Type 2 & other diabetes

Efficacy of diabetes‐specific partial meal replacement on glycemic and weight control in type 2 diabetes: A randomized controlled trial

Diabetes Obes MetabPublished Randomised controlled trial

Primary result · HbA1c changeResult — go to the resultMD −0.63 % 95% CI −1.00 to −0.27

Authors' conclusion

This study demonstrated that PMR with DSF significantly improved glycemic and weight management in participants with type 2 diabetes and overweight or obesity. Adiponectin levels increased in the treatment group, correlating with improved glycemic control. No adverse events were observed on liver and kidney profiles, highlighting its potential as a safe and effective approach for diabetes management.

Study context

Population
Adults aged 20–65 years with T2D (haemoglobin A1c (HbA1c) ≥7.5%) and overweight or obesity, Hospital Canselor Tuanku Muhriz, National University of Malaysia, February 2022 to March 2024; mean age 52.2 ± 9.7 years141 completed
Participants
156 adults
Comparison
Diabetes-specific formula (DSF)-based partial meal replacement (PMR) plus dietary consultation vs dietary consultation alone
Primary endpoint
Mean change in HbA1c
Follow-up
Week 12
Methodological detailsparallel, single-centre
  • Parallel
  • Single-centre

Primary result

HbA1c change

MD

−0.63 %

95% CI −1.00 to −0.27

P < 0.001

Change by group

Treatment

−0.83

%

Control

−0.19

%

Treatmentvs Control
MD −0.63 % (95% CI −1.00 to −0.27); P < 0.001

As reported in the abstract

Further findings

Clinically significant HbA1c reduction (≥0.5%)

P = 0.023

Fasting glucose, insulin and anthropometric measurements

Significantly improved in the treatment group vs controls

Hormonal changes (subsample)

Significant improvements in adiponectin levels in the treatment group
  • Subsample analysis

Safety

No adverse events observed on liver and kidney profiles

Original publication

Efficacy of diabetes‐specific partial meal replacement on glycemic and weight control in type 2 diabetes: A randomized controlled trial. Diabetes Obes Metab. Published 9 May 2025. doi:10.1111/dom.16446

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