Efficacy of Gegen Qinlian decoction plus metformin for type 2 diabetes mellitus: a systematic review and meta-analysis of randomized controlled trials - Takeaways - MDSpire

Effectiveness of Combining Gegen Qinlian Decoction with Metformin in Managing Type 2 Diabetes Mellitus: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

  • By

  • Hongyang He

  • Xiaocan Gai

  • Zhiheng Qiao

  • Guoliang Ji

  • Shumin Liu

  • July 17, 2026

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  • 1

    Gegen Qinlian Decoction (GQD) is used as an adjunctive therapy to metformin for managing type 2 diabetes mellitus (T2DM).

  • 2

    The systematic review included eight randomized controlled trials with a total of 725 participants comparing GQD plus metformin to metformin alone.

  • 3

    GQD plus metformin did not significantly reduce glycated hemoglobin (HbA1c) compared to metformin alone, with a mean difference of -1.92.

  • 4

    Statistically significant reductions were observed for fasting plasma glucose (FPG) and 2-hour postprandial glucose (2hPG) with GQD plus metformin.

  • 5

    The certainty of evidence was rated as very low due to risk of bias, inconsistency, and imprecision across the included trials.

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