Research Summary
Analyzed using Evidence Intelligence™

High-protein diet shows little effect on glycemic control in diabetes

Last updated August 22, 2026

Key finding

Estimated renal function decreased in the HP group by 1.67 ± 15.3 mL/min/1.73m² (p = 0.03).

This study investigated the impact of high-protein versus low-protein diets on glycemic control in type 2 diabetes patients, finding no significant effects on glycemic outcomes.

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 investigated the impact of high-protein versus low-protein diets on glycemic control in type 2 diabetes patients, finding no significant effects on glycemic outcomes.

Clinical relevance

Understanding dietary impacts on glycemic control is crucial for managing type 2 diabetes. This study suggests that changing protein intake may not be an effective strategy for improving blood sugar levels, which can help guide dietary recommendations for patients. However, the observed decrease in renal function with a high-protein diet raises concerns that require further investigation.

Keep in mind

Limited sample size may affect generalizability Short duration of dietary intervention Potential unmeasured confounders affecting outcomes

Published in

Journal Reference

Publication details and source links for this paper.

Ilias A, Pierre BL, Solia A, et al. Dietary Protein Modulation Does Not Affect Glycemic Control in Type 2 Diabetes Patients. iScience. 2023;26(8):107471. doi:10.1016/j.isci.2023.107471

Main Effects

No significant effect on glycemic excursions (p > 0.1)

No significant effect on HbA1c levels (p > 0.1)

Estimated renal function decreased in the high-protein group by 1.67 mL/min/1.73m² (p = 0.03)

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, Low-protein diet and C-peptide, Estimated glomerular filtration rate, HbA1c, and 3 more.

Primary intervention

Animal Protein Diet

Primary outcomes

  • C-peptide
  • Estimated glomerular filtration rate
  • HbA1c

Evidence relationships

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

12
Evidence pairs
12
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

12

Evidence pairs

707

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 12 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

Glycemic Control

matched_outcome

Related evidence

Evidence topic

HbA1c Reduction

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

C-peptide

Animal Protein Diet → C-peptide

Animal Protein Diet → C-peptide

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

Estimated glomerular filtration rate

Animal Protein Diet → Estimated glomerular filtration rate

Animal Protein Diet → Estimated glomerular filtration rate

Evidence Intelligence™
EvidenceScore™
Emerging
Score 59 · Based on 1 study
ImpactScore™
25
Negative
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

Insulin resistance

Animal Protein Diet → Insulin resistance

Animal Protein Diet → Insulin resistance

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

Mean amplitude of glycemic excursions (MAGE)

Animal Protein Diet → Mean amplitude of glycemic excursions (MAGE)

Animal Protein Diet → Mean amplitude of glycemic excursions (MAGE)

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

Post-prandial insulin response after mixed-meal test

Animal Protein Diet → Post-prandial insulin response after mixed-meal test

Animal Protein Diet → Post-prandial insulin response after mixed-meal test

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

C-peptide

Low-protein diet → C-peptide

Low-protein diet → C-peptide

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

Estimated glomerular filtration rate

Low-protein diet → Estimated glomerular filtration rate

Low-protein diet → Estimated glomerular filtration rate

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

Low-protein diet → HbA1c

Low-protein diet → HbA1c

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

Insulin resistance

Low-protein diet → Insulin resistance

Low-protein diet → Insulin resistance

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

Mean amplitude of glycemic excursions (MAGE)

Low-protein diet → Mean amplitude of glycemic excursions (MAGE)

Low-protein diet → Mean amplitude of glycemic excursions (MAGE)

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

Post-prandial insulin response after mixed-meal test

Low-protein diet → Post-prandial insulin response after mixed-meal test

Low-protein diet → Post-prandial insulin response after mixed-meal test

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

Evidence Library

Build your evidence library

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evidence suggest

Evidence Suggest

  • High-protein diet did not improve glycemic control metrics (p > 0.1)
  • Low-protein diet also showed no significant effects on glycemic outcomes (p > 0.1)
  • Renal function decreased in the high-protein group (1.67 mL/min/1.73m², p = 0.03)
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes
  • Individuals seeking dietary interventions for glycemic control
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study sample
  • Dietary interventions were of limited duration
  • Further research is needed to explore long-term effects of protein intake on renal function
between the lines

Between the Lines

  • Limited sample size may affect generalizability
  • Short duration of dietary intervention
  • Potential unmeasured confounders affecting outcomes

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, Animal Protein Diet and C-peptide.

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 Low-protein diet improve estimated glomerular filtration rate?

Emerging Evidence

Low-protein diet appears to improve Estimated glomerular filtration rate.

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

Ranked evidence signals

  1. 1

    Estimated glomerular filtration rate

    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 c-peptide?

Emerging Evidence

Current evidence does not show a clear benefit of Animal Protein Diet for C-peptide.

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

Ranked evidence signals

  1. 1

    C-peptide

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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 insulin resistance?

Emerging Evidence

Current evidence does not show a clear benefit of Animal Protein Diet for Insulin resistance.

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

Ranked evidence signals

  1. 1

    Insulin resistance

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | 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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