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. 2021 Mar 2;20(1):883–892. doi: 10.1007/s40200-021-00760-z

Table 1.

The main characteristics of included studies.

First author (publication year) Country Number and gender (M/F) Mean age BMI Duration of disease (years)/treatment Clinical Trial design/randomized/Blinding Duration of study (Days) Comparison group Amount Of Spirulina intake Notes about participants Outcomes of interest
Serban et al. (1982) [29] Romania

Intervention: 15

Control: 15

(NR)

Range years: 30-70

Intervention: 61.7 ±6.85

Control: 61.6±8.90

Intervention: 36.6±6.05

Control: 36.2±6.93

> 2 / Metformin Parallel/Yes/Yes 60 day

Metformin

+

Placebo

Metformin

+

Spirulina tablet 0.8 g/day

Type 2 Diabetes FBS, HbA1C, TC, TG, HDL-C, LDL-C
Mani et al. (2000) [27] India

Intervention: 15

Control: 7

(Both gender)

Intervention: 47.80±9.10

Control: 53.40±6.13

Intervention: 29.24±0.30

Control: 25.75±0.13

-/- Parallel/NR/NR 60 day -

Spirulina tablet

2 g/day

Non-insulin dependent diabetes mellitus FBS, TC, TG, HDL-C, LDL-C, VLDL
Parikh et al. (2001) [28] India

Intervention: 15

Control: 10

(Both gender)

Intervention: 53.8 ± 7.2

Control: 54.6 ± 5.4

Intervention: 25.22±5.4

Control: 25.1±2.7

12.7/oral hypoglycemic agent Parallel/Yes/NR 60 day -

Spirulina tablet

2 g/day

Type 2 Diabetes FBS, HbA1C, BSPP, TC, TG, HDL-C, LDL-C, VLDL
Lee et al. (2008) [26] Korea

Intervention: 19

Control: 18

(Both gender)

Range: years

Intervention: 52.1 ± 10.02

Control: 54.5 ± 6.36

Intervention: 23.8±2.17

Control: 23.4±2.12

2.45/without drug use Parallel/Yes/NR 84 day -

Spirulina tablet

8.0 g/day

Type 2 Diabetes FBS, HbA1C, TC, TG, HDL-C, LDL-C
Kaur et al. (2008) [25] India

Intervention:

(1) 20

(2) 20

Control: 20

(Male)

Range: 40-60 years

Intervention:

(1) 46.3±7.60

(2) 45.95±7.15

Control: 47.6±6.70

NR 7.52/ oral hypoglycemic agent Parallel/NR/NR 60 day -

Spirulina tablet

(1) 1 g/day

(2) 2 g/day

Non-insulin dependent diabetes mellitus FBS, HbA1C, BSPP, TC, TG, HDL-C, LDL-C, VLDL
Anitha et al. (2010) [23] India

Intervention: 40

Control: 40

(Male)

Range: 45 – 60 years

Intervention: NR

Control:

NR

NR -/- Parallel/NR/NR 84 day -

Spirulina tablet

1g/day

Non-insulin dependent diabetes mellitus FBS, HbA1C, TC, TG, HDL-C, LDL-C, VLDL
Alam et al. (2016) [22] India

Intervention: 30

Control: 10

(Both gender)

Range: 41-60 years

Intervention: 45.07 ± 7.67 Control: 44.00 ± 9.39

NR -/- Parallel/Yes/NR 45 days Metformin 500 mg/day

Spirulina powder

7g/day

Type 2 Diabetes FBS, HbA1C, BSPP
Beihaghi et al. (2017) [24] Iran

Intervention: 20

Control: 20

(Both gender)

Range years: 30-60

Intervention: NR

Control: NR

NR 5-10 /- Parallel/Yes/NR 90 day -

Spirulina tablet

8 g/day

Type 2 Diabetes FBS, HbA1C

Lipoprotein; HDL-C: High-Density Lipoprotein; NR: Not Reported.

Abbreviations: FBS: Fasting Blood Sugar; HbA1C: glycated hemoglobin; BSPP: Blood Sugar post prandial; TG: Triglyceride; TC: Total-Cholesterol; LDL-C: Low-Density