probiotics for prediabetes

2010;11:2499522. However, the Centers for Diseases Control and Prevention in the US reported around 84.1 million American adults, or 1 in 3, suffered from pre-diabetes in 2017 (7). They have no fat or protein to prevent the carbs from rocketing your blood sugar, Zumpano continues. The reduction in GA levels was statistically significantly greater in the probiotics group than in the placebo group. Becausefiberslows down digestion and absorption, youre less likely to get hungry between meals and reach for a sugary snack. In our systematic review, probiotics were found to increase GLP-1 secretion in vivo, which is essential for promoting insulin secretion through the action of intestinal proinsulin. However, there are a few important limitations that need to be acknowledged. There is a significant reduction in HbA1c compared with the placebo group and a decrease in FPG compared with baseline. 2010;1:18996. Probiotics ameliorate the hydrogen peroxide-induced epithelial barrier disruption by a PKC- and MAP kinase-dependent mechanism. Pre-biotics are failed to show an evident improvement in glycemic control, but their use caused the changes in the composition of gut microbiota. Benef Microbes. Eslamparast T, Poustchi H, Zamani F, Sharafkhah M, Malekzadeh R, Hekmatdoost A. Synbiotic supplementation in nonalcoholic fatty liver disease: a randomized, double-blind, placebo-controlled pilot study. Threshold for improvement in insulin sensitivity with adolescent weight loss. 10 Supplements to Help Lower Blood Sugar - Healthline Tabk AG, Herder C, Rathmann W, Brunner EJ, Kivimki M. Prediabetes: a high-risk state for diabetes development. Expert consensus on. Cleveland Clinic 1995-2023. Inclusion in an NLM database does not imply endorsement of, or agreement with, Kassaian et al. Diabetes causes major health problems as well as a large economic burden. Google Scholar. Forest plot of the effect of probiotics on TG. Yun SI, Park HO, Kang JH. 2018;37:918. Acta Diabetol. When you eat is nearly as important as what you eat. Probiotics for Diabetics: Microbiome Helps Control Blood Sugar - Well.Org Asemi Z, Khorrami-Rad A, Alizadeh SA, Shakeri H, Esmaillzadeh A. The probiotic group was more efficient than the placebo group (SMD, -0.28; 95% CI -0.53, -0.02; P=0.03). Am J Physiol Gastrointest Liver Physiol. Intestinal microbiota determines development of non-alcoholic fatty liver disease in mice. CAS Probiotics play an important role in heart health, GI health, and even blood sugar management. PMCID: PMC7220240 DOI: 10.1097/MD.0000000000019708 Abstract Background: The prevalence of prediabetes and diabetes is increasing rapidly, and 5% to 10% of prediabetic patients will develop diabetes every year. Riva A, Borgo F, Lassandro C, Verduci E, Morace G, Borghi E, Berry D. Pediatric obesity is associated with an altered gut microbiota and discordant shifts in Firmicutes populations. Similar to XOS, galacto-oligosaccharides (GOS) is another supplementation of pre-biotic. Fourth, probiotics reduce cholesterol absorption by converting cholesterol into faecal sterols via cholesterol reductase, which can be excreted in the faeces [51]. Although many scientific reports have confirmed that gut microbiota can be beneficially modified by probiotics and/or pre-biotics to maintain glucose homeostasis, improve insulin resistance, and alleviate the development of T2D. and Butyrivibrio crossotus, Collinsella aerofaciens, Faecalibacterium prausnitzii, Escherichia coli, Akkermancia muciniphila, compared to the control group. Zhang X, Shen D, Fang Z, Jie Z, Qiu X, Zhang C, et al. [33] also found that taking capsules with a blend of multiple probiotic strains for 12 weeks increased the abundance of SCFA-producing bacteria, including Bifidobacterium breve, Akkermansia muciniphila and Clostridium hathewayi, and increased plasma butyric acid levels. According to diagnostic criteria from the World Health Organization (WHO), pre-diabetes is defined as IFG: fasting plasma glucose between 110 and 125 mg/dL (5.56.9 mmol/L) and/or IGT: 2-h post-load plasma glucose between 140 and 200 mg/dL (7.811.0 mmol/L) during a 75 g oral glucose test (3). Chinese Medical Association Diabetes Branch. Toshimitsu T, Gotou A, Furuichi K, Hachimura S, Asami Y. 2010;91:687703. Diabetologia. Diabetes causes major health problems as well as a large economic burden. The antioxidant defense system Keap1-Nrf2 comprises a multiple sensing mechanism for responding to a wide range of chemical compounds. Rethinking your diet to reduce the risk of diabetes doesnt mean giving up the foods you love. An official website of the United States government. A previous animal study has shown that a pre-biotic treatment decreased intestinal permeability and increased GLP-2 secretion, and reduced the hepatic expression of inflammatory and oxidative stress markers of obese and diabetic mice, as well as LPS level (65). 2006;72:172938. Gut Microbes. In this review, randomized controlled studies (RCTs) of pro-, pre-, synbiotics for the treatment of pre-diabetes population will be summarized. Pompei A, Cordisco L, Amaretti A, Zanoni S, Matteuzzi D, Rossi M. Folate production by bifidobacteria as a potential probiotic property. prediabetes intervention in Chinese adults. Third, we have limited information on the quantitative-effective relationship and minimum effective dose of known beneficial probiotic strains. The effects of probiotic administration on patients with prediabetes: a J Clin Med. Previous studies suggest that gut microbiota plays an important role in the development of insulin resistance and diabetes mellitus (9). Google Scholar. No heterogeneity was observed. The previous study has shown that TMAO levels are elevated in T2D patients (28). 2014;3:4457. Paone P, Cani PD. the contents by NLM or the National Institutes of Health. The most critical thing is being able to stick to whichever diet you pick, so its important to find something that works for your lifestyle, your tastes and your preferences, Zumpano says. PLoS Med. All the authors (XQ, QW, ML, and DZ) revised the manuscript. Oxidative stress may play a role in damaging glucose metabolism by impairing pancreatic cells and insulin signalling pathways. (52) carried out a study that included probiotics, synbiotics and placebo group and published different outcomes on metabolic syndrome, lipid profiles (53), glucose and insulin metabolism (54) and gut microbiota (55). J Clin Endo-crinol Metab. 2020;125:109914. The proactive role of probiotics. TGR5 activation can induce pre-proglucagon gene expression and GLP-1 secretion (17, 26). Therefore, in intestinal endocrine L-cells, BA act through the opposite effects on TGR5 and FXR to regulate the production and secretion of GLP-1, thereby maintaining weight loss and improving glucose tolerance. Definition and Diagnosis of Diabetes Mellitus and Intermediate Hyperglycaemia: Report of a WHO/IDF Consultation. Scientists are testing many different supplements to. Only randomized controlled trials of probiotics for prediabetes were selected. Article Araya M, Morelli L, Reid G, Sanders M, Stanton C, Pineiro M, et al.. Leptin synthesized by gastric chief cells indirectly regulates the early secretion of GLP-1 through gastrin-releasing peptide [66]. The role of the gut microbiome in the pathogenesis and treatment of obesity. Yan Q, Li X, Li P, Feng B. Bethesda, MD 20894, Web Policies Safety of probiotics[J]. No statistically significant difference was observed between the two groups (WMD, -0.53mg/dl; 95% CI -2.31, 1.25; P=0.56). We searched for EMBASE, MEDLINE, Web of Science, Cochrane Central, Clinical Trials (ClinicalTrials.gov) from inception to February 2021. YW and TH checked and modified the manuscript. Google Scholar. 2020;5:37180. The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. 2009;61:95103. Do Probiotics Improve the Health Status of Individuals with Diabetes Roy S, Yuzefpolskaya M, Nandakumar R, Colombo PC, Demmer RT. Surprising Benefits of Probiotics and Prebiotics for Diabetes Youve probably heard the term blood sugar, but what does it actually mean? [17] discovered that probiotics could enhance pancreatic -cell function when Lactobacillus casei strain Shirota-fermented milk was administered to prediabetic patients. quantitative insulin sensitivity check index. Canfora et al. However, there is insufficient evidence to show significant benefits on glucose metabolism, lipid metabolism and body composition. Can probiotics modulate human disease by impacting intestinal barrier function? Probiotics term means good gut bacteria, which can alter things dramatically. YW and YL analysed the data. [31] found that Clostridium butyricum CGMCC0313.1 was able to reduce the ratio of Firmicutes to Bacteroidetes and to increase the abundance of intestinal butyric acid-producing flora and the genus Akkermansia. In addition, pediatric T2DM exhibited faster islet -cell decline and higher rates of treatment failure compared to adult T2DM [85], and supplementation with Lactobacillus casei strain Shirota fermented milk was found to enhance islet -cell function in the present study. A 2017 study found that when it comes to warding off Type 2 diabetes, lifestyle changes like exercising more and adopting a healthy diet may actually work better than standard treatments like medications. 2008;75:18995. Synbiotics are a mixture of probiotics and pre-biotics. Do You Know Where Salt Is Hiding in Your Food? Endocrine, Excretory and Digestive Systems. Stefanaki et al. Due to the uncertain diagnostic criteria for IFG, it is difficult to estimate the trend of pre-diabetes. Edited by: Vinod Tiwari, Indian Institute of Technology (BHU), India, Reviewed by: Parameth Thiennimitr, Chiang Mai University, Thailand; Katia Sivieri, So Paulo State University, Brazil, This article was submitted to Clinical Diabetes, a section of the journal Frontiers in Public Health. This meta-analysis has been registered at PROSPERO with ID: CRD42022321995. Overall, the gut microbiota influences host metabolic disorders via the modulation of metabolites, including SCFAs, the endotoxin LPS, BA, and TMAO, as well as mediating the interaction between the gastrointestinal system and other organs. The probiotic group was markedly more efficacious than the placebo group (MD, 0.01; 95% CI 0.00, 0.02; P=0.04). Chen J, Wright K, Davis JM, Jeraldo P, Marietta EV, Murray J, et al. Beijing: Peking University Press; 2014. Pediatr. Diabetes. Three studies involved LDL-C (Fig. 4). 2016;8:43. Nat Rev Gastroenterol Hepatol. PubMed Central 2022;14:692. The pathophysiology of pre-diabetes is complex, which is associated with increased glucose levels, decreased insulin sensitivity, increased inflammatory cytokines, and altered incretin responses (4). Rodrigues RR, Gurung M, Li Z, Garca-Jaramillo M, Greer R, Gaulke C, Bauchinger F, You H, Pederson JW, Vasquez-Perez S, White KD, Frink B, Philmus B, Jump DB, Trinchieri G, Berry D, Sharpton TJ, Dzutsev A, Morgun A, Shulzhenko N. Transkingdom interactions between Lactobacilli and hepatic mitochondria attenuate western diet-induced diabetes. Safety of probiotics in patients receiving nutritional support: A systematic review ofcase reports, randomized controlled trials, and nonrandomized trials.Am. Another pilot study (37) conducted by Stefanaki et al. Two studies used the QUICKI indicator (Fig. Targeting the intestinal microbiota to prevent type 2 diabetes and enhance the effect of metformin on glycaemia: a randomised controlled pilot study. Some articles mentioned that these minor adverse reactions were improved by continuing to take probiotics or reducing the daily doses. Pre-biotics are non-digestible food ingredients that can be obtained from fruit, vegetables, cereals, and other edible plants. Int J Prev Med. Your blood sugar is the amount of sugar currently circulating in your bloodstream. In one study by Kassaian et al. Nutrients. Mahboobi S, Iraj B, Maghsoudi Z, Feizi A, Ghiasvand R, Askari G, et al.. Multiple articles in this systematic review have reported that probiotics can reduce inflammation levels and improve insulin sensitivity in the following ways. 2007;73:17985. These suggest that the increase of SCFAs, particularly butyrate, are important for preventing and controlling pre-diabetes. Sharma P, Tomar SK, Goswami P, Sangwan V, Singh R. Antibiotic resistance among commerciallyavailable probiotics. Gut microbiota in 2012: toward understanding and manipulating the gut microbiota. Cabello-Olmo M, Oneca M, Pajares MJ, Jimnez M, Ayo J, Enco IJ, et al. Consuming probiotics by people with type 2 diabetes can help manage their glucose and low insulin levels, as a result of a healthy immune system, heart health, and healthy GI tract. The data were analysed using weighted mean differences (WMDs) or standardized mean differences (SMDs) under a fixed effect model to observe the efficacy of probiotic supplementation on the included indicators. 2013;163(3):78590. Specially, Clostridium butyricum CGMCC0313.1 was able to reduce the ratio of Firmicutes to Bacteroidetes. Although previous studies have shown that probiotics can improve cholesterol levels in patients with type 2 diabetes (56), they have not been confirmed in patients with pre-diabetes (33, 35, 38). The probiotic group was prominently more effective than the placebo group (MD, -0.07; 95% CI -0.11, -0.03; P=0.001). 31 Altmetric Metrics Abstract Probiotics have been reported to have a positive impact on the metabolic control of patients with type 2 diabetes. In addition, some strains of Lactobacillus and Enterococcus could convert tyrosine and histidine into biogenic amines, which may lead to nausea, vomiting, fever and other food poisoning symptoms when in excessive amounts. CAS LPS interacts with endocannabinoid receptors (eCB1), modulating gut permeability and LPS translocation, increasing levels of circulating level of LPS and inducing metabolic endotoxemia (22). Consuming probiotics by people with type 2 diabetes can help manage their glucose and low insulin levels, as a result of a healthy immune system, heart health, and healthy GI tract. Int J Mol Sci. In a randomized controlled trial, an 8% reduction in BMI was associated with improved insulin sensitivity in obese adolescents [84]. Ejtahed HS, Mohtadi-Nia J, Homayouni-Rad A, Niafar M, Asghari-Jafarabadi M, Mofid V. Probiotic yogurt improves antioxidant status in type 2 diabetic patients. Studies have shown that gut microecosystems are distinct between healthy individuals and diseased individuals and that dysregulation of the intestinal flora is associated with metabolic diseases such as hyperglycaemia and obesity [20, 26, 27]. The fiber in veggies and legumes will help you feel full and satisfied.. However, the mechanisms of the role of probiotics in prediabetes are not fully understood. Jumpertz R, Le DS, Turnbaugh PJ, Trinidad C, Bogardus C, Gordon JI, et al.. Energy-balance studies reveal associations between gut microbes, caloric load, and nutrient absorption in humans, https://www.cdc.gov/diabetes/data/statistics/statistics-report.html, FPG of 100125 mg/dL, 2hr-glucose tolerance test of 140200 mg/dL, or both, <2 months, FPG of 100125 mg/dL and/or HgbA1c of 5.76.4%, BMI, BW, body fat (% and kg), lean mass (kg), visceral fat (g), FPG, M-value, HOMA-IR, SCFAs, plasma TAG, plasma free glycerol, plasma FFA, GLP-1, PYY, FIL, leptin, LBP, IL-6, IL-8, TNF-, energy expenditure, fat oxidation, carbohydrate oxidation, Prebiotic: 10 g/day (inulin, 5 g/day for first 7 days, then move to 10 g/day), Fasting and postprandial plasma TMAO, TMA moiety concentrations, choline, betaine, L-carnitine, -butyrobetaine concentrations, Synbiotics: comprising the mentioned probiotics with an inulin-based prebiotic. Appl Environ Microbiol. and Butyrivibrio crossotus following probiotics were observably reduced, and both were implicated in hyperglycaemia and insulin resistance [25]. Forest plot of the effect of probiotics on HOMA-IR. This increase may be related to the season change. 2019;42:S1S193. Moreover, probiotics are not intended for everyone and should be used with caution in people who are immunocompromised, in serious medical conditions, with low intestinal barrier function, or people using central venous catheters [91]. But it does mean eating less of them. Article Ooi LG, Liong MT. Chin Gen Med. Recent studies have found certain mechanisms mediating the development from the prediabetic stage to diabetes. According to the meta-analysis, probiotics were able to significantly decrease the levels of HbA1c (WMD, -0.07; 95% CI -0.11, -0.03; P=0.001), QUICKI (WMD, 0.01; 95% CI 0.00, 0.02; P=0.04), TC (SMD, -0.28; 95% CI -0.53, -0.22; P=0.03), TG (SMD, -0.26; 95% CI -0.52, -0.01; P=0.04), and LDL-C (WMD, -8.94; 95% CI -14.91, -2.97; P=0.003) compared to levels in the placebo group. 2017 Jan;19(1):95105. Liu Z, Stanojevic V, Brindamour LJ, Habener JF. Leptin can also promote the secretion of GLP-1 by activating leptin receptors. Pre-biotics supplementation has been suggested as a strategy to reduce TMA synthetic capacity by modulating gut microbiota composition (67). Certain probiotics can bring about a decrease in Firmicutes, which is able to produce more inflammatory molecules and exacerbate the inflammatory response, improve insulin resistance and prevent the progression of type 2 diabetes [34]. A high-fat diet can increase the percentage of Gram-negative species in gut microbiota (19). Conclusion: In the current studies using probiotics, pre-biotics or synbiotics for the treatment of pre-diabetes, the benefits of modulating the abundance of gut microbiota were partially demonstrated. Tabk AG, Herder C, Rathmann W, Brunner EJ, Kivimki M. Prediabetes: a high-risk state for diabetes development. The original data involved in the manuscript can be obtained from references. In addition, Lactobacillus also improves the damage to mitochondrial morphological structure caused by hyperglycemia [68]. For instance, Lactobacillus spp. Food Res Int. Diabetes and its complications are among the chronic noncommunicable diseases that pose a serious threat to public health [1]. This meta-analysis was performed using Review Manager 5.4. 9). Removal of cholesterol by lactobacilli via incorporation and conversion to coprostanol. Fitzgerald CB, Shkoporov AN, Sutton TDS, Chaplin AV, Velayudhan V, Ross RP, et al.. Probiotics, Pre-biotics and Synbiotics in the Treatment of Pre-diabetes Second, probiotics can also indirectly stimulate GLP-1 secretion through fermentation of indigestible polysaccharides [39]. Gut. In this systematic review, we observed that probiotics could play an active role in blood glucose homeostasis in the following ways. Mild, moderate, and severe heterogeneity was assessed based on I and Chi statistics of 025%, 2550%, and 5075%, respectively. Cell Mol Gastroenterol Hepatol. Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations. 2022;12:e055214. Probiotics are naturally found in some foods like yogurt, sauerkraut, and kimchi and are also commonly taken in supplement form to help support the digestive system. Evidence Based 10 Supplements to Help Lower Blood Sugar Certain supplements, including cinnamon and aloe vera, may help lower blood sugar. Diabet Med. 5). Acta Physiol (Oxf). 2009;107:16816. More specifically, in diabetic patients, the abundance of beneficial flora such as Lactobacillus drops, whereas the abundance of certain Gram-negative bacteria rises. For obese children, probiotics may work by promoting lipid metabolism, increasing GLP-1 secretion, raising leptin levels and regulating intestinal flora homeostasis. After hydrolysis, free bile acids cannot be reabsorbed and are excreted in the faeces, thus reducing bile sterols [22]. Next, the indicators that caused publication bias were remedied by the trim and fill method. This study provides valuable references for subsequent related studies and future clinical translation. Forest plot of the effect of probiotics on LDL-C. Forest plot of the effect of probiotics on HDL-C. Probiotics exert beneficial effects on the body by regulating the intestinal microbiota [11]. It is worth mentioning that leptin may act in both directions with insulin, which promotes the secretion of leptin; in contrast, leptin exerts a negative feedback regulation on the synthesis and secretion of insulin. Therefore, in future researches, more and larger studies should be conducted to provide favorable evidence for -biotics to improve pre-diabetes, thereby providing a new therapeutic tool to prevent and delay the development of pre-diabetes to T2D. In addition, several other mechanisms, such as strengthening the mucus barrier, relieving oxidative stress, increasing leptin levels and maintaining mitochondrial health have also been implicated. Probiotics can also treat childhood obesity by increasing leptin levels and suppressing energy intake. Insulin resistance in children: consensus, per-spective, and future directions. 2015;172:R167-77. The present study clearly indicated that probiotics may fulfil an important role in the regulation of HbA1c, QUICKI, TC, TG and LDL-C in patients with prediabetes. Account Shop by Product Probiotics Liquid Adult Probonix Women Probonix Newborns & Infants Probonix Toddlers & Children Probonix Advanced Children Probonix Probonix Restore Dog Probonix Cat Probonix Probiotics 2017;7:387. Introduction Early intervention in prediabetes is the key to successful reversal, Zumpano says, and a healthy diet plays a huge role in that process.. 2010;1:16485. XW, JY, and XQ designed the review. PubMed Central In addition, SCFAs can impede the low-grade inflammation caused by bacteria migration from gut to mesenteric adipose tissue and blood (18). Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al.. Larsen N, Vogensen FK, van den Berg FW, Nielsen DS, Andreasen AS, Pedersen BK, et al.. 1979;184:46972. Fruit is a natural source of sugar that you can enjoy in moderation. Acta Diabetol. A randomised controlled trial of a probiotic and a prebiotic examining metabolic and mental health outcomes in adults with pre-diabetes. Nutrients. The site is secure. Careers, Unable to load your collection due to an error. Due to the limited sources of studies, inconsistent outcomes between included studies. The PICO principle was adopted in this paper, namely, participants, intervention, comparison, and outcome. statement and Google Scholar. Mouzaki M, Comelli EM, Arendt BM, Bonengel J, Fung SK, Fischer SE, et al. Nutrition. Nevertheless, Lactobacillus inducing antimicrobial production was present at a much higher proportion after intake of probiotics [23]. The main advantage of probiotics is to ensure the proper balance between pathogens and bacteria that are necessary for the normal function of the organism by affecting the development of the host microbiome (41, 42). The findings suggest that a combination of probiotics and pre-biotics in the synbiotics supplementation is more effective than probiotics alone in glycemic control. Appl Environ Microbiol. Choose foods that contain live cultures, such as yogurt, buttermilk, acidophilus milk, kefir (a fermented probiotic milk drink), kimchi (a fermented Korean vegetable dish), sauerkraut (fermented cabbage), tempeh (fermented soybeans), miso (fermented soybean paste), olives, and kombucha (a fermented tea drink). COUP-TFII controls mouse pancreatic -cell mass through GLP-1--catenin signaling pathways. All authors have read and approved the current manuscript. 2019;8:1743. Forum Nutr. 2017;117:93107. Gastroenterol Nutr. 2013;10:724. Probiotics also seem to be effective in children with obesity and T2DM. Another potential mechanism associated with gut ecosystem homeostasis is the endocannabinoid system. The results showed that the serum total cholesterol (TC), high-density lipoprotein-cholesterol (HDL-C), and non-LDL-C levels in the placebo group increased significantly, while the probiotics group maintained a constant level, indicating that probiotics supplementation can suppress the rise of blood cholesterol, but there is no improvement. Second, large-scale and strictly controlled long-term observational clinical trials should be conducted to provide more reliable data on the efficacy and safety of probiotics, and the observation period of glucolipid metabolism in prediabetic patients after discontinuation of probiotics should be extended to determine whether the efficacy of probiotics persists for a long enough period of time. Whelan K, Myers CE. Eur J Nutr. HHS Vulnerability Disclosure, Help Lancet. Diabetes. For example, in some studies, probiotics have been shown to improve insulin resistance, regulate blood glucose homeostasis, lower blood lipids, and delay or inhibit the onset of diabetes and its complications [12,13,14,15,16]. Marotti I, Bregola V, Aloisio I, Gioia DD, Bosi S, Silvestro RD, et al.. Prebiotic effect of soluble fibres from modern and old durum-type wheat varieties on, Vitamin D and prebiotics may benefit the intestinal microbacteria and improve glucose homeostasis in prediabetes and type 2 diabetes. Third, probiotics can also incorporate cholesterol into their cell membranes to lower blood cholesterol levels [50]. 2021 Jan 12;8:581461. doi: https://doi.org/10.3389/fped.2020.581461. PubMed Central Mucus barrier, mucins and gut microbiota: the expected slimy partners? Food Safety Guide,2017, (03):76. Reactive oxygen species, cell signaling, and cell injury. A similar result was confirmed in the prediabetic population, Kassian et al. Heres a rundown of foods to avoid, what to eat instead and what to enjoy in moderation if youve been diagnosed with prediabetes. can stimulate MUC3 expression and MUC2 production and secretion [54, 55]. 2. 1School of Clinical Medicine, Chengdu University of Traditional Chinese Medicine, Chengdu, China, 2Department of Endocrinology, Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu, China. Probiotic supplementation substantially reduced TC, TG, and LDL-C levels. The effectiveness of lifestyle adaptation for the prevention of prediabetes in adults: a systematic review, Gut microbiota as a potential target of metabolic syndrome: the role of probiotics and prebiotics. Lactobacillus could also transfer drug-resistant genes to pathogenic bacteria via splice plasmids or transposons, triggering genetic mutations and causing disease [90]. Shanghai Med. First, probiotics are able to produce short-chain fatty acids (SCFAs) by fermenting dietary fibre from the diet, which can promote GLP-1 production [38]. Environ Microbiol. Barthow C, Hood F, Crane J, Huthwaite M, Weatherall M, Parry-Strong A, et al. Probiotics are known to alleviate oxidative stress. Research progress in the management model of prediabetes population. Li Y, Wang DD, Chiuve SE, Manson JE, Willett WC, Hu FB, et al.. Dietary phosphatidylcholine intake and type 2 diabetes in men and women. The endocannabinoid system links gut microbiota to adipogenesis. The prevalence of diabetes remains increased, with an estimated 463.0 million adults aged 2079 years, and the number is expected to reach 578.4 million in 2030 (1). Lindstrm J, Peltonen M, Eriksson JG, Ilanne-Parikka P, Aunola S, Keinnen-Kiukaanniemi S, et al. 2021 Jan 4;12(1):101. Front Cell Infect Microbiol. Your privacy choices/Manage cookies we use in the preference centre. Pediatric Type 2 Diabetes: Not a Mini Version of Adult Type 2 Diabetes. Prospects of probiotics in biomedical applications[J]. 2008;294:G1060-9. A randomized, double-blind, placebo-controlled clinical study of probiotic intervention in the conversion of abnormal glucose tolerance to type 2 diabetes mellitus. Amyot J, Semache M, Ferdaoussi M, Fonts G, Poitout V. Lipopolysaccharides impair insulin gene expression in isolated islets of Langerhans via Toll-Like Receptor-4 and NF-B signalling. Thirdly, dysbiosis of the gut microbiota is also associated with the pathophysiology of obese children [74, 75]. Manigandan T, Mangaiyarkarasi SP, Hemalatha R, Hemalatha VT, Murali NP. Effects of 12-wk Lactobacillus plantarum OLL2712 treatment on glucose metabolism and chronic inflammation in prediabetic individuals: a single-arm pilot study. Google Scholar. Therefore, when combining the pre-biotic formula, it is necessary to determine the characteristics of the pre-biotics that have a beneficial effect on the probiotics (71).

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