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. 2013 Sep 3;2013(9):CD009128. doi: 10.1002/14651858.CD009128.pub3

Summary of findings for the main comparison. Ipomoea batatas (Caiapo) tablets compared to placebo for type 2 diabetes mellitus.

Ipomoea batatas (Caiapo) tablets compared to placebo for type 2 diabetes mellitus
Patient or population: people with type 2 diabetes mellitus
 Settings: out‐patients
 Intervention:Ipomoea batatas (Caiapo) tablets
 Comparison: placebo
Outcomes Illustrative comparative risks* (95% CI) Relative effect
 (95% CI) No of Participants
 (studies) Quality of the evidence
 (GRADE) Comments
Assumed risk Corresponding risk
Placebo Ipomoea batatas (Caiapo) tablets
Morbidity See comment See comment Not estimable See comment See comment Not investigated
Adverse effects 
 Follow‐up: 1.5 to 5 months See comment See comment Not estimable 140
 (3) ⊕⊝⊝⊝
 very lowa 2 out of 3 studies reported adverse eventsb
Health‐related quality of life See comment See comment Not estimable See comment See comment Not investigated
Well‐being See comment See comment Not estimable See comment See comment Not investigated
Functional outcomes See comment See comment Not estimable See comment See comment Not investigated
Costs See comment See comment Not estimable See comment See comment Not investigated
HbA1c [%] (final values) 
 Follow‐up: 3 or 5 months Final values for HbA1c across control groups ranged from 6.5 to 7.1 Final values for Hba1c in the intervention groups were 0.3 lower (0.6 to 0.04 lower) 122
 (2) ⊕⊝⊝⊝
 very lowc
*The basis for the assumed risk (e.g. the median control group risk across studies) is provided in footnotes. The corresponding risk (and its 95% confidence interval) is based on the assumed risk in the comparison group and the relative effect of the intervention (and its 95% CI).
 CI: confidence interval;
GRADE Working Group grades of evidence
 High quality: further research is very unlikely to change our confidence in the estimate of effect
 Moderate quality: further research is likely to have an important impact on our confidence in the estimate of effect and may change the estimate
 Low quality: further research is very likely to have an important impact on our confidence in the estimate of effect and is likely to change the estimate
 Very low quality: we are very uncertain about the estimate

aDowngraded by three due to high risk of bias (insufficient information on the process of randomisation, blinding, selective outcome and incomplete data reporting), small number of trials and participants and no replication of trials by other authors (same investigating team throughout)
 bMild gastrointestinal symptoms such as nausea, diarrhoea, constipation, gastric pain and abdominal distension

cDowngraded by three due to imprecision, high risk of attrition bias and indirectness