01Markers · Blood sugar
Fasting glucose
Fasting blood glucose
The amount of glucose, the main sugar the body runs on, in the blood after at least eight hours without food.
- Measured in
- Blood (plasma or serum)
- Units
- mg/dL, mmol/L
- Also called
- fasting plasma glucose, FPG, fasting blood sugar
- Berberine
- Zinc
- HIIT
- Vitamin D3
- Zone 2 cardio
- L-carnitine
- Taurine
- Magnesium
- Ashwagandha
- Melatonin
- Omega-3
- Red yeast rice
- Vitamin C
- Creatine
- Iron
- NAC
- NAD+
- Vitamin K2
- Milk thistle
- Finnish sauna
- Collagen
- Vitamin E
- L-theanine
- Resveratrol
- Ubiquinol (CoQ10)
- Lion's mane
- PQQ
AWhat moves Fasting glucose
25 of 27 studied
Moves it21
Human studies found a change. The grade reflects the studies behind it, from A (strongest) to D.
BerberineLowersGrade A
Berberine lowers fasting glucose.
8 studies linked
- Berberine in the treatment of type 2 diabetes mellitus: a systemic review and meta-analysis. (2012)
- Glucose-lowering effect of berberine on type 2 diabetes: A systematic review and meta-analysis. (2022)
- Effects of berberine on blood glucose in patients with type 2 diabetes mellitus: a systematic literature review and a meta-analysis. (2019)
- The Effect of Berberine on Metabolic Profiles in Type 2 Diabetic Patients: A Systematic Review and Meta-Analysis of Randomized Controlled Trials. (2021)
- Berberine disrupts staphylococcal proton motive force to cause potent anti-staphylococcal effects in vitro (2023)
- Berberine Improves Cognitive Impairment by Simultaneously Impacting Cerebral Blood Flow and β-Amyloid Accumulation in an APP/tau/PS1 Mouse Model of Alzheimer’s Disease (2021)
- +2 more studies
ZincLowersGrade A
Zinc lowers fasting glucose.
Meta-analysis or review · 7 studies linked
Effect population-dependent: robust in T2D with poor baseline glycemic control, attenuated in prediabetes, absent or minimal in normoglycemic adults. Publication bias toward positive trials cannot be excluded. Geographic concentration in Middle East and Asia.
- Zinc and glycemic control: a meta-analysis of randomised placebo controlled supplementation trials in humans. (2013)
- Effects of Dose and Duration of Zinc Interventions on Risk Factors for Type 2 Diabetes and Cardiovascular Disease: A Systematic Review and Meta-Analysis. (2021)
- Effect of zinc supplementation in the management of type 2 diabetes: A grading of recommendations assessment, development, and evaluation-assessed, dose-response meta-analysis of randomized controlled (2024)
- Zinc Supplementation in Individuals with Prediabetes and type 2 Diabetes: a GRADE-Assessed Systematic Review and Dose-Response Meta-Analysis (2024)
- Triangulating evidence for the causal impact of single-intervention zinc supplement on glycaemic control for type 2 diabetes: a systematic review and meta-analysis, and Mendelian randomisation study (2023)
- Effects of zinc supplementation on diabetes mellitus: a systematic review and meta-analysis. (2012)
- +1 more studies
HIITLowersGrade A
HIIT lowers fasting glucose.
Meta-analysis or review · 6 studies linked
- The effects of high-intensity interval training on glucose regulation and insulin resistance: a meta-analysis. (2015)
- The effects of high-intensity interval training on glucose metabolism, cardiorespiratory fitness and weight control in subjects with diabetes: Systematic review a meta-analysis. (2022)
- Effectiveness of high-intensity interval training on glycemic control and cardiorespiratory fitness in patients with type 2 diabetes: a systematic review and meta-analysis. (2019)
- The effect of chronic high-intensity interval training programs on glycaemic control, aerobic resistance, and body composition in type 2 diabetic patients: a meta-analysis. (2023)
- Effects of high-intensity interval training and its different protocols on lipid profile and glycaemic control in type 2 diabetes: A meta-analysis. (2024)
- Characteristics of High-Intensity Interval Training Influence Anthropometrics, Glycemic Control, and Cardiorespiratory Fitness in Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Ran (2024)
Vitamin D3LowersGrade A
Vitamin D3 lowers fasting glucose.
Meta-analysis or review · Moderate effect · 5 studies linked
Grade corrected from B to A. Three independent grade A MAs: Pittas 2023 IPD-MA (n=4190, p=0.009), Mirhosseini 2018 (n=3848, p=0.02), Swart 2018 (n=2994, p=0.03). Effect concentrated in deficient and prediabetic populations.
- Pittas AG, et al. (D2d Research Group) (2023)
- Mirhosseini N, Vatanparast H, Mazidi M, Kimball SM (2018)
- Swart KM, et al. (2018)
- High serum 25-hydroxyvitamin D concentrations are associated with a favorable serum lipid profile (2010)
- Weizmannia coagulans JA845 improves atherosclerosis induced by vitamin D3 and high-fat diet in rats through modulating lipid metabolism, oxidative stress, and endothelial vascular injury. (2023)
Zone 2 cardioLowersGrade A
Zone 2 cardio lowers fasting glucose.
Meta-analysis or review · 4 studies linked
- HIIT is most effective than mict on glycemic control of older people with glucose metabolism impairments: A systematic review and metanalysis (2023)
- The effects of high-intensity interval training on glucose metabolism, cardiorespiratory fitness and weight control in subjects with diabetes: Systematic review a meta-analysis. (2022)
- Comparative Effectiveness of High-Intensity Interval Training and Moderate-Intensity Continuous Training for Cardiometabolic Risk Factors and Cardiorespiratory Fitness in Childhood Obesity: A Meta-Ana (2020)
- Comparison of the effects of high-intensity interval and moderate-intensity continuous training on inflammatory markers, cardiorespiratory fitness, and quality of life in breast cancer patients. (2023)
L-carnitineLowersGrade A
L-carnitine lowers fasting glucose.
Meta-analysis or review · Small effect · 2 studies linked
Modest absolute reduction from mildly elevated baseline; before-after
- Salehpour S, Nazari L, Hoseini S, Hosseini MS, Azizi E, Ghasemnejad-Berenji H (2019)
- Clinical evidence of the effects of carnitine supplementation on body weight, glycemic control and serum lipids in women with polycystic ovary syndrome: a systematic review and meta-analysis. (2022)
TaurineLowersGrade A
Taurine lowers fasting glucose.
Meta-analysis or review · 0 studies linked
This result is graded, but no study is linked to it yet. Treat it as unconfirmed.
18 corpus studies. ≥3 MAs confirm direction. Grade A assigned based on MA existence; exact pooled WMD requires MA outcome extraction (see oq_meta_analysis_outcome_extraction). Geographic caveat: T2DM RCTs overrepresented from Iran/Turkey.
MagnesiumLowersGrade B
Magnesium lowers fasting glucose.
Meta-analysis or review · Moderate effect · 7 studies linked
Inverse Mg-glucose association confirmed in both OA population (Wang 2018, OR 0.22 Q5 vs Q1 for DM prevalence) and diabetic/non-diabetic UK population (Yajnik 1984, rs=-0.33). Mechanism: Mg modulates insulin receptor tyrosine kinase activity and GLUT4 translocation — mediated through insulin sensitivity, not secreti...
- Zhang X, Li Y, Del Gobbo LC, Rosanoff A, Wang J, Zhang W, Song Y (2016)
- Verma H, Garg R (2017)
- Simental-Mendía LE, Rodríguez-Morán M, Guerrero-Romero F (2014)
- Basit A, Fawwad A, et al. (2026)
- Wang et al. (2018)
- Yajnik et al. (1984)
- +1 more studies
AshwagandhaLowersGrade B
Ashwagandha lowers fasting glucose.
Meta-analysis or review · 2 studies linked
MelatoninLowersGrade B
Melatonin lowers fasting glucose.
Small effect · 2 studies linked
Pooled MA shows modest fasting glucose reduction; contested — see contested_note; do not present as established benefit without genotype qualification
- Chen (2022) · not matched to a paper yet
- Lauritzen ES et al. (2022)
Omega-3LowersGrade B
Omega-3 lowers fasting glucose.
Small effect · 2 studies linked
Rundblad 2018: krill oil 4g/d × 8 weeks reduced fasting glucose vs control (5.6→5.3 vs 5.2→5.5 mmol/L; p=0.024 krill vs control). Fish arm not significantly different from control. Single RCT, small n, COI present. Effect may reflect phospholipid EPA/DHA insulin-sensitizing mechanism or be a Type I error in secondar...
Red yeast riceLowersGrade B
Red yeast rice lowers fasting glucose.
Human trials · 2 studies linked
Vitamin CLowersGrade B
Vitamin C lowers fasting glucose.
2 studies linked
- Effects of Vitamin C Supplementation on Glycemic Control and Cardiovascular Risk Factors in People With Type 2 Diabetes: A GRADE-Assessed Systematic Review and Meta-analysis of Randomized Controlled T (2021)
- The effects of vitamin C supplementation on glycemic control in patients with type 2 diabetes: A systematic review and meta-analysis. (2023)
CreatineLowersGrade B
Creatine lowers fasting glucose.
Meta-analysis or review · Small effect · 1 study linked
Delpino 2022 MA: creatine supplementation reduces fasting glucose particularly in populations with elevated baseline (metabolic syndrome, T2DM). Effect in normoglycemic individuals is attenuated or absent. Mechanism likely via GLUT4 translocation augmentation (mech_cr_007). Studies enriched for Latin American and So...
IronRaisesGrade B
Iron raises fasting glucose.
1 study linked
Do NOT extrapolate to iron supplementation at standard doses. This biomarker effect applies exclusively to iron overload populations.
NACLowersGrade B
NAC lowers fasting glucose.
Human trials · Small effect · 1 study linked
NAD+RaisesGrade B
NAD+ raises fasting glucose.
Human trials · 1 study linked
Adverse metabolic signal. Remained within normal range. May reflect niacin-like gluconeogenesis effect or weight gain confound (+2.6 kg). Contested by animal models showing glucose improvement.
Vitamin K2LowersGrade B
Vitamin K2 lowers fasting glucose.
Small effect · 1 study linked
All RCTs in MA involved T2DM patients; effect magnitude modest; extrapolation to normoglycemic individuals is speculative
Milk thistleLowersGrade B
Milk thistle lowers fasting glucose.
Small to moderate effect · 0 studies linked
This result is graded, but no study is linked to it yet. Treat it as unconfirmed.
Kazazis 2014 review: 10–15% FPG reduction in T2DM RCTs with silymarin 140–200 mg TID. Multiple MAs confirm. Effect primarily in T2DM+NAFLD overlap populations — generalizability to isolated T2DM uncertain.
Finnish saunaLowersGrade C
Finnish sauna lowers fasting glucose.
Meta-analysis or review · 2 studies linked
CollagenLowersGrade C
Collagen lowers fasting glucose.
Meta-analysis or review · 1 study linked
Studied, no change2
Studies looked and found no meaningful change. That is a result, not missing data.
Vitamin ENo changeGrade B
Studies of Vitamin E found no change in fasting glucose.
2 studies linked
GRADE CORRECTION: Source study VE-MA-003 is a meta-analysis of 14 RCTs (n=714). Per pipeline rules ≥2 RCTs = grade A. Null finding from well-powered MA is grade A evidence of no effect, not B.
L-theanineNo changeGrade C
Studies of L-theanine found no change in fasting glucose.
Human trials · 1 study linked
Currently graded C with evidence_type 'single_rct_confounded_mixture' while source study ide_2016_greentea outcome is graded B. This is an intentional downgrade for compound-attribution confounding. Defensible but creates a grade inconsistency between clinical_evidence and biomarker_effects. Recommend adding explici...
Mixed results2
Studies disagree, or the direction depends on who was studied.
ResveratrolMixed resultsGrade B
Studies of Resveratrol and fasting glucose disagree.
Meta-analysis or review · Small to moderate effect · 2 studies linked
NULL finding. Mechanistically expected floor effect in normoglycemia. Confirms fasting glucose lowering is specific to dysglycemic/T2DM populations. Does not undermine existing grade A MA evidence in T2DM.
Ubiquinol (CoQ10)Mixed resultsGrade B
Studies of Ubiquinol (CoQ10) and fasting glucose disagree.
Human trials · 2 studies linked
Not studied2
No usable human study has measured Fasting glucose with these. A gap is not a negative result: nobody has looked.