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Table 3.

Summary of the effect of supplementation with alpha-lipoic acid (each 500 mg/day) on levels of cardiometabolic risk factors in patients with type 2 diabetes.

Outcome Participants (studies) Mean difference (95% CI) MCID value Clinically important? (≥MCID) GRADE certainty
Primary outcomes
 HbA1c(%) 782 (11) −0.17 (−0.30, −0.05) 0.5% No Moderate
 BMI (kg/m2) 563 (7) −1.07 (−1.90, −0.25) 1.5 kg/m2 No Low
 Body weight (kg) 349 (5) −0.68 (−0.71, −0.64) 4.4 kg No Moderate
 LDL cholesterol (mg/dL) 524 (9) −5.05 (−12.93, 2.82) 3.87 mg/dL No Very low
 SBP (mmHg) 388 (5) −1.71 (−5.48, 2.07) 2 mmHg No Very low
Secondary outcomes
 C-reactive protein (mg/dL) 254 (3) −0.03 (−0.04, −0.01) 0.5 mg/dL No Low
 DBP (mmHg) 388 (5) 1.03 (0.05, 2.02) 2 mmHg No Low
 FPG (mg/dL) 620 (9) −6.08 (−9.74, −2.42) 29 mg/dL No Low
 Triglyceride (mg/dL) 669 (10) −19.18 (−38.19, −0.17) 8 mg/dL No Moderate
 Total cholesterol (mg/dL) 659 (10) −3.57 (−24.36, 17.23) 10 mg/dL No Very low
 HDL cholesterol (mg/dL) 609 (9) 0.71 (−0.41, 1.83) 3.87 mg/dL No Very low

DBP, diastolic blood pressure; FPG, fasting plasma glucose; MCID, minimal clinically important difference; SBP, systolic blood pressure.