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Diabetic Retinopathy

Diabetic retinopathy is a diabetes complication that damages the blood vessels in the retina, and it is the leading cause of blindness in working-age adults. Vitamin D and omega-3 fatty acids are the main supplements studied, though the evidence is limited, and one small study found probiotics improved blood glucose. That result is about blood sugar, not eyesight, so it's too early to say what any supplement does for the retina.

Sources: PMID 39349104

Supplements studied
1
Graded outcomes
1
Trials
1
People studied
55

Evidence by supplement

  • Strong
  • Moderate
  • Limited
  • Very limited

1 supplement

Probiotics: outcomes studied for Diabetic Retinopathy
GradeOutcomeEffectSizeStudiesPeopleStudies list
Blood glucose

Small Improvement

Improves (the measure goes down)Small effect1 study55 people
C-Reactive Protein (CRP)Improves (the measure goes down)2 studies55 people
HbA1cImproves (the measure goes down)2 studies55 people
Insulin ResistanceImproves (the measure goes down)1 study55 people
Diabetic Retinopathy SymptomsImproves (the measure goes down)55 people
Glutathione (GSH)Improves (the measure goes up)55 people
High-density lipoprotein (HDL)Improves (the measure goes up)55 people
InsulinChanges; see studies55 people
Low-density lipoprotein (LDL)Improves (the measure goes down)55 people
Total Antioxidant Capacity (TAC)Improves (the measure goes up)55 people

Key findings

  • Blood glucoseProbioticsImproves (the measure goes down)

The Diabetic Retinopathy Supportive Care protocol

2 primary supplements · 3 supporting supplements

See the full protocol

Shop the evidence-backed picks

Support alongside medical care. These supplements are not a treatment for Diabetic Retinopathy. If you are being treated for it, talk to your clinician before adding one: supplements can interact with medicines.

Fullscript collectionMetabolic health: evidence-graded picksOpen on Fullscript

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Studies cited

6 studies from PubMed

  1. The effects of probiotic supplementation on cardiometabolic health in patients with prediabetes: a systematic review, meta-analysis, and GRADE assessment.Front Nutr, 2025 · PMID 40959695
  2. Probiotic Supplementation and Inflammatory Status in Coronary Artery Disease: A Systematic Review and Meta-Analysis.Microorganisms · PMID 41156763
  3. Probiotics Supplementation for Improving Glucolipid Parameters in Individuals with Prediabetes: A Systematic Review and Meta-Analysis of Randomized Trials.Probiotics Antimicrob Proteins · PMID 39806201
  4. Effect of probiotics on C-reactive protein levels in schizophrenia: Evidence from a systematic review and meta-analysis.Complement Ther Med · PMID 39798817
  5. Effects of probiotics supplementation on glycemic profile in adults with type 2 diabetes mellitus: A grade-assessed systematic review and dose-response meta-analysis of randomized controlled trials.Clin Nutr ESPEN · PMID 39349104
  6. The effects of probiotics supplements on metabolic indices and clinical signs in patients with diabetic retinopathy, a randomized double blind clinical trial.J Diabetes Metab Disord · PMID 38932908