Review Article

Morus alba L. for Blood Sugar Management: A Systematic Review and Meta-Analysis

Table 2

Short-term studies.

Study IDCharacteristics of the studyInterventionsOutcomesResultAdverse events
Sample sizeSubject healthAge (mean, SD)BMI (kg/m2)Visit (times)MethodGlucose (water)IntakeControl intervention

Lown (2017)37Healthy29.35 ± 10.9323.00 ± 2.274 (at least 2 days gap)Reducose (capsule)Maltodextrin, 50 g (250 ml)a/0.125 g (6.75 mg)
b/0.25 g (12.5 mg)
c/0.5 g (25 mg)
PlaceboGlucose (piAUC)
Insulin (piAUC)
b, c
b, c
Nausea
Abdominal cramping
Distension
Flatulence
Wang (2018)15Healthy23.80 ± 1.4722.05 ± 1.567 (every 3 days)Powder4 kinds, 50 g (150 ml)0.75 g (7.5 mg)N.TGlucose (iAUC)
GI
PPG
SMD 30 min
SMD
-
N.R
Kimura (2007)24Healthy25.3 ± 0.720.9 ± 0.41PowderSucrose, 50 g (100 ml)a/0.4 g (6 mg)
b/0.8 g (12 mg)
c/1.2 g (18 mg)
Placebo (0 mg)PPG
PPI
T-chol
HDL
TG
HbA1C
b, c
b, c



N.R
Asai (2011)10FBS 100–14050.0 ± 10.624.3 ± 1.74 (every 2 weeks)CapsuleBoiled white rice (200 g), dry seasoning (2 g)a/3 mg
b/6 mg
c/9 mg
Placebo (0 mg)PPG
PPI
b, c 30 min
a, b, c 30 min
Mild gas
Bloating
Mudra (2007)20Healthy
Diabetes
h/24–61
d/59–75
N.R1ExtractSucrose, 75 g (500 ml)1 gPlaceboPPG
GE
Breath H2 test
First 120 min
+
+
N.R
Chung (2013)50FBS<12522.7 ± 0.421.2 ± 0.41ExtractMaltose, 75 g (50 ml)a/1.25 g (4.5 mg)
b/2.5 g (9 mg)
c/5g (18 mg)
Placebo (0 mg)Glucose (iAUC)b, c 30, 60 minN.R
Thaipitakwong (2019)85Healthya/25.81 ± 0.29
b/22.33 ± 5.57
d/23.31 ± 6.94
C/21.81 ± 5.72
a/20.57 ± 1.28
b/20.01 ± 1.47
d/20.51 ± 1.46
C/20.34 ± 1.41
1PowderSucrose, 50 g (150 ml)a/2.3 g (6 mg)
b/4.6 g (12 mg)
d/6.9 g (18 mg)
N.RPPG
Glucose (AUC)
a, b, d 30 min
b, d 60 min
d, +
Bloating
Flatulence
Loose stools

AUC, area under the curve; iAUC, incremental area under the curve; piAUC, positive incremental area under the curve; GI, glycemic index; SMD, sucrose, maltose, maltodextrin; PPG, postprandial glucose; PPI, postprandial insulin; T-chol, total cholesterol; HbA1C, hemoglobin A1C; FBS, fasting blood sugar; N.T, no treatment; N.R, not reported; TG, triglyceride; GE, glycemic excursion; C, control. We use “+” if results were statistically significant and “–” if results were not statistically significant or have no difference. Glucose, sucrose, maltose, maltodextrin. Microcrystalline cellulose 125 mg. Red dye #40 and caramel.