Evidence map›Paper›PMID 37419391›Full record

ArticleDiabetes research and clinical practice2023

The acute effects of a DASH diet and whole food, plant-based diet on insulin requirements and related cardiometabolic markers in individuals with insulin-treated type 2 diabetes.

Thomas M Campbell, Erin K Campbell, Jonven Attia, Kenilia Ventura, Tony Mathews, Kavaljit H Chhabra, Lisa M Blanchard, Nellie Wixom, Tumininu S Faniyan, Derick R Peterson and 2 more

Registry-linked trialAbstract read
In one paragraph

Article in Diabetes research and clinical practice, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT07095543 (Feasibility, Implementation, and Efficacy of a Plant-based Online Weight Loss Through Education and Resources Program and Study), which is not on this map. Cited by 16 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed, 2 pooled it
–field-weighted citation impact
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.

NCT07095543 nanot yet recruitingnot on this mapstarted 2025, after this paper: background citation

Feasibility, Implementation, and Efficacy of a Plant-based Online Weight Loss Through Education and Resources Program and Study (POWER Study)

TypeinterventionalSponsorPhysicians Committee for Responsible MedicineRan2025 to 2028Enrolled100ConditionsType 2 Diabetes, Overweight and Obese AdultsArmsLow-fat, vegan diet
3 · Its place in the literature

Who cites it

16 citing papers in PubMed, 2 syntheses or guidelines pooled it.

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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

12 authors.

Thomas M CampbellDepartment of Family Medicine, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA. Electronic address: Thomas_campbell@urmc.rochester.edu.
Erin K CampbellDepartment of Public Health Sciences, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Jonven AttiaDivision of Endocrinology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Kenilia VenturaDivision of Endocrinology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Tony MathewsDivision of Endocrinology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Kavaljit H ChhabraDivision of Endocrinology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Lisa M BlanchardDepartment of Family Medicine, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Nellie WixomClinical Research Center, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Tumininu S FaniyanDivision of Endocrinology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Derick R PetersonDepartment of Biostatistics and Computational Biology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Donald K HarringtonDepartment of Biostatistics and Computational Biology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.
Steven D WittlinDivision of Endocrinology, University of Rochester Medical Center, 601 Elmwood Ave, Rochester, NY 14642, USA.

Funding

Role of Hypothalamic MC4R in Glucose Homeostasis via a Novel Neuroendocrine Circuit involving the Kidneys and Adrenal GlandsR01DK124619 · NIDDK · UNIVERSITY OF ROCHESTER · PI CHHABRA, KAVALJIT H · 2021 to 2025
$2.0M
NIDDK NIH HHS R01 DK124619
6 · The paper itself

Abstract

aimsThere is limited research regarding insulin dosing changes following adoption of plant-based diets. We conducted a nonrandomized crossover trial utilizing two plant-based diets (Dietary Approaches to Stop Hypertension, or DASH, and Whole Food, Plant-Based, or WFPB) to assess acute changes in insulin requirements and associated markers among individuals with insulin-treated type 2 diabetes.

methodsParticipants (n = 15) enrolled in a 4-week trial with sequential, one-week phases: Baseline, DASH 1, WFPB, and DASH 2. Each diet was ad libitum and meals were provided.

resultsCompared to baseline, daily insulin usage was 24%, 39%, and 30% lower after DASH 1, WFPB, and DASH 2 weeks respectively (all p < 0.01). Insulin resistance (HOMA-IR) was 49% lower (p < 0.01) and the insulin sensitivity index was 38% higher (p < 0.01) at the end of the WFPB week before regressing toward baseline during DASH 2. Total, LDL, and HDL cholesterol, leptin, urinary glucose, and hsCRP decreased to a nadir at the end of the WFPB week before increasing during DASH 2.

conclusionsAdopting a DASH or WFPB diet can result in significant, rapid changes in insulin requirements, insulin sensitivity, and related markers among individuals with insulin-treated type 2 diabetes, with larger dietary changes producing larger benefits.

Indexed as

Diabetes Mellitus, Type 2Dietary Approaches To Stop HypertensionHypertensionInsulin ResistanceDietDiet, VegetarianHumansInsulinInsulin, Regular, HumanInsulinInsulin, Regular, HumanDASH DietInsulin ResistanceMedical Nutrition TherapyPlant-Based DietType 2 Diabetes MellitusVegan Diet

Identifiers

PMID37419391
PMCPMC10528443

What OpenQuestion holds

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LicenceTDM
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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.