Research Summary
Analyzed using Evidence Intelligence™

Probiotic supplementation improves β-cell function in type 2 diabetes

Last updated July 12, 2026

Key finding

HOMA-β increased from 32.48 ± 13.12 to 45.71 ± 25.18; p = 0.003

This study examined the effects of probiotic supplementation on β-cell function in individuals with type 2 diabetes, finding significant improvements in several metabolic parameters.

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

This study examined the effects of probiotic supplementation on β-cell function in individuals with type 2 diabetes, finding significant improvements in several metabolic parameters.

Clinical relevance

The findings are significant as they suggest that probiotic supplementation could be a beneficial adjunct therapy for individuals with type 2 diabetes, potentially leading to better management of blood sugar levels and improved overall metabolic health. This could help reduce the risk of diabetes-related complications and improve quality of life for patients.

Keep in mind

Limited sample size may affect generalizability. Short duration of intervention may not capture long-term effects. Lack of detailed demographic data limits understanding of population diversity.

Published in

Journal Reference

Publication details and source links for this paper.

Maryana S, Dmytro K, Iuliia K, Oleksandr K, Tetyana F, Nazarii K. The influence of probiotic supplementation vs. placebo on β-cell function in people with type 2 diabetes (T2D). Diabetes Therapy. 2023;14(11):1915-1931. doi:10.1007/s13300-023-01474-6

Main Effects

HOMA-β increased from 32.48 ± 13.12 to 45.71 ± 25.18; p = 0.003

Fasting plasma glucose decreased from 13.03 ± 3.46 to 10.66 ± 2.63 mmol/L; p < 0.001

HbA1c decreased from 8.86 ± 1.28 to 8.48 ± 1.22; p = 0.043

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Probiotics and Fasting Plasma Glucose (FPG), HbA1c, Homeostatic Model Assessment of Beta-cell function (HOMA-β), and 1 more.

Primary intervention

Probiotics

Primary outcomes

  • Fasting Plasma Glucose (FPG)
  • HbA1c
  • Homeostatic Model Assessment of Beta-cell function (HOMA-β)

Evidence relationships

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

4
Evidence pairs
4
Relationships
4
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

4

Related topics

4

Evidence pairs

939

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 4 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

Probiotics and Synbiotics and Fasting Glucose

Related evidence

Evidence relationship

Probiotics and Synbiotics and HbA1c

Save evidence

Evidence relationship

Probiotics and Synbiotics and Beta-cell Function

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Core evidence

Study findings

The primary outcomes reported in this study.

Fasting Plasma Glucose (FPG)

Probiotics → Fasting Plasma Glucose (FPG)

Probiotics → Fasting Plasma Glucose (FPG)

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

HbA1c

Probiotics → HbA1c

Probiotics → HbA1c

Evidence Intelligence™
EvidenceScore™
73
Moderate
ImpactScore™
68
Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Homeostatic Model Assessment of Beta-cell function (HOMA-β)

Probiotics → Homeostatic Model Assessment of Beta-cell function (HOMA-β)

Probiotics → Homeostatic Model Assessment of Beta-cell function (HOMA-β)

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

Reduction of pro-inflammatory cytokine levels

Probiotics → Reduction of pro-inflammatory cytokine levels

Probiotics → Reduction of pro-inflammatory cytokine levels

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

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evidence suggest

Evidence Suggest

  • Probiotic therapy improved HOMA-β by 13.23% (p = 0.003).
  • Fasting plasma glucose decreased by 2.37 mmol/L (p < 0.001).
  • HbA1c levels reduced by 0.38% (p = 0.043).
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals seeking adjunct therapies for blood sugar management.
keep in mind

Keep in Mind

  • Results may not apply to all demographics due to limited diversity in the study population.
  • Further research is needed to confirm long-term benefits of probiotics.
  • The study focused solely on metabolic outcomes, not on quality of life or other health aspects.
between the lines

Between the Lines

  • Limited sample size may affect generalizability.
  • Short duration of intervention may not capture long-term effects.
  • Lack of detailed demographic data limits understanding of population diversity.

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 Probiotics and Synbiotics and HbA1c, Probiotics and Synbiotics 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 Probiotics and Synbiotics improve fasting glucose?

Strong Evidence

Probiotics and Synbiotics may improve Fasting Glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

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

Why this answer: This answer is based on 11 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
11 supporting studiesUpdated: Jul 2026

Does Probiotics and Synbiotics improve HbA1c?

Strong Evidence

Probiotics and Synbiotics appears to improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Moderate | EvidenceScore™ 73.2 | moderate positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 12 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
12 supporting studiesUpdated: Jul 2026

Does Probiotics and Synbiotics improve beta-cell function?

Moderate Evidence

Probiotics and Synbiotics appears to improve Beta-cell Function.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Homeostatic Model Assessment of Beta-cell function (HOMA-β)

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

Why this answer: This answer is based on a small number of supporting studies and should be interpreted cautiously.

Limitations

  • Only a small number of supporting studies are available.
  • Population details are unavailable.
2 supporting studiesUpdated: Jul 2026

Does Probiotics improve reduction of pro-inflammatory cytokine levels?

Emerging Evidence

Probiotics appears to improve Reduction of pro-inflammatory cytokine levels.

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

Ranked evidence signals

  1. 1

    Reduction of pro-inflammatory cytokine levels

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Jul 2026
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