Potential of Creatine in Glucose Management and Diabetes

Creatine is one of the most popular supplements worldwide, and it is frequently used by both athletic and non-athletic populations to improve power, strength, muscle mass and performance. A growing body of evidence has been identified potential therapeutic effects of creatine in a wide variety of cl...

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Main Authors: Marina Yazigi Solis, Guilherme Giannini Artioli, Bruno Gualano
Format: Article
Language:English
Published: MDPI AG 2021-02-01
Series:Nutrients
Subjects:
Online Access:https://www.mdpi.com/2072-6643/13/2/570
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author Marina Yazigi Solis
Guilherme Giannini Artioli
Bruno Gualano
author_facet Marina Yazigi Solis
Guilherme Giannini Artioli
Bruno Gualano
author_sort Marina Yazigi Solis
collection DOAJ
description Creatine is one of the most popular supplements worldwide, and it is frequently used by both athletic and non-athletic populations to improve power, strength, muscle mass and performance. A growing body of evidence has been identified potential therapeutic effects of creatine in a wide variety of clinical conditions, such as cancer, muscle dystrophy and neurodegenerative disorders. Evidence has suggested that creatine supplementation alone, and mainly in combination with exercise training, may improve glucose metabolism in health individuals and insulin-resistant individuals, such as in those with type 2 diabetes mellitus. Creatine itself may stimulate insulin secretion in vitro, improve muscle glycogen stores and ameliorate hyperglycemia in animals. In addition, exercise induces numerous metabolic benefits, including increases in insulin-independent muscle glucose uptake and insulin sensitivity. It has been speculated that creatine supplementation combined with exercise training could result in additional improvements in glucose metabolism when compared with each intervention separately. The possible mechanism underlying the effects of combined exercise and creatine supplementation is an enhanced glucose transport into muscle cell by type 4 glucose transporter (GLUT-4) translocation to sarcolemma. Although preliminary findings from small-scale trials involving patients with type 2 diabetes mellitus are promising, the efficacy of creatine for improving glycemic control is yet to be confirmed. In this review, we aim to explore the possible therapeutic role of creatine supplementation on glucose management and as a potential anti-diabetic intervention, summarizing the current knowledge and highlighting the research gaps.
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spelling doaj.art-c35a165355e14102b23215f1ad0c6e082023-12-03T13:01:48ZengMDPI AGNutrients2072-66432021-02-0113257010.3390/nu13020570Potential of Creatine in Glucose Management and DiabetesMarina Yazigi Solis0Guilherme Giannini Artioli1Bruno Gualano2Applied Physiology & Nutrition Research Group, School of Medicine, University of Sao Paulo, Sao Paulo 01246-903, BrazilApplied Physiology & Nutrition Research Group, School of Medicine, University of Sao Paulo, Sao Paulo 01246-903, BrazilApplied Physiology & Nutrition Research Group, School of Medicine, University of Sao Paulo, Sao Paulo 01246-903, BrazilCreatine is one of the most popular supplements worldwide, and it is frequently used by both athletic and non-athletic populations to improve power, strength, muscle mass and performance. A growing body of evidence has been identified potential therapeutic effects of creatine in a wide variety of clinical conditions, such as cancer, muscle dystrophy and neurodegenerative disorders. Evidence has suggested that creatine supplementation alone, and mainly in combination with exercise training, may improve glucose metabolism in health individuals and insulin-resistant individuals, such as in those with type 2 diabetes mellitus. Creatine itself may stimulate insulin secretion in vitro, improve muscle glycogen stores and ameliorate hyperglycemia in animals. In addition, exercise induces numerous metabolic benefits, including increases in insulin-independent muscle glucose uptake and insulin sensitivity. It has been speculated that creatine supplementation combined with exercise training could result in additional improvements in glucose metabolism when compared with each intervention separately. The possible mechanism underlying the effects of combined exercise and creatine supplementation is an enhanced glucose transport into muscle cell by type 4 glucose transporter (GLUT-4) translocation to sarcolemma. Although preliminary findings from small-scale trials involving patients with type 2 diabetes mellitus are promising, the efficacy of creatine for improving glycemic control is yet to be confirmed. In this review, we aim to explore the possible therapeutic role of creatine supplementation on glucose management and as a potential anti-diabetic intervention, summarizing the current knowledge and highlighting the research gaps.https://www.mdpi.com/2072-6643/13/2/570dietary supplementsexerciseskeletal muscleglycemic controltype 2 diabetes mellitus
spellingShingle Marina Yazigi Solis
Guilherme Giannini Artioli
Bruno Gualano
Potential of Creatine in Glucose Management and Diabetes
Nutrients
dietary supplements
exercise
skeletal muscle
glycemic control
type 2 diabetes mellitus
title Potential of Creatine in Glucose Management and Diabetes
title_full Potential of Creatine in Glucose Management and Diabetes
title_fullStr Potential of Creatine in Glucose Management and Diabetes
title_full_unstemmed Potential of Creatine in Glucose Management and Diabetes
title_short Potential of Creatine in Glucose Management and Diabetes
title_sort potential of creatine in glucose management and diabetes
topic dietary supplements
exercise
skeletal muscle
glycemic control
type 2 diabetes mellitus
url https://www.mdpi.com/2072-6643/13/2/570
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