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Creatine and type 2 diabetes: a small trial included exercise in both groups

A 12-week trial reported better glucose control with creatine added to an exercise program. Its limited size and selected setting cannot establish safety for everyone with diabetes.

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Supplement Science Insights Editorial Team

Published September 23, 2026

Exercise was part of the tested program

The randomized, double-blind trial analyzed 25 people with type 2 diabetes: 13 received creatine and 12 placebo. Both groups participated in exercise training for 12 weeks. [1]

HbA1c fell from an average of 7.4% to 6.4% in the creatine group, compared with 7.5% to 7.6% in the placebo group. The reported between-group difference was about 1.1 percentage points. [1]

A glucose finding is not blanket safety clearance

The trial reported comparable adverse effects between groups. With only 25 analyzed participants, that observation cannot establish long-term safety or safety in people with kidney disease or different medication regimens. [1]

It also cannot determine whether creatine without the exercise program would produce the same result. Funding and conflicts were not fully assessed from the abstract. Decisions about adding a supplement belong with the clinician managing the person’s diabetes and kidney health. [1]

Use percentage points for the absolute change

A hypothetical HbA1c change from 7.4% to 6.4% is a decline of one percentage point. Calling it a one-percent relative reduction would describe a different calculation.

Evidence summary — Creatine and type 2 diabetes
DetailInterpretation
25 analyzedSmall sample
Both groups exercisedCo-intervention
HbA1cGlucose-control marker
Creatine and type 2 diabetes: a small trial included exercise in both groups — original article outline diagram
Original editorial diagram of this article’s sections; no product photograph or clinical finding is depicted.

Sources for this article

  1. Creatine in type 2 diabetes: a randomized, double-blind, placebo-controlled trial - PubMed
    Source consulted: 2026-09-19. This is a reference resource, not a claim that we conducted the studies or tested a product.