Research Summary
Analyzed using Evidence Intelligence™

Circulating lncRNAs may improve T2DM risk prediction

Last updated August 21, 2026

Key finding

HR 0.37 (0.24–0.59), p < 0.001

This study explored the role of circulating long non-coding RNAs (lncRNAs) as predictive biomarkers for type 2 diabetes mellitus (T2DM) in high cardiovascular risk patients, finding a significant association between lower lncRNA scores and reduced T2DM risk.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ y)

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

This study explored the role of circulating long non-coding RNAs (lncRNAs) as predictive biomarkers for type 2 diabetes mellitus (T2DM) in high cardiovascular risk patients, finding a significant association between lower lncRNA scores and reduced T2DM risk.

Clinical relevance

Identifying predictive biomarkers for type 2 diabetes is crucial for early intervention, particularly in high-risk populations. This study highlights the potential of circulating lncRNAs as a non-invasive tool for clinicians to assess diabetes risk, allowing for timely preventive measures and better management of cardiovascular health.

Keep in mind

The effectiveness of interventions was unclear due to limited data. The study's generalizability may be limited to specific high-risk populations. Potential confounding factors were not fully accounted for.

Published in

Journal Reference

Publication details and source links for this paper.

Hatim B, Mar&#237;a JP, Ana O, et al. Circulating long non-coding RNAs as predictive biomarkers for type 2 diabetes mellitus development in high cardiovascular risk patients. Cardiovascular Diabetology. 2025;24:455. doi:10.1186/s12933-025-02942-y

Main Effects

A lower lncRNA score was associated with a reduced risk of developing T2DM (HR 0.37, p < 0.001).

The association between lncRNA scores and T2DM risk was consistently observed across multiple analyses.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Low-fat diet, Mediterranean diet and lncRNA score associated with T2DM risk, type 2 diabetes mellitus.

Primary intervention

Low-fat diet

Primary outcomes

  • lncRNA score associated with T2DM risk
  • type 2 diabetes mellitus

Evidence relationships

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

4
Evidence pairs
4
Relationships
2
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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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: 69

2

Related topics

4

Evidence pairs

351

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence relationship

Low-fat Diets and Diabetes Incidence and Prevention

Related evidence

Evidence topic

Prediabetes

Save evidence

Evidence topic

Diabetes Prevention

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

lncRNA score associated with T2DM risk

Low-fat diet → lncRNA score associated with T2DM risk

Low-fat diet → lncRNA score associated with T2DM risk

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

type 2 diabetes mellitus

Low-fat diet → type 2 diabetes mellitus

Low-fat diet → type 2 diabetes mellitus

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

lncRNA score associated with T2DM risk

Mediterranean diet → lncRNA score associated with T2DM risk

Mediterranean diet → lncRNA score associated with T2DM risk

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

type 2 diabetes mellitus

Mediterranean diet → type 2 diabetes mellitus

Mediterranean diet → type 2 diabetes mellitus

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Lower lncRNA scores were linked to a 63% reduced risk of T2DM.
  • Statistical significance was strong with p-values less than 0.001.
who this applies

Who this applies to

  • Adults at high cardiovascular risk.
  • Individuals potentially developing type 2 diabetes mellitus.
keep in mind

Keep in Mind

  • Findings are based on a specific high-risk population and may not apply to the general population.
  • Further research is needed to confirm these results and explore mechanisms.
  • The study did not address long-term outcomes beyond diabetes development.
between the lines

Between the Lines

  • The effectiveness of interventions was unclear due to limited data.
  • The study's generalizability may be limited to specific high-risk populations.
  • Potential confounding factors were not fully accounted for.

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 Low-fat Diets and Diabetes Incidence and Prevention, Low-fat Diets and lncRNA score associated with T2DM risk.

Related evidence relationships

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™.

Do Low-fat Diets reduce diabetes incidence and prevention?

Emerging Evidence

Low-fat Diets appear to reduce diabetes incidence and prevention.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    type 2 diabetes mellitus

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Low-fat diet reduce lncrna score associated with t2dm risk?

Emerging Evidence

Low-fat diet appears to reduce lncrna score associated with t2dm risk.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    lncRNA score associated with T2DM risk

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Mediterranean diet reduce lncrna score associated with t2dm risk?

Emerging Evidence

Mediterranean diet appears to reduce lncrna score associated with t2dm risk.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    lncRNA score associated with T2DM risk

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Mediterranean diet improve type 2 diabetes mellitus?

Emerging Evidence

Mediterranean diet appears to improve type 2 diabetes mellitus.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    type 2 diabetes mellitus

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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