Evidence mapPaperPMID 33658478Full record

SynthesisNutrition & diabetes2021

Effects of alpha-glucosidase-inhibiting drugs on acute postprandial glucose and insulin responses: a systematic review and meta-analysis.

Marjan Alssema, Carolien Ruijgrok, Ellen E Blaak, Léonie Egli, Pierre Dussort, Sophie Vinoy, Jacqueline M Dekker, M Denise Robertson

Open access · goldAbstract readMeta-AnalysisSystematic Review
In one paragraph

Synthesis in Nutrition & diabetes, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
4.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 47 citations in OpenAlex.

  1. Impact of breakfast consumption timingThe British journal of nutrition · 2025
    Trial
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  3. Bioactivity-Guided Identification of Metabolites fromMolecules (Basel, Switzerland) · 2026
    Article
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  9. Review
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  15. Review
  16. Manipulation of Post-Prandial Hyperglycaemia in Type 2 Diabetes: An Update for Practitioners.Diabetes, metabolic syndrome and obesity : targets and therapy · 2024
    Review
  17. Supplementary Effects ofPharmaceuticals (Basel, Switzerland) · 2023
    Article
  18. Repurposing Drugs for Treatment of Age-Related Macular Degeneration.Advances in experimental medicine and biology · 2023
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 6 institutions in 4 countries.

Marjan AlssemaFormer employee of Unilever Research and Development, Vlaardingen, The Netherlands.
Carolien RuijgrokDepartment of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
Ellen E BlaakDepartment of Human Biology, NUTRIM, School of Nutrition and Translational Research in Metabolism, Maastricht University, Maastricht, The Netherlands.ORCID 0000-0002-2496-3464
Léonie EgliFormer employee of Nestle Research Center, Lausanne, Switzerland.
Pierre DussortILSI Europe, Brussels, Belgium. publications@ilsieurope.be.
Sophie VinoyMondēlez International R&D, Nutrition Department, Saclay, France.
Jacqueline M DekkerDepartment of Epidemiology and Biostatistics, VU University Medical Center, Amsterdam Public Health Research Institute, Amsterdam, The Netherlands.
M Denise RobertsonDepartment of Nutritional Sciences, University of Surrey, Guildford, UK.
Amsterdam UMC Location Vrije Universiteit Amsterdam · NLInternational Life Sciences Institute Europe · BEMaastricht University · NLNestlé (Switzerland) · CHUnilever (Netherlands) · NLUniversity of Surrey · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectivesDespite considerable literature supporting the potential health benefits of reducing postprandial glucose (PPG), and insulin (PPI) exposures, the size of a clinically relevant reduction is currently unknown. We performed a systematic review and meta-analysis to quantify effects of alpha-glucosidase-inhibiting (AGI) drugs on acute PPG and PPI responses.

methodsWe searched EMBASE and MEDLINE until March 13, 2018 for controlled studies using AGI drugs together with a standardized carbohydrate load or mixed meal. The mean incremental PPG and PPI levels were calculated as outcomes. Meta-analyses, stratified by diabetes state, were performed by using random effects models.

resultsThe 66 included publications comprised 127 drug-control comparisons for PPG, and 106 for PPI, mostly testing acarbose or miglitol. The absolute effects on PPG were larger among individuals with diabetes (-1.5 mmol/l mean PPG [95% CI -1.9, -1.1] by acarbose, and -1.6 [-1.9, -1.4] by miglitol) as compared to individuals without diabetes (-0.4 [95% CI -0.5, -0.3] by acarbose, and -0.6 [-0.8, -0.4] by miglitol). Relative reductions in PPG by both drugs were similar for diabetic and non-diabetic individuals (43-54%). Acarbose and miglitol also significantly reduced mean PPI, with absolute and relative reductions being largest among individuals without diabetes.

conclusionsThe present meta-analyses provide quantitative estimates of reductions of PPG and PPI responses by AGI drugs in diabetes and non-diabetic individuals. These data can serve as benchmarks for clinically relevant reductions in PPG and PPI via drug or diet and lifestyle interventions.

Indexed as

Postprandial Period1-DeoxynojirimycinAcarboseDiabetes MellitusGlucoseGlycoside Hydrolase InhibitorsHumansInositolInsulin1-DeoxynojirimycinAcarboseGlucoseGlycoside Hydrolase InhibitorsInositolInsulinmiglitolvoglibose

Identifiers

PMID33658478
PMCPMC7930031
OpenAlexW3100796899

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.