Evidence map›Paper›PMID 41859862›Full record

Trial reportDiabetic medicine : a journal of the British Diabetic Association2026

Testing the feasibility of an intermittent low-energy diet in women with gestational diabetes.

Elizabeth Dapre, Emma Barrett, Brian McMillan, Andrea Pilkington, Fahmy Hanna, Avni Vyas, Cheryl Lombardelli, Womba Mubita, Jessy Athirampuzha, Liveen Dosanjh and 2 more

Registry-linked trialAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Diabetic medicine : a journal of the British Diabetic Association, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05344066 (MIDDAS-GDM), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–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.

NCT05344066 naunknown statusnot on this map

MIDDAS-GDM: A Two-Arm Randomised Feasibility Protocol Trial of an Intermittent Low-Energy Diet (ILED) in Women With Gestational Diabetes and Obesity in Greater Manchester

TypeinterventionalSponsorManchester University NHS Foundation TrustRan2022 to 2024Enrolled26ConditionsGestational Diabetes, Gestational Diabetes Mellitus in Pregnancy, Intermittent Fasting, Pregnancy RelatedArmsBest NHS Care, Intermittent Low Energy Diet
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Testing the feasibility of an intermittent low-energy diet in women with gestational diabetes.Diabetic medicine : a journal of the British Diabetic Association · 2026
    Trial
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.

Elizabeth DapreCentre for Primary Care and Health Services Research, The University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0001-8220-4514
Emma BarrettCentre for Biostatistics, The University of Manchester, Manchester, UK.
Brian McMillanCentre for Primary Care and Health Services Research, The University of Manchester, Manchester, UK.ORCID https://orcid.org/0000-0002-0683-3877
Andrea PilkingtonObstetrics and Gynaecology, Manchester University NHS Foundation Trust, Manchester, UK.
Fahmy HannaDiabetes and Endocrinology, University Hospitals of North Midlands NHS Trust, Stoke-on-Trent, UK.
Avni VyasFaculty of Health and Education, Department of Health Professions, Manchester Metropolitan University, Manchester, UK.
Cheryl LombardelliDepartment of Nutrition and Dietetics, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Womba MubitaDiabetes, Endocrinology and Metabolic Services, Manchester University NHS Foundation Trust, Manchester, UK.
Jessy AthirampuzhaDiabetes, Endocrinology and Metabolic Services, Manchester University NHS Foundation Trust, Manchester, UK.
Liveen DosanjhSchool of Medical Sciences, The University of Manchester, Manchester, UK.
Michelle HarvieDepartment of Nutrition and Dietetics, Manchester University NHS Foundation Trust, Manchester Academic Health Science Centre, Manchester, UK.
Basil G IssaDiabetes, Endocrinology and Metabolic Services, Manchester University NHS Foundation Trust, Manchester, UK.

Funding

National Institute for Health and Care Research
6 · The paper itself

Abstract

aimsThe study aimed to assess feasibility, acceptability and safety of an ILED in a randomised controlled trial of ILED vs. best NHS care healthy diet and exercise advice in women with Gestational Diabetes Mellitus (GDM) with body mass index ≥27.5 kg/m

methodsParticipants were randomised (1:1) to receive an ILED (1000 kcal on two non-consecutive days of the week with 5 days/week of best NHS care healthy diet and exercise advice) or best NHS care healthy diet and exercise advice 7 days/week from recruitment (24-30 weeks gestation) until delivery (BNC). Primary outcomes were uptake, retention and adherence to the interventions. Maternal and neonatal safety outcomes were explored, and secondary outcomes assessed fidelity of the delivery of the intervention and completeness of study data across all trial participants.

resultsParticipants were randomised to ILED (n = 14) or BNC (n = 12) and 73% (n = 19; ILED n = 10, BNC n = 9) received their allocated intervention. There was low study retention (58%; ILED n = 7; BNC n = 8) and low adherence to the ILED median (IQR) 37% (8%-50%) out of prescribed days; however, the study achieved a feasible uptake rate (31%; n = 26). There were no adverse events specifically related to the ILED.

conclusionOur findings suggest that ILED may not be feasible in the third trimester in people with GDM. Future research should explore alternative interventions and interventions earlier in pregnancy for the prevention and management of GDM. TRIAL REGISTRATION NUMBER: NCT05344066.

Indexed as

Caloric RestrictionDiabetes, GestationalAdultBody Mass IndexDiet, HealthyExerciseFeasibility StudiesFemaleHumansPatient CompliancePregnancyexercisefeasibilitygestational diabeteshealthy dietintermittent low energy dietpregnancysafety

Identifiers

PMID41859862
PMCPMC13257903

What OpenQuestion holds

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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.