Research

Hormonal

Astragaloside IV (AS-IV), a saponin in Astragalus, reduces blood glucose and insulin resistance by modulating intestinal microbiota to increase butyric acid and activating PI3K/AKT and AMPK/SIRT1 signaling pathways.

Astragaloside IV (AS-IV), a key compound in Astragalus, may help lower blood sugar and improve insulin sensitivity. It works by changing gut bacteria to produce more butyric acid and by activating specific cellular pathways that help cells use insulin better. This suggests Astragalus may be beneficial for managing T2DM.

ModerateSupportsMEDIUM confidence
AS modulates the type and number of intestinal microbiota and increases butyric acid levels in diabetic mice (67). AS treatment of diabetes was found to be achieved by modulating two signaling pathways, PI3K/AKT and AMPK/SIRT1...
Su Min et al. · Frontiers in Immunology · 2023

Why this rating

Based on rat and cell studies; no human clinical trials reported.

Source

Astragalus improves intestinal barrier function and immunity by acting on intestinal microbiota to treat T2DM: a research review

Su Min et al. · Frontiers in Immunology · 2023

DOI 10.3389/fimmu.2023.1243834

narrative_reviewCited 221×
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DOI resolved against Crossref · corpus check 2026-06-10

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