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Randomised controlled trial Evidence level 4 of 5 No clear effect

Long-term benfotiamine in type 1 diabetes

The question: Does benfotiamine protect nerves in diabetes?

Study type
Randomised controlled trial
Participants
67
Population
Adults with type 1 diabetes, mostly without established neuropathy
Intervention
Benfotiamine 300 mg daily
Compared with
Placebo
Duration
24 months
Published
Diabetes Care, 2012

What was measured

Peripheral nerve function and inflammatory markers.

What was found

Blood thiamine levels rose substantially, but nerve function and inflammatory markers did not differ between groups.

Limitations

Most participants had near-normal nerves, leaving little room to show improvement. It did not test people with established neuropathy.

What it means

A useful null result. Benfotiamine is well absorbed, but whether it changes nerve outcomes depends on who is treated, and that question is still open.

Source

Fraser DA, Diep LM, Hovden IA, et al. The effects of long-term oral benfotiamine supplementation on peripheral nerve function and inflammatory markers in patients with type 1 diabetes: a 24-month, double-blind, randomized, placebo-controlled trial. Diabetes Care. 2012;35(5):1095-1097.

Read the original (DOI 10.2337/dc11-1895) · Source verified 8 October 2026

Study summaries describe published research for education. They are not claims about any product and are not medical advice.

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