Fiber fix? prebiotic shows promise for prediabetes in small study
NCT ID NCT02346838
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested whether taking a prebiotic fiber called inulin every day for 6 weeks could improve how the body handles sugar and fat in prediabetic adults. Twenty-two participants ate a controlled diet and either got inulin or a placebo. Researchers measured insulin sensitivity, metabolic flexibility, and heart health markers before and after the treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Inulin (a type of dietary fiber/prebiotic)
- What this could lead to
- If it works, this could point toward a simple dietary supplement to help manage prediabetes and reduce risk of type 2 diabetes.
- What could go wrong
- This is a very small, early-stage study with only 22 participants. Results may not apply to everyone, and the effect may be modest or not clinically significant.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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22 people
The number who actually took part.
- Start date
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Jan 2014
- Finished
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Jul 2018
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
40 to 70 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
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Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Men and women; postmenopausal women not taking hormone replacement therapy. * Fasting glucose between 5.6 - 6.9 mmol/L and/or a 2h plasma glucose between 7.8-11.1 mmol/L following a 75 g oral glucose tolerance test. * Weight stable for previous 6 months (+/- 2.0 kg). * Sedentary to recreationally active * Willing to be randomized to treatment or placebo. * Verbal and written informed consent. * No plans to gain/lose weight or change physical activity level. * Willing to pick up food daily, and consume foods provided for the 6-week controlled feeding period. Exclusion Criteria: * BMI less than 25 kg/m2 or greater than 40 kg/m2 or body mass greater than 300 pounds due to limit of DEXA. * Diabetes or diabetes medications * Prebiotic or probiotic supplement or product consumption in prior 3 months. * Total cholesterol \> 6.2 mmol/L; triglycerides \> 4.5 mmol/L. * Blood pressure \> 140/90 mmHg or antihypertensive medications. * Diagnosed inflammatory disease (e.g. lupus, irritable bowel, periodontal disease, etc) * Fructo, galacto-, xylo-oligosaccharide intake \> 3 g/day. * Past or current ischemic heart disease, stroke, respiratory disease, endocrine or metabolic disease, neurological disease, or hematological-oncological disease. * Smoking, alcohol consumption \> 2 servings /d for males and 1 serving/d for females, or taking medications (including but not limited to statins or other drugs with anti-inflammatory actions) or antioxidant vitamins or supplements. * Known allergy, hypersensitivity, or intolerance to inulin.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Virginia Polytechnic and State University
Blacksburg, Virginia, 24061, United States
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