INS and gestational diabetes: In addition, another similar RCT study in Iran with 64 pregnant women with GDM randomized to receive probiotic supplement (Lactobacillus acidophilus LA-5, Bifidobacterium BB-12, Streptococcus thermophilus STY-31, and Lactobacillus delbrueckii bulgaricus LBY-27) or placebo for 8 weeks also found that the probiotic supplements significantly reduced gestational weight gain and fasting blood glucose and improved insulin sensitivity [108].