Glycemic Control

Evidence Snapshot

88
Evidence relationships
103
Studies reviewed
35
Interventions evaluated
Strongest evidence area
Metformin

Top Evidence Areas

Rank #1

Fasting Plasma Glucose

Aerobic exercise
Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #2

HbA1c

Aerobic exercise
Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #3

Fasting Plasma Glucose

Allium hookeri extract
Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Rank #4

HbA1c

Allium hookeri extract
Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #5

HbA1c

Basal insulin
Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #6

Blood glucose

Boscisucrophage
Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #7

HbA1c

Boscisucrophage
Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #8

Urine glucose excretion

Boscisucrophage
Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #9

Fasting Plasma Glucose

Continuous glucose monitoring
Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Rank #10

Glucose variability

Continuous glucose monitoring
Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1

Practical Questions

Which interventions are most often studied for Glycemic Control?

outcome

Based on 19 evidence relationships across 27 studies

Outcomes:
Fasting Plasma GlucoseGlucose variabilityHbA1cTime above rangeTime below range+6 more
Interventions:
Continuous glucose monitoringHybrid closed Loop systemNeedle Free injection

Where are results mixed or inconsistent for Glycemic Control?

evidence

Based on 5 evidence relationships across 9 studies

Outcomes:
Time above rangeTime below rangeTime in rangeBlood glucoseHbA1c
Interventions:
Continuous glucose monitoringModerate continuous exercise (CON)Remote Educational Program

Which interventions need more research for Glycemic Control?

evidence

Based on 3 evidence relationships across 6 studies

Outcomes:
Time above rangeTime below rangeTime in range
Interventions:
Continuous glucose monitoring

How does Metformin compare with Metformin for Glycemic Control?

compare
Very Low Evidence

Within Glycemic Control, insufficient data to compare. Interpret cautiously when study counts are low.

Metformin

Evidence:53.0
Effectiveness:80.0
Studies:4
Pairs:2
moderate
No clear winner based on current evidence
Limitations
Insufficient compared items for meaningful comparison

Insufficient compared items to assess confidence.

Evidence Landscape

Evidence landscape

Each bubble represents an evidence relationship. Position shows effectiveness and strength; size reflects study volume.

Limited evidence
Promising
Reliable
High impact
Lower Evidence StrengthHigher Evidence Strength
Lower EffectivenessHigher Effectiveness

Explore by Intervention

InterventionPairsResearchAvg Strength
Continuous glucose monitoring6242
Hybrid closed Loop system6241
Insulin degludec2241
Metformin2253
Metformin + glimepiride4247
Remote Educational Program2238
Semaglutide5246
Aerobic exercise2144
Allium hookeri extract2138
Basal insulin1147
Boscisucrophage3141
Dapagliflozin1153
Digital storytelling intervention for diabetes self Management1146
Empagliflozin5139
Glibenclamide2147
Gliclazide SR31-
Glimepiride2145
Glimepiride + voglibose + metformin3146
GLP 1 receptor agonists1147
High Intensity interval training (HIIT)1144
Insulin Glargine Lixisenatide dosis6139
Liraglutide1153
Low Carbohydrate diet2145
Moderate continuous exercise (CON)1133
Needle Free injection7142
Pioglitazone1153
Probiotics2144
Rama App2135
Resistance training2144
SMS text messaging behavioral intervention1148
Telemonitoring1146
Teplizumab2139
Tirzepatide1153
Voglibose + metformin3146
Xiaoke2147

Latest Research

Digital storytelling may improve blood sugar in Hispanic adults with type 2 diabetes

Published: May 16, 2026
int-digital-storytelling-diabetes
out-hba1c

AI virtual trials match real trial results for GLP-1 vs insulin in type 2 diabetes

Published: May 16, 2026
int-basal-insulinint-glp-1-receptor-agonists
out-hba1c

Mobile health tools may improve blood sugar control in African diabetes patients

Published: May 16, 2026
int-sms-text-messaging-behavioral-intervention
out-hba1c

High-intensity interval exercise causes less blood sugar drop than moderate exercise in type 1 diabetes

Published: May 16, 2026
int-high-intensity-interval-training-hiitint-insulin-degludec
out-blood-glucose

Dapagliflozin plus gliclazide combination improves blood sugar control in type 2 diabetes

Published: May 16, 2026
int-gliclazide-sr
out-fasting-plasma-glucoseout-hba1c

Newer diabetes drugs show stronger weight and blood sugar benefits in prediabetes

Published: May 16, 2026
int-dapagliflozinint-liraglutide
out-fasting-plasma-glucoseout-hba1c

Allium hookeri extract reduces HbA1c levels in prediabetic adults

Published: May 16, 2026
int-allium-hookeri-extract
out-fasting-plasma-glucoseout-hba1c

Hybrid closed-loop insulin system safely controls blood sugar in a 29-day-old infant with neonatal diabetes

Published: May 16, 2026
int-hybrid-closed-loop-system
out-blood-glucoseout-glucose-variability

Hybrid closed-loop artificial pancreas system improves blood sugar control better than insulin injections in hospitalized type 1 diabetes

Published: May 15, 2026
int-hybrid-closed-loop-system
out-blood-glucoseout-glucose-variability

Hybrid diabetes education with CGM modestly improved HbA1c and well-being in adults

Published: May 15, 2026
int-continuous-glucose-monitoringint-remote-educational-program
out-glucose-variabilityout-hba1c

Full Evidence Table

Showing 88 of 88 evidence pairs
Intervention → Outcome

Aerobic exerciseFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Aerobic exerciseHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Allium hookeri extractFasting Plasma Glucose

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Allium hookeri extractHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Basal insulinHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

BoscisucrophageBlood glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

BoscisucrophageHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

BoscisucrophageUrine glucose excretion

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Continuous glucose monitoringFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Continuous glucose monitoringGlucose variability

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Continuous glucose monitoringHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Continuous glucose monitoringTime above range

Effectiveness
Weak Positive
Strength
Limited
Consistency
Mixed
Studies
2
Intervention → Outcome

Continuous glucose monitoringTime below range

Effectiveness
Weak Positive
Strength
Limited
Consistency
Mixed
Studies
2
Intervention → Outcome

Continuous glucose monitoringTime in range

Effectiveness
Weak Positive
Strength
Limited
Consistency
Mixed
Studies
2
Intervention → Outcome

DapagliflozinHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Digital storytelling intervention for diabetes self ManagementHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinBlood glucose

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinDaily insulin dose

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinGlucose variability

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinHbA1c

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

EmpagliflozinTime in range

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

GlibenclamideFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GlibenclamideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Gliclazide SRFasting Plasma Glucose

Consistency
Consistent
Studies
1
Intervention → Outcome

Gliclazide SRHbA1c

Consistency
Consistent
Studies
1
Intervention → Outcome

Gliclazide SRPostprandial glucose

Consistency
Consistent
Studies
1
Intervention → Outcome

GlimepirideFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GlimepirideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Glimepiride + voglibose + metforminFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Glimepiride + voglibose + metforminHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Glimepiride + voglibose + metforminPostprandial glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

GLP 1 receptor agonistsHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

High Intensity interval training (HIIT)Blood glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Hybrid closed Loop systemBlood glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Hybrid closed Loop systemGlucose variability

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Hybrid closed Loop systemHbA1c

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Hybrid closed Loop systemTime above range

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Hybrid closed Loop systemTime below range

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Hybrid closed Loop systemTime in range

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Insulin degludecBlood glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Insulin degludecHbA1c

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisDaily insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisFasting Plasma Glucose

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisGlycemia risk index

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisHbA1c

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisPostprandial glucose

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Insulin Glargine Lixisenatide dosisTime in level 2 hyperglycemia

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

LiraglutideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Low Carbohydrate dietFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Low Carbohydrate dietHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

MetforminFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

MetforminHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Metformin + glimepirideDaily insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Metformin + glimepirideFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Metformin + glimepirideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

Metformin + glimepiridePostprandial glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Moderate continuous exercise (CON)Blood glucose

Effectiveness
Neutral
Strength
Weak
Consistency
Mixed
Studies
1
Intervention → Outcome

Needle Free injectionDaily insulin dose

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Needle Free injectionFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Needle Free injectionGlucose variability

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Needle Free injectionPostprandial glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Needle Free injectionSerum 1,5 Anhydroglucitol

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Needle Free injectionTime in range

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Needle Free injectionTime to target glucose control

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

PioglitazoneFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

ProbioticsFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

ProbioticsHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Rama AppFasting Plasma Glucose

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Rama AppHbA1c

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Remote Educational ProgramHbA1c

Effectiveness
Weak Positive
Strength
Limited
Consistency
Mixed
Studies
2
Intervention → Outcome

Remote Educational ProgramTime in range

Effectiveness
Neutral
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

Resistance trainingFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Resistance trainingHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideBasal insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideBolus insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideDaily insulin dose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SemaglutideHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Consistent
Studies
2
Intervention → Outcome

SemaglutideTime in range

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

SMS text messaging behavioral interventionHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

TelemonitoringHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

TeplizumabDaily insulin dose

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

TeplizumabHbA1c

Effectiveness
Moderate Positive
Strength
Weak
Consistency
Unclear
Studies
1
Intervention → Outcome

TirzepatideFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Voglibose + metforminFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Voglibose + metforminHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

Voglibose + metforminPostprandial glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

XiaokeFasting Plasma Glucose

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1
Intervention → Outcome

XiaokeHbA1c

Effectiveness
Moderate Positive
Strength
Limited
Consistency
Unclear
Studies
1