Research Summary
Analyzed using Evidence Intelligence™

HPHF Supplement Improves HDL-C Levels in Diabetics

Last updated August 22, 2026

Key finding

Participants in the HPHF nutritional supplement group showed a statistically significant improvement in HDL-C levels by the end of 24 weeks (p = 0.04).

This study evaluated the impact of a high-protein high-fibre nutritional supplement on lipid profiles in overweight/obese patients with type 2 diabetes, finding significant improvements in HDL-C and dietary intake.

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 impact of a high-protein high-fibre nutritional supplement on lipid profiles in overweight/obese patients with type 2 diabetes, finding significant improvements in HDL-C and dietary intake.

Clinical relevance

Improving HDL-C levels is crucial for reducing cardiovascular risk in patients with type 2 diabetes, a population already at higher risk for heart disease. The significant increase in dietary fibre intake also suggests potential benefits for overall metabolic health, making this nutritional approach a valuable consideration for dietary management in this patient group.

Keep in mind

Limited sample size may affect generalizability. Short duration of 24 weeks may not capture long-term effects. No assessment of other lifestyle factors influencing outcomes.

Published in

Journal Reference

Publication details and source links for this paper.

Rachana B, Anitha C, Varalakshmi LP, et al. Effect of High-Protein High-Fibre Nutritional Supplement on Lipid Profile in Overweight/Obese Patients with Type 2 Diabetes. Journal of Nutrition and Metabolism. 2021;2021:6634225. doi:10.1155/2021/6634225

Main Effects

HDL-C levels improved by 4 mg/dL (p = 0.04).

TChol/HDL-C ratio decreased by 0.3 (p = 0.03).

Protein intake increased by 5.9 g/day (p = 0.002).

Total dietary fibre intake increased by 5.1 g/day (p = 0.00).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to High-Protein High-Fibre Nutritional Supplement and Change in TChol/HDL-C Ratio, Fiber intake, HDL cholesterol, and 4 more.

Primary intervention

High-Protein High-Fibre Nutritional Supplement

Primary outcomes

  • Change in TChol/HDL-C Ratio
  • Fiber intake
  • HDL cholesterol

Evidence relationships

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

7
Evidence pairs
7
Relationships
0
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: 50

0

Related topics

7

Evidence pairs

0

Related studies

Why it is useful

  • Contributes to 7 evidence relationships
  • Includes primary outcome data
  • Linked to 0 direct semantic evidence topics

Core evidence

Study findings

The primary outcomes reported in this study.

Change in TChol/HDL-C Ratio

High-Protein High-Fibre Nutritional Supplement → Change in TChol/HDL-C Ratio

High-Protein High-Fibre Nutritional Supplement → Change in TChol/HDL-C Ratio

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

Fiber intake

High-Protein High-Fibre Nutritional Supplement → Fiber intake

High-Protein High-Fibre Nutritional Supplement → Fiber intake

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

HDL cholesterol

High-Protein High-Fibre Nutritional Supplement → HDL cholesterol

High-Protein High-Fibre Nutritional Supplement → HDL 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

Protein intake change

High-Protein High-Fibre Nutritional Supplement → Protein intake change

High-Protein High-Fibre Nutritional Supplement → Protein intake change

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

High-Protein High-Fibre Nutritional Supplement → Total cholesterol

High-Protein High-Fibre Nutritional Supplement → 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

High-Protein High-Fibre Nutritional Supplement → Triglycerides

High-Protein High-Fibre Nutritional Supplement → 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

Very-low-density lipoprotein cholesterol

High-Protein High-Fibre Nutritional Supplement → Very-low-density lipoprotein cholesterol

High-Protein High-Fibre Nutritional Supplement → Very-low-density lipoprotein 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

Evidence Library

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evidence suggest

Evidence Suggest

  • HDL-C levels increased significantly by 4 mg/dL.
  • TChol/HDL-C ratio decreased significantly.
  • Significant increases in protein and dietary fibre intake.
who this applies

Who this applies to

  • Overweight/obese adults aged 30-65.
  • Patients diagnosed with type 2 diabetes.
  • Individuals seeking dietary interventions for lipid management.
keep in mind

Keep in Mind

  • Results may not apply to non-obese or younger populations.
  • Findings are specific to a 24-week intervention period.
  • Further research is needed to explore long-term effects.
between the lines

Between the Lines

  • Limited sample size may affect generalizability.
  • Short duration of 24 weeks may not capture long-term effects.
  • No assessment of other lifestyle factors influencing outcomes.

Evidence Library

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on High-Protein High-Fibre Nutritional Supplement and Fiber intake, High-Protein High-Fibre Nutritional Supplement and Adipokine and Angiogenic Markers.

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 High-Protein High-Fibre Nutritional Supplement improve change in tchol/hdl-c ratio?

Emerging Evidence

High-Protein High-Fibre Nutritional Supplement appears to improve Change in TChol/HDL-C Ratio.

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

Ranked evidence signals

  1. 1

    Change in TChol/HDL-C Ratio

    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 High-Protein High-Fibre Nutritional Supplement improve fiber intake?

Emerging Evidence

High-Protein High-Fibre Nutritional Supplement appears to improve Fiber intake.

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

Ranked evidence signals

  1. 1

    Fiber intake

    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 High-Protein High-Fibre Nutritional Supplement improve hdl cholesterol?

Emerging Evidence

High-Protein High-Fibre Nutritional Supplement appears to improve HDL cholesterol.

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

Ranked evidence signals

  1. 1

    HDL cholesterol

    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 High-Protein High-Fibre Nutritional Supplement improve protein intake change?

Emerging Evidence

High-Protein High-Fibre Nutritional Supplement appears to improve Protein intake change.

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

Ranked evidence signals

  1. 1

    Protein intake change

    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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