Type 2 & other diabetes

A microbiome‐targeting fibre‐enriched nutritional formula is well tolerated and improves quality of life and haemoglobin A1c in type 2 diabetes: A double‐blind , randomized, placebo‐controlled trial

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · Change in cT2-DDASResult — go to the resultDifference −0.4

Authors' conclusion

A microbiome-targeting nutritional formula significantly improved cT2-DDAS and HbA1c, suggesting the potential for prebiotic fibre as a complement to lifestyle and/or pharmaceutical interventions for managing type 2 diabetes.

Study context

Population
Adults with T2D; mean age 54.3 years, HbA1c 7.8%, BMI 35.9 kg/m²randomized
Participants
192 adults
Comparison
Prebiotic fibre-enriched nutritional formula vs placebo fibre-absent formula vs dietary advice alone
Primary endpoint
Change in core Type 2 Diabetes Distress Assessment System (cT2-DDAS)
Follow-up
Week 12
Methodological detailsdouble-blind, placebo-controlled, unblinded dietary advice only comparator arm, randomized 2:1:1
  • Double-blind
  • Placebo-controlled
  • Unblinded dietary advice only comparator arm
  • Randomized 2:1:1

Primary result

Change in cT2-DDAS

Difference

−0.4

P = 0.03

As reported in the abstract

Secondary outcomes

OutcomeDifference (%)P value
HbA1c change (key secondary endpoint) · week 12Active vs Placebo · reduced significantly in Active vs Placebo−0.64P = 0.01

Gut microbiome: relative abundance of butyrate-producing bacteria

Relative abundance of Roseburia faecis and Anaerostipes hadrus increased significantly in Active vs Placebo

Original publication

A microbiome‐targeting fibre‐enriched nutritional formula is well tolerated and improves quality of life and haemoglobin A1c in type 2 diabetes: A double‐blind , randomized, placebo‐controlled trial. Diabetes Obes Metab. Published 23 January 2023. doi:10.1111/dom.14967

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