Evidence map›Paper›PMID 24312178›Full record

Trial reportPloS one2013

A randomized cross-over trial of the postprandial effects of three different diets in patients with type 2 diabetes.

Hanna Fernemark, Christine Jaredsson, Bekim Bunjaku, Ulf Rosenqvist, Fredrik H Nystrom, Hans Guldbrand

2 registry-linked trialsOpen access · goldAbstract readRandomized Controlled Trial
In one paragraph

Trial report in PloS one, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 14 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
14citing papers in PubMed, 2 pooled it
1.8field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT01522157 nacompletednot on this map

A Randomized Cross-over Trial of the Postprandial Effects of Three Different Diets in Patients With Type 2 Diabetes

TypeinterventionalSponsorVårdcentralen LyckornaRan2012 to 2012Enrolled19ConditionsType 2 Diabetes MellitusArmsLow-fat Diet, Low-carbohydrate Diet, Mediterranean Diet
NCT04920409 nacompletednot on this mapstarted 2018, after this paper: background citation

Effect of an Antiinflammatory Diet on Postprandial Gene Expression of Mononuclear Cells of Adult Obese Women

TypeinterventionalSponsorUniversidad de CaldasRan2018 to 2018Enrolled44ConditionsObesityArmsFAWGT diet, Usual diet (UD)
3 · Its place in the literature

Who cites it

14 citing papers in PubMed, 2 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Trial
  6. Article
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Article
  13. Article
  14. Do patients with type 2 diabetes still need to eat snacks?European journal of clinical nutrition · 2015
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Hanna FernemarkDepartment of Medical and Health Sciences, Faculty of Health Science, Linköping University, Linköping, Sweden.
Christine Jaredsson
Bekim Bunjaku
Ulf Rosenqvist
Fredrik H Nystrom
Hans Guldbrand
Linköping University · SELasarettet i Motala · SE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn the clinic setting both fasting levels of glucose and the area under the curve (AUC) of glucose, by determination of HbA1c levels, are used for risk assessments, in type 2 diabetes (NIDDM). However little is known about postprandial levels, and hence AUC, regarding other traditional risk factors such as insulin and blood-lipids and how this is affected by different diets.

objectiveTo study postprandial effects of three diets, during a single day, in NIDDM.

methodsA low-fat diet (45-56 energy-% from carbohydrates), and a low-carbohydrate diet (16-24 energy-% from carbohydrates) was compared with a Mediterranean-style diet (black coffee for breakfast and the same total-caloric intake as the other two diets for lunch with red wine, 32-35 energy-% from carbohydrates) in a randomized cross-over design. Total-caloric intake/test-day at the clinic from food was 1025-1080 kCal in men and 905-984 kCal in women. The test meals were consumed at a diabetes ward under supervision.

resultsTwenty-one participants were recruited and 19 completed the studies. The low-carbohydrate diet induced lower insulin and glucose excursions compared with the low-fat diet (p<0.0005 for both AUC). The insulin-response following the single Mediterranean-style lunch-meal was more pronounced than during the low-fat diet lunch (insulin increase-ratio of the low-fat diet: 4.35 ± 2.2, of Mediterranean-style diet: 8.12 ± 5.2, p = 0.001) while postprandial glucose levels were similar. The increase-ratio of insulin correlated with the elevation of the incretin glucose-dependent insulinotropic-polypeptide following the Mediterranean-style diet lunch (Spearman, r = 0.64, p = 0.003).

conclusionsThe large Mediterranean-style lunch-meal induced similar postprandial glucose-elevations as the low-fat meal despite almost double amount of calories due to a pronounced insulin-increase. This suggests that accumulation of caloric intake from breakfast and lunch to a single large Mediterranean style lunch-meal in NIDDM might be advantageous from a metabolic perspective.

trial registrationClinicalTrials.gov NCT01522157 NCT01522157.

Indexed as

DietPostprandial PeriodAdultAgedBlood GlucoseCross-Over StudiesDiabetes Mellitus, Type 2Diet, Carbohydrate-RestrictedDiet, Fat-RestrictedDiet, MediterraneanFemaleHumansInsulinLipidsMaleMiddle AgedBlood GlucoseInsulinLipids

Identifiers

PMID24312178
PMCPMC3842308
OpenAlexW2132028243

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.