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Table 2 GRADE profile of ITF supplementation for FBG, HbA1c, and FINS levels and HOMA-IR scores in the total population and in the prediabetes and T2DM population

From: Inulin-type fructans supplementation improves glycemic control for the prediabetes and type 2 diabetes populations: results from a GRADE-assessed systematic review and dose–response meta-analysis of 33 randomized controlled trials

Quality assessment

Summary of findings

Quality of evidence

Outcomes

Risk of bias

Inconsistency

Indirectness

Imprecision

Publication Bias

Number of intervention/control

Absolute effect (95% CI)

Relative effecta intervention/control

FBG (Total population)

No serious limitations

Serious limitationsb

No serious limitations

No serious limitations

No serious limitations

656/651

− 0.21 (− 0.33, − 0.09) mmol/l

− 4.32%/0.36%

moderate

HbA1C (Total population)

No serious limitations

Serious limitationsc

No serious limitations

No serious limitations

No serious limitations

220/219

− 0.39 (− 0.65, − 0.13) %

− 4.93%/1.20%

moderate

FINS (Total population)

No serious limitations

Very serious limitationsd

No serious limitations

No serious limitations

Strongly suspectede

515/514

− 1.22 (− 1.90, − 0.54) μU/ml

− 12.62%/0.44%

very low

HOMA-IR (Total population)

No serious limitations

Very serious imitationsf

No serious limitations

No serious limitations

No serious limitations

357/360

− 0.57 (− 0.84, − 0.31)

− 19.10%/− 1.27%

low

FBG (T2DM and prediabetes)

No serious limitations

No serious limitations

No serious limitations

No serious limitations

No serious limitations

283/280

− 0.60 (− 0.71, − 0.48) mmol/l

− 7.41%/− 0.26%

 high

HbA1C (T2DM and prediabetes)

No serious limitations

No serious limitations

No serious limitations

No serious limitations

No serious limitations

190/189

− 0.58 (− 0.83, − 0.32) %

− 5.15%/1.55%

 high

FINS (T2DM and prediabetes)

No serious limitations

Very serious limitationsg

No serious limitations

No serious limitations

No serious limitations

232/229

− 1.75 (-2.87, − 0.63) μU/ml

− 20.08%/− 3.50%

low

HOMA-IR (T2DM and prediabetes)

No serious limitations

Very serious limitationsh

No serious limitations

No serious limitations

No serious limitations

195/197

− 0.69 (− 1.10, − 0.28)

− 27.63%/− 2.29%

low

  1. FBG fasting blood glucose, FINS fasting insulin, HbA1c glycosylated hemoglobin, HOMA-IR homeostasis model assessment- insulin resistance, T2DM type 2 diabetes mellitus
  2. aThe relative effect is computed by calculating the weighted mean of the baseline and hypoglycemic effects
  3. bThe test for heterogeneity is significant, and the I2 is moderate, 59%
  4. cThe test for heterogeneity is significant, and the I2 is moderate, 51%
  5. dThe test for heterogeneity is significant, and the I2 represent substantial heterogeneity, 69%
  6. eThe Egger’s test for publication bias is significant (P = 0.0035)
  7. fThe test for heterogeneity is significant, and the I2 represent substantial heterogeneity, 64%
  8. gThe test for heterogeneity is significant, and the I2 represent substantial heterogeneity, 78%
  9. hThe test for heterogeneity is significant, and the I2 represent substantial heterogeneity, 81%