Resumen de Investigación
Analyzed using Evidence Intelligence™

Very-low-calorie diet improves diabetes remission in Thai patients.

Última actualización 21 de agosto de 2026

Key finding

At both 8 and 12 weeks, diabetes remission was achieved in 79%.

A very-low-calorie diet led to short-term diabetes remission in obese Thai patients, with significant improvements in metabolic markers.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 mo)

Risk of bias

Some Concerns

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

A very-low-calorie diet led to short-term diabetes remission in obese Thai patients, with significant improvements in metabolic markers.

Clinical relevance

These findings highlight the potential of dietary interventions in managing obesity-related diabetes, suggesting that a very-low-calorie diet could be a viable option for achieving rapid metabolic improvements and diabetes remission in similar patient populations.

Keep in mind

Single-arm study limits generalizability. Short follow-up period may not reflect long-term effects. Lack of control group reduces comparative analysis.

Published in

Referencia de la Revista

Publication details and source links for this paper.

Mongkontida U, Pornsawan P, Juntagan A, et al. Very-low-calorie diet induces short-term diabetes remission in obese Thai patients. Food Science & Nutrition. 2019;7(3):1113-1122. doi:10.1002/fsn3.956

Efectos Principales

79% of participants achieved diabetes remission at 8 and 12 weeks.

Fasting plasma glucose decreased by 3.8 mmol/L (from 10.1 to 6.3 mmol/L).

Body weight decreased by 9.5 kg (from 71.9 to 62.4 kg).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Very-low-calorie ketogenic diet and Beta-cell function, Diabetes remission, Fasting Plasma Glucose (FPG), and 5 more.

Primary intervention

Very-low-calorie ketogenic diet

Primary outcomes

  • Beta-cell function
  • Diabetes remission
  • Fasting Plasma Glucose (FPG)

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

8
Evidence pairs
8
Relationships
4
Evidence topics
contributes_evidence

Editorial context

Why this study matters

See why this paper is useful beyond its individual results.

Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 68

4

Related topics

8

Evidence pairs

1250

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 8 evidence relationships
  • Includes primary outcome data
  • Linked to 4 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Evidencia principal

Relación de evidencia

Ketogenic Diets and Insulin Resistance

Evidencia relacionada

Relación de evidencia

Ketogenic Diets and Fasting Glucose

Guardar evidencia

Relación de evidencia

Ketogenic Diets and HbA1c

Guardar evidencia

Core evidence

Study findings

The primary outcomes reported in this study.

Beta-cell function

Very-low-calorie ketogenic diet → Beta-cell function

Very-low-calorie ketogenic diet → Beta-cell function

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Diabetes remission

Very-low-calorie ketogenic diet → Diabetes remission

Very-low-calorie ketogenic diet → Diabetes remission

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Fasting Plasma Glucose (FPG)

Very-low-calorie ketogenic diet → Fasting Plasma Glucose (FPG)

Very-low-calorie ketogenic diet → Fasting Plasma Glucose (FPG)

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

HbA1c

Very-low-calorie ketogenic diet → HbA1c

Very-low-calorie ketogenic diet → HbA1c

Evidence Intelligence™
EvidenceScore™
79
Strong
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Estudios de apoyo: Basado en 3 estudios
Add to Evidence Tracker

Insulin resistance

Very-low-calorie ketogenic diet → Insulin resistance

Very-low-calorie ketogenic diet → Insulin resistance

Evidence Intelligence™
EvidenceScore™
77
Strong
ImpactScore™
89
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 4 estudios
Add to Evidence Tracker

Quality of life

Very-low-calorie ketogenic diet → Quality of life

Very-low-calorie ketogenic diet → Quality of life

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Estudios de apoyo: Basado en 2 estudios
Add to Evidence Tracker

type 2 diabetes mellitus

Very-low-calorie ketogenic diet → type 2 diabetes mellitus

Very-low-calorie ketogenic diet → type 2 diabetes mellitus

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Weight loss dependent effect on HbA1c

Very-low-calorie ketogenic diet → Weight loss dependent effect on HbA1c

Very-low-calorie ketogenic diet → Weight loss dependent effect on HbA1c

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Estudios de apoyo: Basado en 1 estudio
Add to Evidence Tracker

Evidence Library

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evidence suggest

La Evidencia Sugiere

  • Diabetes remission achieved in 79% of participants.
  • HbA1c levels decreased by 2.2% (from 8.0% to 5.8%).
  • Quality of life improved by 546 points.
who this applies

A quién se aplica

  • Obese Thai adults with type 2 diabetes.
  • Patients seeking rapid metabolic improvement through diet.
keep in mind

Tener en Cuenta

  • Results may not apply to non-obese or non-Thai populations.
  • Short-term results may not predict long-term diabetes management.
  • Further research needed to confirm findings in larger, diverse populations.
between the lines

Entre Líneas

  • Single-arm study limits generalizability.
  • Short follow-up period may not reflect long-term effects.
  • Lack of control group reduces comparative analysis.

Evidence Library

Build your evidence library

Save research, organize studies, and quickly find important evidence again.

Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Ketogenic Diets and Fasting Glucose, Ketogenic Diets and HbA1c.

Relaciones de evidencia relacionadas

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Ketogenic Diets improve insulin resistance?

Strong Evidence

Ketogenic Diets may improve Insulin Resistance.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Insulin resistance

    EvidenceScore™ Strong | EvidenceScore™ 76.8 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 5 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
5 supporting studiesUpdated: Aug 2026

Does Ketogenic Diets improve fasting glucose?

Strong Evidence

Ketogenic Diets may improve Fasting Glucose.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Fasting Plasma Glucose (FPG)

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 3 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Aug 2026

Does Ketogenic Diets improve HbA1c?

Strong Evidence

Ketogenic Diets may improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 78.6 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
4 supporting studiesUpdated: Aug 2026

Does Ketogenic Diets improve quality of life outcomes?

Strong Evidence

Ketogenic Diets appears to improve Quality of Life Outcomes.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Quality of life

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 3 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Aug 2026
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