Does ALA impact glycemic control or the risk of type 2 diabetes?

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    Last Updated: October 13, 2024

    In animal and in vitro studies, ALA has demonstrated anti-diabetic effects in a number of ways, including modulating insulin signaling, modulating glucose metabolism, and improving insulin resistance by reducing triglycerides in the liver and lowering systemic inflammation.[1][2] However, human clinical trials have not shown much promise, and ALA does not seem to have an impact on the risk of type 2 diabetes or glycemic control in general.

    A 2022 meta-analysis of RCTs found that higher intakes of ALA had no effect on the incidence of diagnoses of type 2 diabetes (for those healthy at baseline), or on markers of insulin resistance (HOMA-IR) or glycemic control (fasting glucose, HbA1c, fasting insulin).[3] Similarly, when just looking at people with type 2 diabetes, a 2017 meta-analysis of RCTs found that ALA had a neutral effect on glycemic control.[4]