Pooled across 24 randomised trials, folic acid supplementation lowered fasting blood glucose by 2.17 mg/dL and fasting insulin by 1.63 pmol/L, with a small drop in insulin resistance scores, but HbA1c did not change. The authors call the reductions small enough to limit clinical application.
What it shows: Real but tiny: pooled results from 24 trials in adults show drops in fasting glucose and insulin that are statistically clear yet too small to matter much to anyone managing their blood sugar. HbA1c, the marker that reflects blood sugar over months, did not move at all.Meta-analysis · Nutrients