Type 2 & other diabetes

Optimizing cardiovascular health with a type 2 diabetes remission program: Ultraprocessed food‐intake reduction, Mediterranean diet, chrononutrition and physical training—The DIABEPIC ‐2 pilot study

Diabetes Obes MetabPublished Pilot feasibility study

Authors' conclusion

The DIABEPIC-2 program enabled a significant proportion of participants to achieve T2D remission and to improve their cardiovascular health; therefore, it would be relevant to confirm these results. The recruitment and visit completion rates observed in this pilot study further demonstrate its feasibility, supporting the rationale for conducting a larger randomized clinical trial.

Study context

Population
Adults with T2D; mean age 63.6 ± 9.2 years, initial mean HbA1c 6.7 ± 0.7%, mean T2D duration 7.4 ± 6.7 years34 completed
Comparison
6-month programme, with or without intermittent fasting (IF) add-on
Outcome
Feasibility of the programme
Follow-up
6 months
Methodological detailssingle-arm programme, randomised 2:1 intermittent fasting add-on in last 3 months
  • Single-arm programme
  • Randomised 2:1 intermittent fasting add-on in last 3 months

Main finding

As reported in the abstract

Feasibility

Recruitment rate

6.4 participants/month

Completed the programme

34 participants

81%

Attendance rate

87%

Further findings

Weight change · 6 months

Mean weight loss (all participants)
−6.8 kg (−9.3 to −4.4, p < 0.001)

Cardiometabolic health, anthropometric parameters, cardiorespiratory fitness and food matrix quality

Overall, participants significantly improved cardiometabolic health and anthropometric parameters, cardiorespiratory fitness, and food matrix quality

IF add-on

Participants randomised to the IF add-on did not show significant additional improvement

Original publication

Optimizing cardiovascular health with a type 2 diabetes remission program: Ultraprocessed food‐intake reduction, Mediterranean diet, chrononutrition and physical training—The DIABEPIC ‐2 pilot study. Diabetes Obes Metab. Published 18 September 2025. doi:10.1111/dom.70142

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