Research Summary
Analyzed using Evidence Intelligence™

Vitamin K4 improves insulin resistance in type 2 diabetes

Last updated July 6, 2026

Key finding

HOMA-IR decreased from 29.09 ± 36.56 to 16.54 ± 7.81 (P = 0.027)

This study investigated the effects of Vitamin K4 supplementation on insulin resistance and triglyceride levels in individuals with type 2 diabetes and found significant improvements.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ y)

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 investigated the effects of Vitamin K4 supplementation on insulin resistance and triglyceride levels in individuals with type 2 diabetes and found significant improvements.

Clinical relevance

Improving insulin resistance and triglyceride levels is crucial for managing type 2 diabetes, as these factors are linked to cardiovascular health and overall metabolic function. The findings suggest that Vitamin K4 could be a beneficial adjunct therapy for individuals struggling to control their diabetes.

Keep in mind

Limited sample size may affect generalizability Short duration of 24 weeks might not capture long-term effects No significant changes in fasting plasma glucose and HbA1c

Published in

Journal Reference

Publication details and source links for this paper.

Amani MA, Maggie MA, Nirmeen AS, May F, Shrook M. Vitamin K4 supplementation for 24 weeks is capable of improving insulin resistance and TG levels in individuals with type 2 diabetes. European Journal of Nutrition. 2023;62(8):3241-3249. doi:10.1007/s00394-023-03215-8

Main Effects

HOMA-IR decreased from 29.09 to 16.54 (P = 0.027)

Fasting serum insulin decreased from 11.13 to 6.86 μU/ml (P = 0.032)

Triglycerides decreased from 172.8 to 144.94 mg/dl (P = 0.031)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Vitamin D supplementation and Diabetes medication use change, Fasting insulin levels, Insulin resistance, and 2 more.

Primary intervention

Vitamin D supplementation

Primary outcomes

  • Diabetes medication use change
  • Fasting insulin levels
  • Insulin resistance

Evidence relationships

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

5
Evidence pairs
5
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

5

Evidence pairs

875

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 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

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Primary evidence

Evidence topic

Insulin Resistance

matched_intervention_and_outcome

Related evidence

Evidence topic

Supplements and Nutraceuticals

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Core evidence

Study findings

The primary outcomes reported in this study.

Diabetes medication use change

Vitamin D supplementation → Diabetes medication use change

Vitamin D supplementation → Diabetes medication use change

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Fasting insulin levels

Vitamin D supplementation → Fasting insulin levels

Vitamin D supplementation → Fasting insulin levels

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
63
Slightly Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Insulin resistance

Vitamin D supplementation → Insulin resistance

Vitamin D supplementation → Insulin resistance

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 4 studies
ImpactScore™
63
Slightly Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 4 studies
Add to Evidence Tracker

Triglycerides

Vitamin D supplementation → Triglycerides

Vitamin D supplementation → Triglycerides

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

Very low-density lipoproteins (VLDL)

Vitamin D supplementation → Very low-density lipoproteins (VLDL)

Vitamin D supplementation → Very low-density lipoproteins (VLDL)

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

  • 35.6% of Vitamin K group reduced medication doses vs. 13.3% in placebo (P = 0.029)
  • VLDL decreased from 34.6 to 28.9 mg/dl (P = 0.027)
  • Fasting serum insulin decreased by 4.27 μU/ml (P = 0.032)
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes
  • Individuals struggling with insulin resistance and high triglyceride levels
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study sample
  • Further research is needed to confirm long-term benefits
  • The study did not assess dietary or lifestyle factors that could influence outcomes
between the lines

Between the Lines

  • Limited sample size may affect generalizability
  • Short duration of 24 weeks might not capture long-term effects
  • No significant changes in fasting plasma glucose and HbA1c

Evidence Library

Build your 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 Vitamin D supplementation and HbA1c, Vitamin D supplementation and Insulin Resistance.

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 Vitamin D supplementation improve fasting insulin levels?

Strong Evidence

Vitamin D supplementation may improve Fasting insulin levels.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Fasting insulin levels

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Vitamin D supplementation improve insulin resistance?

Strong Evidence

Vitamin D supplementation may improve Insulin resistance.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Insulin resistance

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Vitamin D supplementation improve triglycerides?

Emerging Evidence

Vitamin D supplementation appears to improve Triglycerides.

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

Ranked evidence signals

  1. 1

    Triglycerides

    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: Aug 2026

Does Vitamin D supplementation improve very low-density lipoproteins (vldl)?

Emerging Evidence

Vitamin D supplementation appears to improve Very low-density lipoproteins (VLDL).

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

Ranked evidence signals

  1. 1

    Very low-density lipoproteins (VLDL)

    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: Aug 2026
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