Type 2 & other diabetes

Effects of a Carbohydrate-Restricted Diet on β-Cell Response in Adults With Type 2 Diabetes

J Clin Endocrinol MetabPublished Randomised controlled diet trial

Authors' conclusion

These results suggest that a eucaloric CR diet has beneficial effects on β-cell function in patients with mild T2D.

Study context

Population
African American and European American adults with T2D not using insulin; medications discontinued 1 to 2 weeks before baseline
Participants
57 participants
Comparison
Eucaloric carbohydrate-restricted (CR) diet vs eucaloric higher carbohydrate (HC) diet
Primary endpoint
β-cell response to glucose: acute (first-phase) and maximal (arginine-stimulated) C-peptide response by hyperglycemic clamp
Follow-up
12 weeks
Methodological detailseucaloric, controlled diet therapy (all food provided)
  • Eucaloric
  • Controlled diet therapy (all food provided)

Primary result

As reported in the abstract

Acute C-peptide response
Significant effect of diet; 2-fold greater with CR diet
P < .01

Further findings

Maximal C-peptide response · 12 weeks

Significant effect of diet; 22% greater with CR diet
P < 0.05
Significant diet-by-race interaction
P < 0.05
European Americans: 48% greater with CR diet
P < 0.01

Disposition index (oral glucose tolerance test (OGTT)) · 12 weeks

Significant effect of diet; 32% greater with CR diet
P < 0.05

Original publication

Effects of a Carbohydrate-Restricted Diet on β-Cell Response in Adults With Type 2 Diabetes. J Clin Endocrinol Metab. Published 22 October 2024. doi:10.1210/clinem/dgae670

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