
between the lines

Between the Lines

  • The study may have limited generalizability due to a specific participant demographic.
  • The sample size may not have been large enough to detect small but clinically relevant effects.
  • The duration of the study may have been insufficient to observe long-term benefits.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Lactobacillus rhamnosus HN001 capsules with OBG cereal and Body Mass Index, Lactobacillus rhamnosus HN001 capsules with OBG cereal and Body Weight.

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 Lactobacillus rhamnosus HN001 capsules with OBG cereal affect BMI?

Emerging Evidence

Current evidence does not show a clear effect of Lactobacillus rhamnosus HN001 capsules with OBG cereal on BMI.

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

Ranked evidence signals

  1. 1

    BMI

    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.
1 supporting study

Does Lactobacillus rhamnosus HN001 capsules with OBG cereal affect body weight?

Emerging Evidence

Current evidence does not show a clear effect of Lactobacillus rhamnosus HN001 capsules with OBG cereal on body weight.

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

Ranked evidence signals

  1. 1

    Body weight

    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.
1 supporting study

Does Lactobacillus rhamnosus HN001 capsules with OBG cereal improve fasting plasma glucose (FPG)?

Emerging Evidence

Current evidence does not show a clear benefit of Lactobacillus rhamnosus HN001 capsules with OBG cereal for fasting plasma glucose (FPG).

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

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    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.
1 supporting study

Does Lactobacillus rhamnosus HN001 capsules with OBG cereal improve fasting insulin levels?

Emerging Evidence

Current evidence does not show a clear benefit of Lactobacillus rhamnosus HN001 capsules with OBG cereal for fasting insulin levels.

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

Ranked evidence signals

  1. 1

    Fasting insulin levels

    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.
1 supporting study
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