Milk Thistle (Silymarin) and blood sugar

What 2 graded rows on milk thistle (silymarin) agree on for blood sugar, and where they differ. Counted side by side, never averaged.

What the rows agree on

Each block and row is one graded row from the Milk Thistle (Silymarin) page, with its PubMed record.

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Milk Thistle (Silymarin) and blood sugar

2 rows · 943 people

Split. 1 row found an improvement and 1 had mixed results.

Mixed
Improved
Each block is one evidence row, sized by how many people it enrolled, with its grade inside. Outlined: mixed results.
  • Grade C× 2
Rows
2
Trials
11
People
943
Pooled reviews may count some twice

What the rows share

From the rows

The best-graded row, grade C, is a meta-analysis of 673 people (2025) and reported mixed results.

The rows run from 270 to 673 people, published from 2016 to 2025: 2 pooled reviews and 0 single studies.

The rows

1 improved · 1 mixed
  1. Grade CFasting glucose and HbA1c in type 2 diabetes · Improved

    Meta-analysis, 5 studies · n 270 · 2016 · Adults with type 2 diabetes

    Varied across trials · Varied across trials

    Fasting glucose −26.9 mg/dL and HbA1c −1.07 points; evidence low quality with high heterogeneity.

    Row on the Milk Thistle (Silymarin) page · PubMed 27340676 (opens PubMed)

  2. Grade CInsulin resistance (HOMA-IR) and fasting insulin · Mixed

    Meta-analysis, 6 studies · n 673 · 2025 · Adults with type 2 diabetes, fatty liver disease or diabetes with alcohol-related cirrhosis (Iran, Egypt, Italy)

    Varied across trials · At least 4 weeks

    HOMA-IR −2.29 (just significant, p = 0.047); fasting insulin did not change. HOMA-IR improved in type 2 diabetes subgroups but not in fatty liver.

    Row on the Milk Thistle (Silymarin) page · PubMed 39855603 (opens PubMed)

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