Research

D-Chiro-Inositol

20 peer-reviewed studies curated from PubMed and Semantic Scholar.

6
Meta-analyses
1
Systematic reviews
10
RCTs
3
Other studies
Meta-analyses (30%)
Systematic reviews (5%)
RCTs (50%)
Observational (10%)

Studies

Sorted by quality and recency

2017·The Cochrane database of systematic reviews·Lara C Morley, Thomas Tang, Ephia Yasmin, et al

Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility.

Meta-analysisn = 4,451Womens Health

Meta-analysis of 48 studies (4451 women) evaluating insulin-sensitising drugs like metformin, D-chiro-inositol, rosiglitazone, and pioglitazone for women with PCOS. Metformin showed potential benefits for live birth rates and ovulation, but with gastrointestinal side effects. The evidence quality was low to moderate, and results varied by BMI.

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2012·The Cochrane database of systematic reviews·Thomas Tang, Jonathan M Lord, Robert J Norman, et al

Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility.

Meta-analysisn = 3,992Womens Health

Meta-analysis of 44 trials involving 3992 women with PCOS assessing insulin-sensitising drugs like metformin and D-chiro-inositol. Metformin improved clinical pregnancy rates but not live birth rates, and was associated with gastrointestinal disturbances. The role of metformin in improving reproductive outcomes in women with PCOS appears limited.

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2010·The Cochrane database of systematic reviews·Thomas Tang, Jonathan M Lord, Robert J Norman, et al

Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility.

Meta-analysisn = 2,537Womens Health

Meta-analysis of 31 trials involving 2537 women with PCOS, assessing insulin-sensitising drugs like metformin and D-chiro-inositol. Metformin improved clinical pregnancy and ovulation rates but did not improve live birth rates. Metformin was associated with gastrointestinal disturbances but no serious adverse effects.

PubMedRead on PubMed
2009·The Cochrane database of systematic reviews·Thomas Tang, Jonathan M Lord, Robert J Norman, et al

Insulin-sensitising drugs (metformin, rosiglitazone, pioglitazone, D-chiro-inositol) for women with polycystic ovary syndrome, oligo amenorrhoea and subfertility.

Meta-analysisn = 2,537Womens Health

Meta-analysis of 31 trials involving 2537 women with PCOS, assessing insulin-sensitising drugs like metformin and D-chiro-inositol. Metformin improved clinical pregnancy and ovulation rates but did not improve live birth rates. Metformin was associated with gastrointestinal disturbances but no serious adverse effects.

PubMedRead on PubMed
2020·Dermatologic therapy·Agnieszka Owczarczyk-Saczonek, Joanna Czerwińska, Ewa Wygonowska, et al

D-chiro-inositol as a treatment in plaque psoriasis: A randomized placebo-controlled clinical trial.

RCTn = 56Skin Hair Health

This randomized placebo-controlled trial evaluated the effects of D-chiro-inositol (DCI) on mild plaque psoriasis in 46 psoriatic patients and 10 healthy volunteers. The study found that 1% DCI significantly increased hydration and elasticity of psoriatic lesions, although TEWL also increased. The results suggest that 1% DCI may be beneficial as an adjuvant treatment for psoriasis.

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2019·Journal of reproductive immunology·Marco Scioscia, Marco Noventa, Francesco Cavallin, et al

Exploring strengths and limits of urinary D-chiro inositol phosphoglycans (IPG-P) as a screening test for preeclampsia: A systematic review and meta-analysis.

Meta-analysis

Systematic review and meta-analysis of studies evaluating urinary D-chiro inositol phosphoglycans (IPG-P) as a screening test for preeclampsia. The analysis included seven studies, showing high sensitivity and specificity in identifying women who will develop preeclampsia. The findings suggest IPG-P as a promising noninvasive screening test, though further validation is needed.

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2010·Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology·Nicolas Galazis, Myria Galazi, William Atiomo

D-Chiro-inositol and its significance in polycystic ovary syndrome: a systematic review.

Systematic reviewWomens Health

Systematic review investigating the effects of D-chiro-inositol (DCI) on ovulation and insulin resistance in women with PCOS. DCI administration showed beneficial effects on ovulation and metabolic markers by enhancing insulin sensitivity, though study heterogeneity and small sample sizes limit conclusions.

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2003·The Cochrane database of systematic reviews·J M Lord, I H K Flight, R J Norman

Insulin-sensitising drugs (metformin, troglitazone, rosiglitazone, pioglitazone, D-chiro-inositol) for polycystic ovary syndrome.

Meta-analysisn = 543Womens Health

Meta-analysis of 15 RCTs assessing insulin sensitising drugs for PCOS, focusing on metformin. Metformin improved ovulation rates and reduced fasting insulin levels, blood pressure, and LDL cholesterol. It was associated with gastrointestinal disturbances but no serious adverse effects.

PubMedRead on PubMed
2014·Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology·Alessandro D Genazzani, Susanna Santagni, Erika Rattighieri, et al

Modulatory role of D-chiro-inositol (DCI) on LH and insulin secretion in obese PCOS patients.

RCTWomens Health Hormone Health Nutrition

RCT evaluating the efficacy of D-chiro-inositol (DCI) on hormonal parameters and insulin sensitivity in overweight/obese PCOS patients. DCI administration improved insulin sensitivity, hormonal parameters, and BMI, with greater improvements in patients with diabetic relatives.

PubMedRead on PubMed
2012·Minerva ginecologica·V De Leo, A La Marca, V Cappelli, et al

[Evaluation of the treatment with D-chiro-inositol on levels of oxidative stress in PCOS patients].

RCTWomens Health

RCT assessing the effect of D-chiro-inositol on oxidative stress in the follicular fluid of women with PCOS. Treatment with D-chiro-inositol reduced the oxidation of thiol groups, suggesting a decrease in oxidative stress.

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2019·Gynecological endocrinology : the official journal of the International Society of Gynecological Endocrinology·Nicolas Mendoza, Maria Isabel Galan, Cristina Molina, et al

High dose of d-chiro-inositol improves oocyte quality in women with polycystic ovary syndrome undergoing ICSI: a randomized controlled trial.

RCTn = 11Womens Health

RCT evaluating the effect of two doses of d-chiro-inositol (DCI) in combination with Myo-inositol (MYO) on oocyte quality in women with PCOS undergoing ICSI. High doses of DCI improved oocyte cytoplasm quality, zona pellucida, plasma membrane, and sperm reception.

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2016·Acta diabetologica·Anna Rita Maurizi, Marika Menduni, Rossella Del Toro, et al

A pilot study of D-chiro-inositol plus folic acid in overweight patients with type 1 diabetes.

RCTn = 26Nutrition

A 24-week randomized control trial in 26 overweight or obese T1D patients evaluated the effect of D-chiro-inositol plus folic acid on metabolic control. The treated group showed a significant reduction in HbA1c levels compared to the control group, but no significant changes in BMI or insulin requirement were observed.

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2008·Metabolism: clinical and experimental·Kai I Cheang, Jean-Patrice Baillargeon, Paulina A Essah, et al

Insulin-stimulated release of D-chiro-inositol-containing inositolphosphoglycan mediator correlates with insulin sensitivity in women with polycystic ovary syndrome.

RCTn = 11Womens Health

RCT of D-chiro-inositol (DCI) supplementation vs placebo in 11 women with PCOS, assessing plasma DCI, DCI-IPG release, and insulin sensitivity over 6 weeks. Positive correlation found between increased DCI-IPG release and improved insulin sensitivity, suggesting DCI-IPG as a potential therapeutic target in PCOS.

PubMedRead on PubMed
2002·Endocrine practice : official journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Maria J Iuorno, Daniela J Jakubowicz, Jean-Patrice Baillargeon, et al

Effects of d-chiro-inositol in lean women with the polycystic ovary syndrome.

RCTn = 20Womens Health Hormone Health

RCT in 20 lean women with polycystic ovary syndrome comparing 600 mg D-chiro-inositol to placebo for 6 to 8 weeks. D-chiro-inositol reduced circulating insulin, decreased serum androgens, and improved metabolic abnormalities such as blood pressure and triglyceride levels.

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1998·Journal of basic and clinical physiology and pharmacology·J Larner, G Allan, C Kessler, et al

Phosphoinositol glycan derived mediators and insulin resistance. Prospects for diagnosis and therapy.

RCTNutrition

The study investigates the role of phosphoinositol glycan (IPG) derived mediators in insulin resistance, highlighting the significance of D-chiro-inositol. D-chiro-inositol administration decreased hyperglycemia and enhanced glucose disposal in STZ diabetic rats, rhesus monkeys, and humans with impaired glucose tolerance and PCOS, suggesting its potential in reversing insulin resistance.

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2021·Journal of food biochemistry·Chao Xin, Mengya Zhao, Jiahui Wang, et al

Hawthorn polyphenols, D-chiro-inositol, and epigallocatechin gallate exert a synergistic hypoglycemic effect.

Animal studyNutrition

The study investigates the hypoglycemic effects of a glucose-lowering complex (DEH) consisting of hawthorn polyphenols, D-chiro-inositol, and epigallocatechin gallate. In STZ/HFD-induced mice, DEH improved insulin resistance, reduced fasting blood glucose, and increased hepatic glycogen synthesis and storage, suggesting its potential as a novel strategy for type 2 diabetes treatment.

Semantic ScholarRead on Semantic Scholar
2010·Metabolic syndrome and related disorders·Jean-Patrice Baillargeon, Maria J Iuorno, Teimuraz Apridonidze, et al

Uncoupling between insulin and release of a D-chiro-inositol-containing inositolphosphoglycan mediator of insulin action in obese women With polycystic ovary syndrome.

Case-controln = 16Womens Health

Cross-sectional case-control study comparing the release of DCI-IPG between normal nonobese women and obese PCOS women during insulin stimulation. The study found that DCI-IPG bioactivity was significantly lower in PCOS women, indicating impaired coupling between insulin action and DCI-IPG release, which may contribute to insulin resistance.

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2004·The Journal of clinical endocrinology and metabolism·Jean-Patrice Baillargeon, Maria J Iuorno, Daniela J Jakubowicz, et al

Metformin therapy increases insulin-stimulated release of D-chiro-inositol-containing inositolphosphoglycan mediator in women with polycystic ovary syndrome.

RCTn = 19Womens Health

RCT in 19 obese women with PCOS comparing metformin to placebo over 4-8 weeks. Metformin increased the ratio of DCI-IPG to insulin, suggesting improved insulin action through enhanced release of DCI-IPG mediators.

PubMedRead on PubMed
1999·The New England journal of medicine·J E Nestler, D J Jakubowicz, P Reamer, et al

Ovulatory and metabolic effects of D-chiro-inositol in the polycystic ovary syndrome.

RCTn = 44Womens Health Hormone Health Heart Health

RCT of 44 obese women with polycystic ovary syndrome comparing 1200 mg of D-chiro-inositol to placebo for six to eight weeks. D-chiro-inositol improved insulin sensitivity, ovulatory function, and decreased serum androgen concentrations, blood pressure, and plasma triglyceride concentrations.

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2017·European review for medical and pharmacological sciences·K Ravanos, G Monastra, T Pavlidou, et al

Can high levels of D-chiro-inositol in follicular fluid exert detrimental effects on blastocyst quality?

Observationaln = 19Womens Health

Prospective observational study involving eight egg donors and eleven couples undergoing IVF, examining the correlation between myo-inositol/D-chiro-inositol ratio in follicular fluid and blastocyst quality. Higher myo-inositol/D-chiro-inositol ratios were associated with better quality blastocysts, suggesting that lower D-chiro-inositol content may improve ART outcomes.

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