Non-Cochrane · DTA · PM41827247

Salivary Glucose Testing for Diabetes Mellitus: A Systematic Review and Meta-Analysis of Current Evidence and Methodological Heterogeneity.

Haba Kata Sára, Kreuter Patrik Krisztián, Qian Xinyi, et al. · Journal of clinical medicine · 2026 · PubMed · doi:10.3390/jcm15051829

Findings

12 findings

Population
Fasting people with diabetes mellitus, impaired fasting glucose and healthy controlsWhole-mouth (unstimulated) salivary glucose, glucose oxidase methodBlood glucose (reference measurement)Intercept of meta-regression of mean salivary glucose on mean blood glucose, whole-mouth saliva (mg/dL)
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls · All groups (diabetic and non-diabetic)
Meta-regression intercept 11.249221820 [3.8521, 18.6464]
GRADE not reported
Studies not reported
Fasting people with diabetes mellitus, impaired fasting glucose and healthy controlsWhole-mouth (unstimulated) salivary glucose, glucose oxidase methodBlood glucose (reference measurement)Slope of meta-regression of mean salivary glucose on mean blood glucose, whole-mouth saliva
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls · Diabetic groups only
Meta-regression slope -0.05827962 [-0.2624, 0.1459]
GRADE not reported
Studies not reported
Fasting people with diabetes mellitus, impaired fasting glucose and healthy controlsWhole-mouth (unstimulated) salivary glucose, glucose oxidase methodBlood glucose (reference measurement)Slope of salivary glucose on blood glucose, whole-mouth saliva (mg/dL per mg/dL)
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls
Regression slope 0.037
GRADE not reported
9 studies · 796 participants
Fasting people with diabetes mellitus, impaired fasting glucose and healthy controlsWhole-mouth (unstimulated) salivary glucose, glucose oxidase methodBlood glucose (reference measurement)Coefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls
R2 0.05
GRADE not reported
9 studies · 796 participants
Fasting people with diabetes mellitus, impaired fasting glucose and healthy controlsWhole-mouth (unstimulated) salivary glucose, glucose oxidase methodBlood glucose (reference measurement)Slope of meta-regression of mean salivary glucose on mean blood glucose, whole-mouth saliva
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls · All groups (diabetic and non-diabetic)
Meta-regression slope 0.002053316 [-0.0001, 0.0042]
GRADE not reported
Studies not reported
Fasting people with diabetes mellitus, impaired fasting glucose and healthy controlsWhole-mouth (unstimulated) salivary glucose, glucose oxidase methodBlood glucose (reference measurement)Intercept of meta-regression of mean salivary glucose on mean blood glucose, whole-mouth saliva (mg/dL)
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls · Diabetic groups only
Meta-regression intercept 24.03240110 [-11.3478, 59.4126]
GRADE not reported
Studies not reported
Fasting people with diabetes mellitus, impaired fasting glucose and healthy controlsWhole-mouth (unstimulated) salivary glucose, glucose oxidase methodBlood glucose (reference measurement)Slope of meta-regression of mean salivary glucose on mean blood glucose, whole-mouth saliva
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls · Non-diabetic (healthy) groups only
Meta-regression slope 1.260388 [0.0505, 2.4703]
GRADE not reported
Studies not reported
Fasting people with diabetes mellitus, impaired fasting glucose and healthy controlsWhole-mouth (unstimulated) salivary glucose, glucose oxidase methodBlood glucose (reference measurement)Intercept of meta-regression of mean salivary glucose on mean blood glucose, whole-mouth saliva (mg/dL)
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls · Non-diabetic (healthy) groups only
Meta-regression intercept -101.979497 [-210.2081, 6.2491]
GRADE not reported
Studies not reported
Fasting people with diabetes mellitus and healthy controlsParotid saliva glucose, glucose oxidase methodBlood glucose (reference measurement)Coefficient of determination (r2) of salivary glucose on blood glucose, parotid saliva
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls
R2 0.11
GRADE not reported
3 studies · 122 participants
Fasting people with diabetes mellitus and healthy controlsParotid saliva glucose, glucose oxidase methodBlood glucose (reference measurement)Slope of salivary glucose on blood glucose, parotid saliva (mg/dL per mg/dL)
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls
Regression slope 0.153
GRADE not reported
3 studies · 122 participants
Fasting participants with diabetes mellitus (including T2DM, T1DM, IGT) versus healthy controlsDiabetes mellitus group (salivary and blood glucose levels)Non-diabetic healthy control groupBlood glucose level (mg/dL), diabetic minus non-diabetic
Paired saliva and blood samples after overnight fast (at least 8 h) · Clinical and outpatient studies, mainly India; adults and children with diabetes, impaired fasting glucose and healthy controls
MD 81.59 [63.18, 100.01]
GRADE not reported
20 studies · 3048 participants
Participants with diabetes mellitus versus non-diabetic participants, fastingParticipants with diabetes mellitus (group mean)Non-diabetic participants (group mean)Salivary glucose level (mg/dL)
Single fasting sampling (at least 8 h overnight fast) · Clinical and hospital samples · Overall
MD 4.43 [2.05, 6.80]
GRADE not reported
23 studies · 3245 participants

Included primary studies 25

Open in Studies
StudyYearAlso included byOutcomes it informs hereTrial data
Sharon 2020
matched by author and year (probable)
NR1 other reviewSalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
AlQusayer 2019
DOI:10.5281/zenodo.2542068
NRthis review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Borg 1998
Glucose concentration in parotid saliva after glucose/food intake in individuals with glucose intolerance and diabetes mellitus.
PMID:9786322
1998this review onlySalivary glucose level (mg/dL)not extracted yet
Carramolino-Cuellar 2017
Salivary glucose as a metabolic control marker in patients with type 2 diabetes.
PMID:28691471
2017this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Salivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Choudhry 2022
Validation of salivary glucose as a screening tool of diabetes mellitus.
PMID:35405049
2022this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Salivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Cui 2022
Correlations of Salivary and Blood Glucose Levels among Six Saliva Collection Methods.
PMID:35409805
2022this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Coefficient of determination (r2) of salivary glucose on blood glucose, parotid saliva; Salivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Dhanya 2016
Salivary glucose as a diagnostic tool in Type II diabetes mellitus: A case-control study.
PMID:27251965
2016this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Salivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Egboh 2022
Comparative Analysis of Fasting Blood Glucose and Salivary Electrolytes Concentrations among Individuals with Type II Diabetes: A…
PMID:36518417
2022this review onlySalivary glucose level (mg/dL)not extracted yet
Ephraim 2019
Fasting salivary glucose levels is not a better measure for identifying diabetes mellitus than serum or capillary blood glucose levels:…
PMID:30886931
2019this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Salivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Forbat 1981
Glucose concentrations in parotid fluid and venous blood of patients attending a diabetic clinic.
PMID:7288781
1981this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Coefficient of determination (r2) of salivary glucose on blood glucose, parotid salivanot extracted yet
Ganesan 2022
Effectiveness of Salivary Glucose as a Reliable Alternative in Diagnosis of Type 1 Diabetes Mellitus: A Cross-Sectional Study.
PMID:36110787
2022this review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Gupta 2015
Evaluation of Correlation of Blood Glucose and Salivary Glucose Level in Known Diabetic Patients.
PMID:26155553
2015this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Salivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Harish 2018
matched by author and year (probable)
NRthis review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Harish 2019
DOI:10.13040/ijpsr.0975-8232.10(1).401-06
2019this review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Kadashetti 2015
Glucose Level Estimation in Diabetes Mellitus By Saliva: A Bloodless Revolution.
PMID:26710500
2015this review onlySalivary glucose level (mg/dL)not extracted yet
Manjrekar 2012
matched by author and year (probable)
NRthis review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Mrag 2020
Saliva diagnostic utility in patients with type 2 diabetes: Future standard method.
PMID:33033445
2020this review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Mussavira 2015
Salivary glucose and antioxidant defense markers in type II diabetes mellitus.
PMID:25790543
2015this review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Nirmala 2019
SALIVARY GLUCOSE CONCENTRATION IN TYPE-II DIABETIC PEOPLE: A CASE–CONTROL STUDY
DOI:10.22159/ajpcr.2019.v12i11.34739
2019this review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Panda 2012
Glucose estimation in the salivary secretion of diabetes mellitus patients.
PMID:22923999
2012this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Salivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Ravindran 2015
Estimation of Salivary Glucose and Glycogen Content in Exfoliated Buccal Mucosal Cells of Patients with Type II Diabetes Mellitus.
PMID:26155572
2015this review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Shahbaz 2014
Salivary alterations in type 1 diabetes mellitus patients: Salivary glucose could be noninvasive tool for monitoring diabetes mellitus.
PMID:25307901
2014this review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Sharma 2020
DOI:10.36848/pmr/2020/12100.51265
NRthis review onlySalivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet
Sreedevi 2008
Comparison of serum glucose and salivary glucose in diabetic patients
DOI:10.4103/0972-1363.44354
2008this review onlynot statednot extracted yet
Wang 2017
Evaluation of Parotid Salivary Glucose Level for Clinical Diagnosis and Monitoring Type 2 Diabetes Mellitus Patients.
PMID:28251153
2017this review onlyCoefficient of determination (r2) of salivary glucose on blood glucose, whole-mouth saliva; Coefficient of determination (r2) of salivary glucose on blood glucose, parotid saliva; Salivary glucose level (mg/dL); Blood glucose level (mg/dL), diabetic minus non-diabeticnot extracted yet

Overlap with other reviews

Reviews that include the same primary studies are not independent evidence. Shared counts match studies by PMID, DOI or NCT, and otherwise by author and year (a probable match). Only the non-Cochrane dental reviews have study lists, so overlap with Cochrane reviews is not counted yet.

Review question

ElementPlanned (methods)Found (results)
PopulationGeneral population (people with diabetes mellitus and healthy individuals)Patients with type 1 or type 2 diabetes, impaired glucose tolerance and healthy adults and children (n=25)
InterventionSalivary glucose test using the glucose-oxidase methodSalivary glucose, glucose-oxidase methods (n=25)
ComparisonNot specifiedBlood glucose reference measurement (n=25)
OutcomesCorrelation (r2) between salivary and blood glucose; group mean difference between diabetic and non-diabetic participantsIPD r2 whole-mouth (n=9 studies, 796 patients); parotid (n=3 studies); mean difference salivary glucose (n=23 comparisons); blood glucose (n=20 comparisons)
Study designsHuman clinical studies (RCTs, observational, case series); overnight fasting; English full text22 observational studies, 1 RCT, 1 case-control, 1 cross-sectional
TimingFasting paired samplesFasting single sampling