Research Summary
Analyzed using Evidence Intelligence™

Probiotic BBG9-1 improves gastrointestinal symptoms in Type 2 diabetes

Last updated September 12, 2026

Key finding

between-group difference, -0.34 [95% CI: -0.55 to -0.14; p = 0.001]

This study evaluated the effects of Bifidobacterium bifidum G9-1 on gastrointestinal symptoms in patients with Type 2 diabetes, finding significant improvements in certain symptoms.

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

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

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 Bifidobacterium bifidum G9-1 on gastrointestinal symptoms in patients with Type 2 diabetes, finding significant improvements in certain symptoms.

Clinical relevance

Improving gastrointestinal symptoms in patients with Type 2 diabetes can enhance their quality of life and overall health. The findings suggest that Bifidobacterium bifidum G9-1 may be a beneficial addition to dietary management for these patients, potentially leading to better adherence to diabetes management strategies.

Keep in mind

The study was open-label, which may introduce bias. Sample size and demographic characteristics may limit generalizability. No significant changes in SCFAs were observed.

Published in

Journal Reference

Publication details and source links for this paper.

Genki K, Yoshitaka H, Tomoyuki M, et al. Efficacy of Bifidobacteria intake on gastrointestinal symptoms in Symptomatic Type 2 diabetes mellitus patients in Abdominis: An open-label, randomized controlled trial. Diabetes, Obesity & Metabolism. 2026;28(7):5952-5967. doi:10.1111/dom.70805

Main Effects

Total GSRS score decreased significantly in the BBG9-1 group (-0.34, p = 0.001).

Constipation scores showed a greater reduction in the BBG9-1 group (-0.79, p = 0.013).

Follow-up diarrhoea scores were significantly lower in the BBG9-1 group (-0.54, p = 0.049).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Bifidobacterium bifidum G9-1 (BBG9-1) and Diarrhoea score, Follow-up diarrhoea score, Incidence of severe adverse reactions, and 4 more.

Primary intervention

Bifidobacterium bifidum G9-1 (BBG9-1)

Primary outcomes

  • Diarrhoea score
  • Follow-up diarrhoea score
  • Incidence of severe adverse reactions

Evidence relationships

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

7
Evidence pairs
7
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: 54

0

Related topics

7

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Diarrhoea score

Bifidobacterium bifidum G9-1 (BBG9-1) → Diarrhoea score

Bifidobacterium bifidum G9-1 (BBG9-1) → Diarrhoea score

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

Follow-up diarrhoea score

Bifidobacterium bifidum G9-1 (BBG9-1) → Follow-up diarrhoea score

Bifidobacterium bifidum G9-1 (BBG9-1) → Follow-up diarrhoea score

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

Incidence of severe adverse reactions

Bifidobacterium bifidum G9-1 (BBG9-1) → Incidence of severe adverse reactions

Bifidobacterium bifidum G9-1 (BBG9-1) → Incidence of severe adverse reactions

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

Relative abundance of Phocaeicola

Bifidobacterium bifidum G9-1 (BBG9-1) → Relative abundance of Phocaeicola

Bifidobacterium bifidum G9-1 (BBG9-1) → Relative abundance of Phocaeicola

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

Short-chain fatty acids (SCFAs)

Bifidobacterium bifidum G9-1 (BBG9-1) → Short-chain fatty acids (SCFAs)

Bifidobacterium bifidum G9-1 (BBG9-1) → Short-chain fatty acids (SCFAs)

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

Total PHQ-8 score

Bifidobacterium bifidum G9-1 (BBG9-1) → Total PHQ-8 score

Bifidobacterium bifidum G9-1 (BBG9-1) → Total PHQ-8 score

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

Transportation concerns

Bifidobacterium bifidum G9-1 (BBG9-1) → Transportation concerns

Bifidobacterium bifidum G9-1 (BBG9-1) → Transportation concerns

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

Evidence Library

Build your evidence library

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

evidence suggest

Evidence Suggest

  • BBG9-1 significantly improved total GSRS scores by -0.34.
  • Constipation scores reduced by -0.79 in the BBG9-1 group.
  • Follow-up diarrhoea scores were lower by -0.54 with BBG9-1.
who this applies

Who this applies to

  • Adults with symptomatic Type 2 diabetes.
  • Patients experiencing gastrointestinal symptoms.
keep in mind

Keep in Mind

  • Results may not apply to non-diabetic populations.
  • Long-term effects of BBG9-1 were not assessed.
  • Further research is needed to confirm findings.
between the lines

Between the Lines

  • The study was open-label, which may introduce bias.
  • Sample size and demographic characteristics may limit generalizability.
  • No significant changes in SCFAs were observed.

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 Bifidobacterium bifidum G9-1 (BBG9-1) and Diarrhoea score, Bifidobacterium bifidum G9-1 (BBG9-1) and Follow-up diarrhoea score.

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 Bifidobacterium bifidum G9-1 (BBG9-1) improve follow-up diarrhoea score?

Emerging Evidence

Bifidobacterium bifidum G9-1 (BBG9-1) appears to improve follow-up diarrhoea score.

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

Ranked evidence signals

  1. 1

    Follow-up diarrhoea score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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 Bifidobacterium bifidum G9-1 (BBG9-1) improve relative abundance of phocaeicola?

Emerging Evidence

Bifidobacterium bifidum G9-1 (BBG9-1) appears to improve relative abundance of phocaeicola.

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

Ranked evidence signals

  1. 1

    Relative abundance of Phocaeicola

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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 Bifidobacterium bifidum G9-1 (BBG9-1) improve total phq-8 score?

Emerging Evidence

Bifidobacterium bifidum G9-1 (BBG9-1) appears to improve total phq-8 score.

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

Ranked evidence signals

  1. 1

    Total PHQ-8 score

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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 Bifidobacterium bifidum G9-1 (BBG9-1) improve transportation concerns?

Emerging Evidence

Bifidobacterium bifidum G9-1 (BBG9-1) appears to improve transportation concerns.

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

Ranked evidence signals

  1. 1

    Transportation concerns

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | 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
Learn how Evidence Intelligence™ works

Next steps

Continue your research

Choose a next path through related evidence topics, Evidence Explorer views, and research summaries.

No ads. No tracking.

Focused on evidence, not advertising.

Secure & private

Your data is always protected.

Always up to date

New studies added every day.