Research Summary
Analyzed using Evidence Intelligence™

Probiotics may improve glycemic control in type 2 diabetes

Key finding

HbA1c decreased significantly in the probiotic group (p=0.004).

This study investigated the effects of multispecies probiotic supplementation on glycemic control in individuals with type 2 diabetes over 24 weeks, finding significant reductions in HbA1c and increases in HDL-c.

Evidence strength

Moderate confidence

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Some Concerns bias
Last updated July 3, 2026

Quick read

Study at a glance

The essential study design details in one scan.

Population

Young Adult (19–39), Middle Aged (40-64), Male, Female, Asia-Pacific (APAC), with T2 Diabetes

Intervention

Multispecies probiotic supplementation, Placebo

Study type

RCTs

Follow-up

Medium-Term (3–12 mo)

Primary outcome

Fasting blood glucose (FBG)

Comparator

Placebo Group

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 investigated the effects of multispecies probiotic supplementation on glycemic control in individuals with type 2 diabetes over 24 weeks, finding significant reductions in HbA1c and increases in HDL-c.

Clinical relevance

These findings are clinically significant as they suggest that probiotic supplementation could be a beneficial adjunct therapy for managing glycemic control and improving lipid profiles in patients with type 2 diabetes. This could lead to better overall health outcomes and reduced risk of diabetes-related complications.

Keep in mind

The study had a relatively small sample size, which may limit generalizability. The duration of the study was only 24 weeks, which may not capture long-term effects. Some outcomes showed trends but were not statistically significant, indicating uncertainty.

Published in

Journal Reference

Publication details and source links for this paper.

Venkata C, Janardanan K, Kakithakara VL, Mohan R, Jayaprakash T, Grigorios P. The Impact of Multistrain Probiotic Supplementation on Glycemic Control in Type 2 Diabetes Mellitus: A 24-Week Randomized Controlled Trial. Life. 2024;14(11):1484. doi:10.3390/life14111484

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Main Effects

HbA1c decreased significantly in the probiotic group (p=0.004)

HDL-c increased significantly in the probiotic group (p<0.001)

Total cholesterol showed no significant change (p=0.556)

Triglycerides showed no significant change (p=0.233)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Multispecies probiotic supplementation and Blood glucose, HDL cholesterol, HbA1c, and 4 more.

Primary intervention

Multispecies probiotic supplementation

Primary outcomes

  • Blood glucose
  • HDL cholesterol
  • HbA1c

Evidence relationships

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

7
Evidence pairs
7
Relationships
3
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

3

Related topics

7

Evidence pairs

284

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Core evidence

Study findings

The primary outcomes reported in this study.

NoneNo Change

Blood glucose

Multispecies probiotic supplementation → Blood glucose

Multispecies probiotic supplementation → Blood glucose

Evidence profile

NoneNo ChangeGlycemic Control
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StrongDecrease

HbA1c

Multispecies probiotic supplementation → HbA1c

Multispecies probiotic supplementation → HbA1c

Evidence profile

StrongDecreaseGlycemic Control
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StrongIncrease

HDL cholesterol

Multispecies probiotic supplementation → HDL cholesterol

Multispecies probiotic supplementation → HDL cholesterol

Evidence profile

StrongIncreaseMetabolic Health
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NoneNo Change

LDL cholesterol

Multispecies probiotic supplementation → LDL cholesterol

Multispecies probiotic supplementation → LDL cholesterol

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

Postprandial blood glucose

Multispecies probiotic supplementation → Postprandial blood glucose

Multispecies probiotic supplementation → Postprandial blood glucose

Evidence profile

NoneNo ChangeGlycemic Control
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NoneNo Change

Total cholesterol

Multispecies probiotic supplementation → Total cholesterol

Multispecies probiotic supplementation → Total cholesterol

Evidence profile

NoneNo ChangeMetabolic Health
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NoneNo Change

Triglycerides

Multispecies probiotic supplementation → Triglycerides

Multispecies probiotic supplementation → Triglycerides

Evidence profile

NoneNo ChangeMetabolic Health
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evidence suggest

Evidence Suggest

  • HbA1c decreased by 0.44% in the probiotic group (p=0.004).
  • HDL-c increased by 3.33 mg/dL in the probiotic group (p=0.023).
  • No significant changes were observed in total cholesterol and triglycerides.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals seeking adjunct therapies for glycemic control.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study's demographic.
  • The study did not assess long-term effects beyond 24 weeks.
  • Further research is needed to confirm findings and explore mechanisms.
between the lines

Between the Lines

  • The study had a relatively small sample size, which may limit generalizability.
  • The duration of the study was only 24 weeks, which may not capture long-term effects.
  • Some outcomes showed trends but were not statistically significant, indicating uncertainty.

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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 Adipokine and Angiogenic Markers.

Related evidence relationships

Explore in Evidence Archive

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 HbA1c?

Emerging Evidence

Probiotics and Synbiotics appears to improve HbA1c.

ConsensusScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Emerging | EvidenceScore™ 57.1 | strong positive | ConsensusScore™ Consistent | 1 study

Why this answer: This answer is based on 10 supporting studies with consistent results and a positive effect signal.

Limitations

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

Does Probiotics and Synbiotics improve fasting glucose?

Emerging Evidence

Probiotics and Synbiotics may improve Fasting Glucose.

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

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Limited | EvidenceScore™ 35.5 | neutral | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on 9 supporting studies and existing graph evidence signals.

Limitations

  • Consistency cannot yet be determined.
  • Population details are unavailable.
9 supporting studiesUpdated: Jul 2026

Does Probiotics and Synbiotics improve adipokine and angiogenic markers?

Limited Evidence

Current evidence does not show a clear benefit of Probiotics and Synbiotics for Adipokine and Angiogenic Markers.

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

Ranked evidence signals

  1. 1

    HDL cholesterol

    EvidenceScore™ Emerging | EvidenceScore™ 53.0 | strong positive | ConsensusScore™ Unclear | 1 study

  2. 2

    LDL cholesterol

    EvidenceScore™ Limited | EvidenceScore™ 35.5 | neutral | ConsensusScore™ Unclear | 1 study

  3. 3

    Total cholesterol

    EvidenceScore™ Limited | EvidenceScore™ 35.5 | neutral | ConsensusScore™ Unclear | 1 study

Why this answer: This answer is based on 9 supporting studies and existing graph evidence signals.

Limitations

  • Consistency cannot yet be determined.
  • Population details are unavailable.
9 supporting studiesUpdated: Jul 2026

Does Probiotics and Synbiotics improve postprandial and ogtt glucose?

Limited Evidence

Current evidence does not show a clear benefit of Probiotics and Synbiotics for Postprandial and OGTT Glucose.

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

Ranked evidence signals

  1. 1

    Postprandial blood glucose

    EvidenceScore™ Limited | EvidenceScore™ 35.5 | neutral | ConsensusScore™ 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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