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Dwibedi · 2025 · Nature microbiology

How much did blood glucose change after 12 weeks of broccoli sprout extract?

How did blood glucose and insulin secretory function change when adults with prediabetes took sprout extract?

Human · randomized double-blind controlled trial

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Key findings

Fasting glucose decreased slightly

The mean difference from placebo was −0.2mmol/L, about −3.6mg/dL. The 95% confidence interval was −0.44 to −0.01mmol/L; this fell short of the prespecified 0.3mmol/L reduction target.

Insulin secretion and resistance markers

In the full analysis group, there were no between-group differences in changes in estimated insulin secretory function (HOMA-B), insulin resistance, or HbA1c.

Responses varied between individuals

Exploratory analysis linked some metabolic characteristics and gut microbiota to differences in response.

Fasting Glucose · Difference Versus Placebo

Adjusted mean difference · mmol/L

Fasting Glucose · Difference Versus Placebo chart. Exact values and units appear in the data table below.

Point: estimated difference / line: 95% confidence interval

Did not meet the prespecified 0.3 mmol/L reduction target

Read the original paper and sources ↓
View values and units
Adjusted mean difference · mmol/L
GroupEstimate95% confidence interval
Difference versus placebo-0.2-0.44 ~ -0.01

Study Population and Conditions

Prediabetes · randomized, placebo-controlled

Randomized
89 participants
Final analysis
74 participants

Extract group 35 / placebo group 39 · 12 weeks

Sulforaphane 150 μmol/day · extract study

Read the original paper and sources ↓

Detailed results

Blood glucose and beta-cell markers

In the full analysis group, there were no between-group differences in changes in HOMA-B (estimated beta-cell function), HOMA-IR (insulin resistance), or HbA1c.

Improvement in HOMA-B, an estimate of beta-cell function, was observed in an exploratory MARD-like subgroup.

Study design

Eighty-nine adults with prediabetes who were not taking medication were assigned, and 74 were analyzed (35 extract, 39 placebo). Sprout extract supplying SFN 150μmol/day was compared with placebo over 12 weeks.

Participants
89 adults with prediabetes assigned
74 analyzed · placebo controlled
Intake and observation
SFN 150μmol/day · 12 weeks
extract 35 / placebo 39 participants
Measures
Fasting glucose · existing gut microbiota

Study context

This was a 12-week trial in adults with prediabetes who were not taking medication. Gastrointestinal discomfort was reported alongside fasting glucose changes.

Original paper and sources

Effect of broccoli sprout extract and baseline gut microbiota on fasting blood glucose in prediabetes: a randomized, placebo-controlled trial.

Dwibedi C, Axelsson AS, Abrahamsson B, Fahey JW, Asplund O, Hansson O, Ahlqvist E, Tremaroli V, Bäckhed F, Rosengren AH.

Journal
Nature microbiology · 2025 · 10(3): 681-693
First published
2025-02-10