Evidence map›Paper›PMID 35956384›Full record

ArticleNutrients2022

Safety and Efficacy of Eucaloric Very Low-Carb Diet (EVLCD) in Type 1 Diabetes: A One-Year Real-Life Retrospective Experience.

Andrea Kleiner, Barbara Cum, Livia Pisciotta, Ivan Raffaele Cincione, Ludovica Cogorno, Amalia Prigione, Antonio Tramacere, Andrea Vignati, Luca Carmisciano, Samir Giuseppe Sukkar

Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in Nutrients, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05791019 (Efficacy of Paleolithic Diet in Control of Blood Level of Glucose in Type 2 DM Patients), which is not on this map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.8field-weighted citation impact, top 13% 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.

NCT05791019 unknown statusnot on this mapstarted 2023, after this paper: background citation

Efficacy of Paleolithic Diet in Control of Blood Level of Glucose in Type 2 DM Patients

TypeobservationalSponsorAssiut UniversityRan2023 to 2024Enrolled100ConditionsDiabetic PatientsArmsPaleolithic diet effect on patients
3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 13 citations in OpenAlex.

  1. Trial
  2. Review
  3. Review
  4. The emergence of obesity in type 1 diabetes.International journal of obesity (2005) · 2024
    Review
  5. Review
  6. Article
  7. 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

10 authors at 3 institutions in 1 country.

Andrea KleinerSalus AlpeAdria Diabetes Center, 33100 Udine, Italy.
Barbara CumSalus AlpeAdria Diabetes Center, 33100 Udine, Italy.
Livia PisciottaDietetics and Clinical Nutrition Unit, IRCCS Policlinic Hospital San Martino, 16132 Genoa, Italy.ORCID 0000-0001-7080-9807
Ivan Raffaele CincioneDepartment of Clinical and Experimental Medicine, University of Foggia, 71122 Foggia, Italy.
Ludovica CogornoDietetics and Clinical Nutrition Unit, IRCCS Policlinic Hospital San Martino, 16132 Genoa, Italy.
Amalia PrigioneDepartment of Internal Medicine, University of Genoa, 16132 Genoa, Italy.
Antonio TramacereDepartment of Internal Medicine, University of Genoa, 16132 Genoa, Italy.
Andrea VignatiDepartment of Internal Medicine, University of Genoa, 16132 Genoa, Italy.
Luca CarmiscianoDepartment of Health Sciences (DISSAL), Section of Biostatistics, University of Genoa, Via Pastore, 16132 Genoa, Italy.ORCID 0000-0001-6263-3864
Samir Giuseppe SukkarDietetics and Clinical Nutrition Unit, IRCCS Policlinic Hospital San Martino, 16132 Genoa, Italy.ORCID 0000-0003-4194-1547
University of Genoa · ITOspedale Policlinico San Martino · ITUniversity of Foggia · IT

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

A eucaloric very low carbohydrate diet (EVLCD) is a diet with a daily caloric intake equal to the total daily energy expenditure (TDEE) with a carbohydrate content of <50 g/day. The literature on very low carbohydrate diets (VLCD) in type 1 diabetes (DM 1) is limited, although recently published scientific studies have highlighted their safety and efficacy in managing DM 1. In this retrospective analysis, we report the clinical data of 33 patients affected by DM 1 carrying out insulin therapy who switched voluntarily from their usual diet (high carb, low fat) to an EVLCD. Our aim is to evaluate the glycemic control, the amount of insulin needed in order to maintain glycemic control and safety of EVLCD. The switch improved glycemic control (mean glycated hemoglobin decreased from 8.3% to 6.8% (p < 0.01). The number of patients who reached a glycated hemoglobin value of <7% increased statistically from 12% to 57% (p < 0.01), and there was a statistically significant decrease (p < 0.01) in the units of daily insulin (from 36.7± 14.9 IU to 28.9 ±9.1 IU) A reduction from 54% to 24% in clinical level 2 hypoglycemia episodes was reported. No cases of severe hypoglycemia or ketoacidosis were observed. The results of the study support that EVLCD in DM 1 seems safe and effective when adopted under tight medical supervision.

Indexed as

Diabetes Mellitus, Type 1Diabetes Mellitus, Type 2HypoglycemiaBlood GlucoseDiet, Carbohydrate-RestrictedGlycated HemoglobinHumansInsulinRetrospective StudiesBlood GlucoseGlycated HemoglobinInsulinDM1eucaloric very low-carb dietEVLCDsafetytype 1 diabetes

Identifiers

PMID35956384
PMCPMC9370810
OpenAlexW4291017028

What OpenQuestion holds

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LicenceCC BY
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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.