Metformin × glycemic control

TrialNature communications2025

Effect of metformin on insulin resistance in adults with type 1 diabetes: a 26-week randomized double-blind clinical trial.

Jennifer R Snaith et al.PubMed ↗Full text ↗Publisher ↗

  • Metformin 1500 mgno clear effectNo clear effect on endogenous glucose production during the low-dose phase of the clamp.Nothing cleared the noise.

What the trial testedas reported · 40 people · 2025

Range includes no effect

No clear effect on endogenous glucose production during the low-dose phase of the clamp

+0.20−0.40 to +0.80

metformin 1500 mg vs placebo

As reported

difference 0.2, 95% CI −0.40 to 0.80 · the paper's word: change in endogenous glucose production (EGP) during the low-dose phase of the clamp

Who was studied, and how

40people with type 1 diabetes, in this paper

The trial randomly assignedassigned by chance

metformin 1500 mg
placebo

No clear effect on endogenous glucose production during the low-dose phase of the clamp+0.20

randomised

the abstract, start to end

and placebo groups (mean difference 0.2 µmol/kg fat-free mass [FFM]/min

← favours treatmentfavours comparator →
could be chance
Change in endogenous glucose production (EGP) during the low-dose phase of the clampmetformin 1500 mg vs placebo
0.2−0.40 to 0.80
MetforminGlycemic control

Metformin × glycemic controlhelps?replicated

unlikelylikely
0.840.84 without it
← favours treatmentfavours comparator →
this papermore certainless certain
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3 papers cite it

2025
2026
this papercites it
Full record →Abstract, authors, funding and every citing paper · PMID 41285865