Evidence map›Paper›PMID 42594341›Full record

SynthesisEndocrinology, diabetes & metabolism2026

Effects of Zinc Supplementation on Glycemic Control, Insulin Resistance, Inflammation and Oxidative Stress in Diabetes: A Systematic Review and Meta-Analysis of Randomized Controlled Trials.

Jessica Paola Loaiza-Giraldo, Florencia Amigo-Fierro, Camila Ignacia Cancino-Castro, Matias Donoso-Emig, Murtaja Satea, Ignacia Farías-Quinteros, Alejandro Bruna-Mejias, Pablo Nova-Baeza, Mathias Orellana-Donoso, Héctor Gutiérrez-Espinoza and 6 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Endocrinology, diabetes & metabolism, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

16 authors.

Jessica Paola Loaiza-GiraldoFacultad de Ciencias de la Salud, Universidad Central del Valle del Cauca (UCEVA), Tuluá, Valle del Cauca, Colombia.
Florencia Amigo-FierroDepartamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.
Camila Ignacia Cancino-CastroDepartamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.
Matias Donoso-EmigDepartamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.
Murtaja SateaDepartment of Internal Medicine, College of Medicine, University of Warith Al-Anbiyaa, Karbala, Iraq.
Ignacia Farías-QuinterosDepartamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.
Alejandro Bruna-MejiasDepartamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.ORCID https://orcid.org/0000-0002-7697-419X
Pablo Nova-BaezaDepartamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.
Mathias Orellana-DonosoEscuela de Medicina, Universidad Finis Terrae, Santiago, Chile.
Héctor Gutiérrez-EspinozaFaculty of Education, Universidad Autónoma de Chile, Santiago, Chile.ORCID https://orcid.org/0000-0002-4650-3426
Gloria Cifuentes-SuazoFacultad de Medicina, Carrera de Odontología, Universidad Católica de la Santísima Concepción, Concepción, Chile.
Juan Sanchis-GimenoGIAVAL Research Group, Faculty of Medicine, Department of Anatomy and Human Embryology, University of Valencia, Valencia, Spain.
Maria PiagkouDepartment of Anatomy, Faculty of Health Sciences, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece.
Vitor E ValentiSystematic Reviews Center for Cardiovascular and Metabolic Health, São Paulo State University, School of Philosophy and Sciences, Marília, São Paulo, Brazil.
Jose E Leon-RojasInvestigacion Bienestar, Salud y Sociedad, Escuela de Psicologia y Educacion, Universidad de Las Americas, Quito, Ecuador.ORCID https://orcid.org/0000-0002-8130-6460
Juan José Valenzuela-FuenzalidaDepartamento de Morfología, Facultad de Medicina, Universidad Andrés Bello, Santiago, Chile.ORCID https://orcid.org/0000-0002-7634-012X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesDiabetes mellitus (DM) is a chronic metabolic disorder characterized by insulin resistance, impaired insulin secretion, and increased cardiometabolic and inflammatory burden. Zinc plays a key biological role in insulin synthesis, storage, signalling and antioxidant defence; however, the clinical relevance and consistency of zinc supplementation effects in diabetes remain uncertain.

methodsA systematic search of PubMed/MEDLINE, Web of Science, Scopus, CINAHL and Google Scholar was conducted to identify randomized controlled trials (RCTs) assessing zinc supplementation in individuals with diabetes, gestational diabetes or prediabetes.

resultsEighteen RCTs involving 1023 participants met the eligibility criteria. Zinc supplementation significantly increased plasma zinc concentrations (MD = 7.80; 95% CI 4.33 to 11.26) and improved insulin resistance, as reflected by reductions in serum insulin (MD = -2.50; 95% CI -4.69 to -0.31) and HOMA-IR (MD = -1.10; 95% CI -2.05 to -0.15). Total cholesterol decreased modestly but significantly (MD = -5.70; 95% CI -7.50 to -3.89), representing a relatively small absolute reduction, while LDL cholesterol showed a modest increase (MD = 3.46; 95% CI 1.48 to 5.43), although the clinical relevance of this finding remains uncertain. Inflammatory and oxidative stress markers improved, including reductions in C-reactive protein (SMD = -0.91; 95% CI -1.43 to -0.38) and malondialdehyde (SMD = -0.76; 95% CI -1.34 to -0.18), alongside an increase in total antioxidant capacity (SMD = 1.79; 95% CI 0.68 to 2.91).

conclusionsZinc supplementation was associated with improvements in insulin resistance, inflammatory status and oxidative stress markers in individuals with diabetes.

trial registrationInternational Prospective Register of Systematic Reviews (PROSPERO) registration number: CRD42025638646.

Indexed as

Diabetes MellitusDietary SupplementsGlycemic ControlInflammationInsulin ResistanceOxidative StressZincHumansRandomized Controlled Trials as TopicZincdiabetes mellitusinflammationinsulin resistanceoxidative stressrandomized controlled trialstype 2 diabeteszinc supplementation

Identifiers

PMID42594341
PMCPMC13472645

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.