Research Summary
Analyzed using Evidence Intelligence™

High-protein diet may reduce cardiometabolic risks in diabetes patients

Last updated August 22, 2026

Key finding

Weight decreased by 3.6 kg.

This study evaluated the effects of high-protein versus standard-protein diets on cardiometabolic risk factors in overweight and obese patients with heart failure and diabetes, showing various reductions in weight and metabolic markers.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Medium-Term (3–12 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

This study evaluated the effects of high-protein versus standard-protein diets on cardiometabolic risk factors in overweight and obese patients with heart failure and diabetes, showing various reductions in weight and metabolic markers.

Clinical relevance

With rising rates of obesity and diabetes, understanding dietary impacts on health is crucial. This study highlights the potential of high-protein diets in reducing key risk factors for heart disease and diabetes, which could inform dietary recommendations and interventions for at-risk populations.

Keep in mind

Effectiveness of interventions remains unclear due to limited statistical significance. The study's sample size may limit generalizability of findings. Potential confounding factors were not fully controlled.

Published in

Journal Reference

Publication details and source links for this paper.

Lorraine SE, Mini MJ, Hanaa S, et al. The intermediate-term effects of dietary protein on cardiometabolic risk factors in overweight and obese patients with heart failure and diabetes mellitus. ESC Heart Failure. 2021;8(2):1342-1348. doi:10.1002/ehf2.13213

Main Effects

Body weight decreased by 3.6 kg in the high-protein group.

Waist circumference decreased by 1.9 cm in the high-protein group.

Glycosylated hemoglobin decreased by 0.7% in the high-protein group.

Total cholesterol decreased by 16.8 mg/dL in the high-protein group.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Animal Protein Diet, Standard diet and Body weight, Diastolic blood pressure, HbA1c, and 4 more.

Primary intervention

Animal Protein Diet

Primary outcomes

  • Body weight
  • Diastolic blood pressure
  • HbA1c

Evidence relationships

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

13
Evidence pairs
13
Relationships
2
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: 64

2

Related topics

13

Evidence pairs

609

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 13 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence topic

Weight Loss

matched_outcome

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Body weight

Animal Protein Diet → Body weight

Animal Protein Diet → Body weight

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

Diastolic blood pressure

Animal Protein Diet → Diastolic blood pressure

Animal Protein Diet → Diastolic blood pressure

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

HbA1c

Animal Protein Diet → HbA1c

Animal Protein Diet → HbA1c

Evidence Intelligence™
EvidenceScore™
77
Strong
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Systolic blood pressure

Animal Protein Diet → Systolic blood pressure

Animal Protein Diet → Systolic blood pressure

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

Total cholesterol

Animal Protein Diet → Total cholesterol

Animal Protein Diet → Total cholesterol

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

Triglycerides

Animal Protein Diet → Triglycerides

Animal Protein Diet → Triglycerides

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

Waist circumference

Animal Protein Diet → Waist circumference

Animal Protein Diet → Waist circumference

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

Body weight

Standard diet → Body weight

Standard diet → Body weight

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

Diastolic blood pressure

Standard diet → Diastolic blood pressure

Standard diet → Diastolic blood pressure

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

HbA1c

Standard diet → HbA1c

Standard diet → HbA1c

Evidence Intelligence™
EvidenceScore™
77
Strong
ImpactScore™
83
Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Total cholesterol

Standard diet → Total cholesterol

Standard diet → Total cholesterol

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Triglycerides

Standard diet → Triglycerides

Standard diet → Triglycerides

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Waist circumference

Standard diet → Waist circumference

Standard diet → Waist circumference

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

  • High-protein diet led to a 3.6 kg weight reduction.
  • Glycosylated hemoglobin reduced by 0.7%, indicating better blood sugar control.
  • Total cholesterol decreased by 16.8 mg/dL, suggesting improved cardiovascular health.
who this applies

Who this applies to

  • Overweight and obese patients with heart failure.
  • Individuals diagnosed with diabetes mellitus.
keep in mind

Keep in Mind

  • Results may not apply to non-obese populations.
  • The study did not measure long-term effects beyond the intervention period.
  • Further research is needed to confirm findings and explore mechanisms.
between the lines

Between the Lines

  • Effectiveness of interventions remains unclear due to limited statistical significance.
  • The study's sample size may limit generalizability of findings.
  • Potential confounding factors were not fully controlled.

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 Animal Protein Diet and HbA1c, Standard diet and HbA1c.

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™.

Does Animal Protein Diet improve HbA1c?

Strong Evidence

Animal Protein Diet may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 77.3 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Standard diet improve HbA1c?

Strong Evidence

Standard diet may improve HbA1c.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 76.6 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Animal Protein Diet affect body weight?

Emerging Evidence

Animal Protein Diet appears to improve Body weight.

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

Ranked evidence signals

  1. 1

    Body weight

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026

Does Animal Protein Diet improve diastolic blood pressure?

Emerging Evidence

Animal Protein Diet appears to improve Diastolic blood pressure.

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

Ranked evidence signals

  1. 1

    Diastolic blood pressure

    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.
  • Consistency cannot yet be determined.
  • Population details are unavailable.
1 supporting studyUpdated: Aug 2026
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