Last updated August 18, 2026
Key finding
Adjusted odds ratio for diabetic retinopathy for vegetables first was 0.64 (95% CI, 0.41–0.98; P = 0.043).
Eating order habits in diabetic patients and their association with complications.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
Cross-Sectional
Follow-up
Short-Term (≤3 mo)
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
Eating order habits in diabetic patients and their association with complications.
This study evaluated Eating order habits in diabetic patients and their association with complications.
Limitations were not clearly described in the extracted text.
Published in
Publication details and source links for this paper.
Kanako I, Satoshi I, Tatsuya T, Kentaro A, Kazuya M. Eating Vegetables First Reduces Risk of Diabetic Complications. Diabetes, Metabolic Syndrome and Obesity. 2026;19:555812. doi:10.2147/DMSO.S555812
Evidence network
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This study contributes evidence to Vegetables-first eating pattern and 10-year ASCVD risk, Diabetic nephropathy incidence, Diabetic neuropathy incidence, and 1 more.
This study contributes evidence to
Primary intervention
Vegetables-first eating pattern
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.
1
Related topics
4
Evidence pairs
45
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Contributes evidence
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Primary evidence
Evidence topic
matched_outcome
Core evidence
The primary outcomes reported in this study.
Vegetables-first eating pattern → 10-year ASCVD risk
Vegetables-first eating pattern → 10-year ASCVD risk
Vegetables-first eating pattern → Diabetic nephropathy incidence
Vegetables-first eating pattern → Diabetic nephropathy incidence
Vegetables-first eating pattern → Diabetic neuropathy incidence
Vegetables-first eating pattern → Diabetic neuropathy incidence
Vegetables-first eating pattern → Diabetic retinopathy incidence
Vegetables-first eating pattern → Diabetic retinopathy incidence
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
Generated from the study's connected evidence using Evidence Intelligence™.
Vegetables-first eating pattern appears to improve Diabetic nephropathy incidence.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetic nephropathy incidence
EvidenceScore™ Limited | EvidenceScore™ 31.8 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Vegetables-first eating pattern appears to improve Diabetic retinopathy incidence.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetic retinopathy incidence
EvidenceScore™ Limited | EvidenceScore™ 31.8 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Vegetables-first eating pattern for 10-year ASCVD risk.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
10-year ASCVD risk
EvidenceScore™ Limited | EvidenceScore™ 31.8 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Vegetables-first eating pattern for Diabetic neuropathy incidence.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Diabetic neuropathy incidence
EvidenceScore™ Limited | EvidenceScore™ 31.8 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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