Last updated August 23, 2026
Key finding
Mean HbA1c went from 58.8 mmol/mol at baseline to 54.0 mmol/mol, representing a mean reduction of 4.78 mmol/mol (SD 4.60; t 31 =5.87; P <.001).
Low Carb Program digital health intervention for glycemic control and weight loss in adults with type 2 diabetes.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
Non-randomized CT
Follow-up
Long-Term (1–5 y)
Risk of bias
High Risk
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
Low Carb Program digital health intervention for glycemic control and weight loss in adults with type 2 diabetes.
This study evaluated Low Carb Program digital health intervention for glycemic control and weight loss in adults with type 2 diabetes.
Limitations were not clearly described in the extracted text.
Published in
Publication details and source links for this paper.
Dina G, Ralf S, Yvonne B, Charlotte S, Simon T, David U. Real-World Outcomes of a Digital Health Intervention for Type 2 Diabetes: The Low Carb Program. JMIR Diabetes. 2021;6(3):e25751. doi:10.2196/25751
Evidence network
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This study contributes evidence to Remote nutrition education on low-carbohydrate diet and Body weight, Engagement in lifestyle change program at 12 months, HbA1c.
This study contributes evidence to
Primary intervention
Remote nutrition education on low-carbohydrate diet
Primary outcomes
Evidence topics
Primary intervention
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
2
Related topics
3
Evidence pairs
707
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Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence relationship
Related evidence
Evidence relationship
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Core evidence
The primary outcomes reported in this study.
Remote nutrition education on low-carbohydrate diet → Body weight
Remote nutrition education on low-carbohydrate diet → Body weight
Remote nutrition education on low-carbohydrate diet → Engagement in lifestyle change program at 12 months
Remote nutrition education on low-carbohydrate diet → Engagement in lifestyle change program at 12 months
Remote nutrition education on low-carbohydrate diet → HbA1c
Remote nutrition education on low-carbohydrate diet → HbA1c
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Low-Carbohydrate Diet Education and HbA1c, Low-Carbohydrate Diet Education and Body Weight.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring HbA1c
Measures HbA1c as a key outcome.
All studies on Low-Carbohydrate Diet Education
Contributes to Low-Carbohydrate Diet Education evidence base.
All studies measuring Body Weight
Measures Body Weight as a key outcome.
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2 results
1 results
2 results
2 results
1 results
Generated from the study's connected evidence using Evidence Intelligence™.
Low-Carbohydrate Diet Education appears to improve HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
HbA1c
EvidenceScore™ Moderate | EvidenceScore™ 67.0 | strong positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on 18 supporting studies with consistent results and a positive effect signal.
Limitations
Low-Carbohydrate Diet Education appears to improve Body Weight.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Body weight
EvidenceScore™ Emerging | EvidenceScore™ 54.4 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 10 supporting studies with consistent results and a positive effect signal.
Limitations
Remote nutrition education on low-carbohydrate diet appears to improve Engagement in lifestyle change program at 12 months.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Engagement in lifestyle change program at 12 months
EvidenceScore™ Emerging | EvidenceScore™ 54.4 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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