PMID- 36875472 OWN - NLM STAT- MEDLINE DCOM- 20230308 LR - 20230314 IS - 1664-2392 (Print) IS - 1664-2392 (Electronic) IS - 1664-2392 (Linking) VI - 14 DP - 2023 TI - Probiotics intervention in preventing conversion of impaired glucose tolerance to diabetes: The PPDP follow-on study. PG - 1113611 LID - 10.3389/fendo.2023.1113611 [doi] LID - 1113611 AB - OBJECTIVES: The purpose of this study was to assess the incidence of type 2 diabetes mellitus (T2DM) after 6 years in patients with IGT who received early probiotic intervention in the Probiotics Prevention Diabetes Program (PPDP) trial. METHODS: 77 patients with IGT in the PPDP trial were randomized to either probiotic or placebo. After the completion of the trial, 39 non-T2DM patients were invited to follow up glucose metabolism after the next 4 years. The incidence of T2DM in each group was assessed using Kaplan-Meier analysis. The 16S rDNA sequencing technology was used to analyze gut microbiota's structural composition and abundance changes between the groups. RESULTS: The cumulative incidence of T2DM was 59.1% with probiotic treatment versus 54.5% with placebo within 6 years, there was no significant difference in the risk of developing T2DM between the two groups (P=0.674). CONCLUSIONS: Supplemental probiotic therapy does not reduce the risk of IGT conversion to T2DM. CLINICAL TRIAL REGISTRATION: https://www.chictr.org.cn/showproj.aspx?proj=5543, identifier ChiCTR-TRC-13004024. CI - Copyright (c) 2023 Yan, Hu, Tian, Li, Yu, Li and Feng. FAU - Yan, Qun AU - Yan Q AD - Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Hu, Weiting AU - Hu W AD - The Second Clinical Medical College, Shanxi Medical University, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Tian, Yan AU - Tian Y AD - Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Li, Xu AU - Li X AD - Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Yu, Yuan AU - Yu Y AD - Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. FAU - Li, Xing AU - Li X AD - The Second Clinical Medical College, Shanxi Medical University, Second Hospital of Shanxi Medical University, Taiyuan, China. FAU - Feng, Bo AU - Feng B AD - Department of Endocrinology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, China. LA - eng SI - ChiCTR/ChiCTR-TRC-13004024 PT - Journal Article PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20230217 PL - Switzerland TA - Front Endocrinol (Lausanne) JT - Frontiers in endocrinology JID - 101555782 SB - IM MH - Humans MH - *Diabetes Mellitus, Type 2/prevention & control MH - *Glucose Intolerance MH - Kaplan-Meier Estimate MH - *Probiotics/therapeutic use PMC - PMC9982119 OTO - NOTNLM OT - conversion OT - diabetes mellitus OT - gut microbiota OT - impaired glucose tolerance OT - probiotic OT - type 2 COIS- The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. EDAT- 2023/03/07 06:00 MHDA- 2023/03/08 06:00 PMCR- 2023/01/01 CRDT- 2023/03/06 04:10 PHST- 2022/12/01 00:00 [received] PHST- 2023/02/07 00:00 [accepted] PHST- 2023/03/06 04:10 [entrez] PHST- 2023/03/07 06:00 [pubmed] PHST- 2023/03/08 06:00 [medline] PHST- 2023/01/01 00:00 [pmc-release] AID - 10.3389/fendo.2023.1113611 [doi] PST - epublish SO - Front Endocrinol (Lausanne). 2023 Feb 17;14:1113611. doi: 10.3389/fendo.2023.1113611. eCollection 2023.