Glutathione is a tripeptide (glutamate, cysteine and glycine) and the body's most abundant intracellular antioxidant10. A study from the University of the West Indies (UWI), Mona has put it in a different light: as a candidate add-on in type 2 diabetes, a disease that affects 11.6% of Jamaicans according to figures reported with the study2. This article sets out what the Jamaican work found, what it did not test, and what the human evidence says.
The UWI Mona study
The research, led by Amarley Wright, a master's graduate of UWI Mona's Faculty of Medical Sciences, is titled "Combined Supplementation of S-Nitro glutathione and Glutathione Improves Glycaemic Control in type 2 Diabetic Rats"1. It won the Best Student Oral Presentation award at the 14th Annual National Health Research Conference in 202313.
According to the Jamaica Information Service, glutathione alone significantly reduced blood sugar in the diabetic rats, and combining it with S-nitrosoglutathione (glutathione bound to nitric oxide) produced an "even more pronounced reduction in the blood glucose concentration"1. Insulin concentration rose compared with untreated rats, and food and fluid intake fell1. The reports give no numerical results123.
Overall, we want to improve the quality of life for diabetic patients.
Wright was clear about the limits. He said "further work needs to be done", including on toxicity and mechanisms13. The reports note that while human trials of the combination have begun in India, "Jamaica currently has no such programme"13. He suggested engaging the Faculty of Medical Sciences' clinical research unit as a next step1. We looked at why Jamaica has so few home-grown trials in our article on clinical trials law in Jamaica.
Why glutathione is studied in diabetes
The biological case is strong. In a stable-isotope study published in Diabetes Care, people with uncontrolled type 2 diabetes had much lower red-cell glutathione than controls and severely reduced glutathione synthesis, with higher oxidative stress and lipid peroxides4. After two weeks of dietary cysteine and glycine, the precursors of glutathione, synthesis and concentrations rose and oxidative stress fell, even with persistent hyperglycaemia4. The same Baylor group found a similar synthesis defect in older adults that was corrected by the same precursors5, and a later randomised trial of glycine plus N-acetylcysteine (GlyNAC) in older adults reported improvements in glutathione, oxidative stress, insulin resistance and physical function over 16 weeks13.
What human trials of glutathione show
- Absorption is debated. A 1992 study in seven volunteers found that a single oral dose did not raise plasma glutathione and concluded that systemic availability "is negligible in man"9.
- Longer use may be different. A 6-month randomised trial in 54 healthy adults found that daily oral glutathione raised levels in blood, red cells, plasma and lymphocytes, which returned to baseline after a 1-month washout8.
- But not always. A 4-week randomised trial in 40 healthy volunteers found no change in oxidative stress markers or in glutathione status12.
- In type 2 diabetes, a 6-month trial in India added oral glutathione to antidiabetic treatment in 125 patients; blood glutathione rose and DNA oxidation fell, HbA1c was maintained overall, and a significant HbA1c fall was found only in a post hoc subgroup over 55 years6. The same trial reported shifts in the gut microbiome7.
- Reviews agree the data are early. A 2026 review in Nutrients called the findings in type 2 diabetes "preliminary and heterogeneous" and said rigorous trials are needed10.
What it means for Jamaican physicians
The UWI Mona result is a promising animal finding, not a treatment. No human study has yet tested glutathione with S-nitrosoglutathione in Jamaican patients1. The human glutathione data in diabetes come mainly from one trial in India, with the clearest effect in a subgroup6. Patients who ask about glutathione as an add-on deserve that context. Where a glutathione product is sold as a drug, Jamaica's Food and Drugs Regulations also bar anyone from advertising it without the Minister's written approval14.
Sources
- Nelson JL. New study into type 2 diabetes treatment yields promising results. Jamaica Information Service. 4 March 2024. jis.gov.jm ↗
- Clark J. Jamaican researcher discovers promising treatment for type 2 diabetes. Caribbean National Weekly. 5 March 2024. caribbeannationalweekly.com ↗
- Caribbean Today (CMC). New UWI study on type 2 diabetes treatment yields promising results. 7 March 2024. caribbeantoday.com ↗
- Sekhar RV, et al. Glutathione synthesis is diminished in patients with uncontrolled diabetes and restored by dietary supplementation with cysteine and glycine. Diabetes Care. 2011;34(1):162-167. PubMed 20929994 ↗
- Sekhar RV, et al. Deficient synthesis of glutathione underlies oxidative stress in aging and can be corrected by dietary cysteine and glycine supplementation. Am J Clin Nutr. 2011;94(3):847-853. PubMed 21795440 ↗
- Kalamkar S, et al. Randomized clinical trial of how long-term glutathione supplementation offers protection from oxidative damage and improves HbA1c in elderly type 2 diabetic patients. Antioxidants (Basel). 2022;11(5):1026. PubMed 35624890 ↗
- Gaike AH, et al. Effect of long-term oral glutathione supplementation on gut microbiome of type 2 diabetic individuals. FEMS Microbiol Lett. 2023;370:fnad116. PubMed 37935462 ↗
- Richie JP Jr, et al. Randomized controlled trial of oral glutathione supplementation on body stores of glutathione. Eur J Nutr. 2015;54(2):251-263. PubMed 24791752 ↗
- Witschi A, Reddy S, Stofer B, Lauterburg BH. The systemic availability of oral glutathione. Eur J Clin Pharmacol. 1992;43(6):667-669. PubMed 1362956 ↗
- Au S, et al. Efficacy and safety of glutathione supplementation in type 2 diabetes and diabetes complications. Nutrients. 2026;18(13):2132. PubMed 42451135 ↗
- Bourne PA. Socioeconomic and lifestyle factors influencing non-communicable disease prevalence among rural Jamaican adults: a population-based study. Rural Remote Health. 2026;26(2):10380. PubMed 42386163 ↗
- Allen J, Bradley RD. Effects of oral glutathione supplementation on systemic oxidative stress biomarkers in human volunteers. J Altern Complement Med. 2011;17(9):827-833. PubMed 21875351 ↗
- Kumar P, et al. Supplementing glycine and N-acetylcysteine (GlyNAC) in older adults improves glutathione deficiency, oxidative stress, mitochondrial dysfunction, inflammation, physical function, and aging hallmarks: a randomized clinical trial. J Gerontol A Biol Sci Med Sci. 2023;78(1):75-89. PubMed 35975308 ↗
- Jamaica. The Food and Drugs Regulations, 1975 (L.N. 65/75 as amended), regulation 4. Georgetown Global Food Laws copy. globalfoodlaws.georgetown.edu ↗
Informational article. It summarizes news, official statements and published studies; it is not medical or legal advice. Sources were checked on the publication date.