Evidence map›Paper›PMID 32870466›Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2020

The Effects of Mobile-App-Based Low-Carbohydrate Dietary Guidance on Postprandial Hyperglycemia in Adults with Prediabetes.

Xiaoyu Chen, Haihua Su, Daisuke Kunii, Kousuke Kudou, Yiyan Zhang, Ying Zhao, Dan Zhang, Yuanyuan Xing, Jiaqi Teng, Zhiqiang Nie and 4 more

Erratum issuedOpen access · goldAbstract read
In one paragraph

Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 10 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 3 pooled it
1.0field-weighted citation impact, top 25% 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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 3 syntheses or guidelines pooled it, 17 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Pooled it
  4. Trial
  5. Trial
  6. Article
  7. Use of technology in prediabetes and precision prevention.Journal of diabetes investigation · 2025
    Review
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 2 countries.

Xiaoyu Chen *Department of Rehabilitation Medicine, TEDA International Cardiovascular Hospital, Cardiovascular Clinical College of Tianjin Medical University, Tianjin, China.
Haihua Su *Department of Endocrinology and Nephrology, PKU Care CNOOC Hospital, Tianjin, China.
Daisuke KuniiDepartment of Food and Nutritional Sciences, Jumonji University, Tokyo, Japan.
Kousuke KudouJapan Nutrition Care Service Association, Tokyo, Japan.
Yiyan ZhangDepartment of Food and Nutritional Sciences, Jumonji University, Tokyo, Japan.
Ying ZhaoDepartment of Rehabilitation Medicine, PKU Care CNOOC Hospital, Tianjin, China.
Dan ZhangDepartment of Endocrinology and Nephrology, PKU Care CNOOC Hospital, Tianjin, China.
Yuanyuan XingDepartment of Endocrinology and Nephrology, PKU Care CNOOC Hospital, Tianjin, China.
Jiaqi TengDepartment of Endocrinology and Nephrology, PKU Care CNOOC Hospital, Tianjin, China.
Zhiqiang NieDepartment of Rehabilitation Medicine, PKU Care CNOOC Hospital, Tianjin, China.
Xinxin LiuDepartment of Rehabilitation Medicine, PKU Care CNOOC Hospital, Tianjin, China.
Kaijun NiuSchool of Public Health, Tianjin Medical University, Tianjin, China.
Yong ZhaoDepartment of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China.
Qi GuoDepartment of Rehabilitation Medicine, Shanghai University of Medicine and Health Sciences Affiliated Zhoupu Hospital, Shanghai, China. guoqijp@gmail.com.ORCID http://orcid.org/0000-0002-0193-4388
Shanghai University of Medicine and Health Sciences · CNJumonji University · JPTEDA International Cardiovascular Hospital · CNTianjin Medical University · CN

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPostprandial hyperglycemia is independently associated with many adverse complications, while diets with a low glycemic load are beneficial in improving post-meal glucose levels. This study aims to determine if mobile-app-based low-carbohydrate dietary guidance will reduce exposure to postprandial hyperglycemia in adults with prediabetes.

methodsThis single-blind, randomized controlled pilot study included 100 participants (39 men; mean age 53.6 ± 11.9 years) and was performed in the PKU Care CNOOC Hospital, China. The intervention group (n = 57) received low-carbohydrate dietary guidance through a moblie app (CAReNA) for 3 months, while the control group (n = 43) only received health education on a diabetic diet. The primary outcome was change in time of postprandial hyperglycemia between baseline and 3 months.

resultsThe study revealed that the mean time in postprandial hyperglycemia (> 7.8 mmol/l [140 mg/dl]) monitored by flash glucose monitoring changed from 3.27 h/day at baseline to 2.34 h/day at 3 months in the intervention group and from 3.08 h/day to 2.96 h/day in the control group, with a between-group difference of - 0.81 h/day (P < 0.05). Fasting plasma glucose and glycated hemoglobin (HbA1c) in the intervention group decreased significantly, although no significant difference was seen between the two groups. Compared with the control group, the intervention group had a significant decrease in anthropometric and body composition measurements as well as triglycerides.

conclusionThe mobile-app-based low-carbohydrate dietary guidance effectively reduced the time spent in postprandial hyperglycemia in adults with prediabetes. This new type of nutritional management has beneficial effects on people with prediabetes and needs further research. CLINICAL

trial registrationChiCTR1900024880.

Indexed as

Low-carbohydrate dietary guidanceMobile appPostprandial hyperglycemiaPrediabetes

Identifiers

PMID32870466
PMCPMC7509028
OpenAlexW3081569715

What OpenQuestion holds

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LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.