Effects of melatonin supplementation on diabetes: A systematic review and meta-analysis of randomized clinical trials.

Abstract

BACKGROUND & AIMS\nMelatonin appears as a supplement capable of helping with diabetes. However, there is no evidence from meta-analyses that showed significant results in insulin resistance and glycated hemoglobin. This study aimed to review the literature on randomized clinical trials that evaluated melatonin supplementation effects, compared to placebo, on diabetes parameters in humans.\n\n\nMETHODS\nWe conducted a systematic review and meta-analysis in the following databases: Pubmed, LILACS, Scielo, Scopus, Web of Science, Cochrane, and Embase. We included randomized clinical trials investigating melatonin supplementation s effects, compared to placebo, on fasting blood glucose, insulin resistance, and glycated hemoglobin. Non-randomized clinical trials, observation studies, and animal models were excluded. The Cochrane scale assessed the quality of the studies. We conducted a meta-analysis on fasting blood glucose, insulin resistance, and glycated hemoglobin.\n\n\nRESULTS\nSixteen studies were included, of which 56% showed benefits from supplementation with melatonin in diabetes parameters compared with placebo. Our meta-analysis showed significant results for fasting blood glucose [mean difference:\xa0-4.65; 95% CI:\xa0-8.06,\xa0-1.23; p\xa0=\xa0<\xa00.01; I2\xa0=\xa058%], glycated hemoglobin [mean difference:\xa0-0.38; 95% CI:\xa0-0.67,\xa0-0.10; p\xa0=\xa00.30; I2\xa0=\xa018%], and insulin resistance [mean difference:\xa0-0.58; 95% CI:\xa0-1.00,\xa0-0.15; p\xa0=\xa00.17; I2\xa0=\xa035%].\n\n\nCONCLUSIONS\nOur results showed that melatonin supplementation was useful for reducing diabetes parameters when compared to placebo.