Research Summary
Analyzed using Evidence Intelligence™

Increased resistant starch may improve glucose handling in type 2 diabetes

Last updated September 2, 2026

Key finding

Postprandial glucose concentrations during the MTT exhibited a significant treatment by time interaction (P = 0.045).

This study investigated the effects of increased resistant starch consumption on insulin sensitivity and glucose control in individuals with type 2 diabetes, revealing mixed 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 effects of increased resistant starch consumption on insulin sensitivity and glucose control in individuals with type 2 diabetes, revealing mixed outcomes.

Clinical relevance

Understanding how dietary changes, like increasing resistant starch, affect glucose control is crucial for managing type 2 diabetes. While some outcomes were promising, the lack of significant improvements in insulin sensitivity suggests that dietary interventions alone may not be sufficient for optimal diabetes management.

Keep in mind

The study had a limited sample size, affecting generalizability. No significant effects on overall insulin sensitivity were observed. The long-term impact of resistant starch consumption was not assessed.

Published in

Journal Reference

Publication details and source links for this paper.

C LB, L S, E LT, et al. Effects of increased resistant starch consumption on insulin sensitivity and glucose control in type 2 diabetes. Endocrine Connections. 2014;3(2):75-84. doi:10.1530/EC-14-0036

Main Effects

Postprandial glucose concentrations decreased significantly (P = 0.045).

Fasting non-esterified fatty acids (NEFA) concentrations were significantly lower (P = 0.004).

Fasting triglycerides (TG) concentrations increased significantly (P = 0.039).

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Amioca starch control, Resistant starch (HAM-RS2) and Glucose iAUC (OGTT), Change in non-esterified fatty acids levels, Fasting GLP1, and 8 more.

Primary intervention

Amioca starch control

Primary outcomes

  • Glucose iAUC (OGTT)
  • Change in non-esterified fatty acids levels
  • Fasting GLP1

Evidence relationships

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

11
Evidence pairs
11
Relationships
3
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: 68

3

Related topics

11

Evidence pairs

1045

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 11 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Glycemic Control

matched_outcome

Related evidence

Evidence topic

Post-Meal and OGTT Glucose

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Glucose iAUC (OGTT)

Amioca starch control → Glucose iAUC (OGTT)

Amioca starch control → Glucose iAUC (OGTT)

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

Change in non-esterified fatty acids levels

Resistant starch (HAM-RS2) → Change in non-esterified fatty acids levels

Resistant starch (HAM-RS2) → Change in non-esterified fatty acids levels

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

Fasting GLP1

Resistant starch (HAM-RS2) → Fasting GLP1

Resistant starch (HAM-RS2) → Fasting GLP1

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

Fasting triglycerides (TG)

Resistant starch (HAM-RS2) → Fasting triglycerides (TG)

Resistant starch (HAM-RS2) → Fasting triglycerides (TG)

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

Glucose uptake across forearm muscle

Resistant starch (HAM-RS2) → Glucose uptake across forearm muscle

Resistant starch (HAM-RS2) → Glucose uptake across forearm muscle

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

Resistant starch (HAM-RS2) → HbA1c

Resistant starch (HAM-RS2) → 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 sensitivity

Resistant starch (HAM-RS2) → Insulin sensitivity

Resistant starch (HAM-RS2) → Insulin sensitivity

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
50
Neutral
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Peripheral insulin sensitivity

Resistant starch (HAM-RS2) → Peripheral insulin sensitivity

Resistant starch (HAM-RS2) → Peripheral insulin sensitivity

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

Postprandial blood glucose

Resistant starch (HAM-RS2) → Postprandial blood glucose

Resistant starch (HAM-RS2) → Postprandial blood glucose

Evidence Intelligence™
EvidenceScore™
Moderate
Score 69 · Based on 2 studies
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Postprandial GLP1 excursions

Resistant starch (HAM-RS2) → Postprandial GLP1 excursions

Resistant starch (HAM-RS2) → Postprandial GLP1 excursions

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

Soleus Intramuscular Triglyceride Concentrations

Resistant starch (HAM-RS2) → Soleus Intramuscular Triglyceride Concentrations

Resistant starch (HAM-RS2) → Soleus Intramuscular Triglyceride Concentrations

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

Evidence Library

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evidence suggest

Evidence Suggest

  • Postprandial glucose levels decreased by 0.5 mmol/L (P = 0.045).
  • Fasting NEFA concentrations decreased by 100 μmol/L (P = 0.004).
  • Fasting TG concentrations increased by 0.2 mmol/L (P = 0.039).
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes.
  • Individuals looking to manage postprandial glucose levels.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study sample.
  • The effects on insulin sensitivity were unclear and not significant.
  • Further research is needed to explore long-term effects of resistant starch.
between the lines

Between the Lines

  • The study had a limited sample size, affecting generalizability.
  • No significant effects on overall insulin sensitivity were observed.
  • The long-term impact of resistant starch consumption was not assessed.

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 Resistant starch (HAM-RS2) and Insulin Resistance, Resistant starch (HAM-RS2) and Postprandial and OGTT Glucose.

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 Resistant starch (HAM-RS2) improve postprandial blood glucose?

Moderate Evidence

Resistant starch (HAM-RS2) appears to improve postprandial blood glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Postprandial blood glucose

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | strong positive | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Resistant starch (HAM-RS2) improve insulin sensitivity?

Moderate Evidence

Current evidence does not show a clear benefit of Resistant starch (HAM-RS2) for insulin sensitivity.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Insulin sensitivity

    EvidenceScore™ Moderate | EvidenceScore™ 69.0 | neutral | ConsistencyScore™ Consistent | 1 study

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

Limitations

  • Only one supporting study is available.
1 supporting study

Does Resistant starch (HAM-RS2) improve change in non-esterified fatty acids levels?

Emerging Evidence

Resistant starch (HAM-RS2) appears to improve change in non-esterified fatty acids levels.

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

Ranked evidence signals

  1. 1

    Change in non-esterified fatty acids levels

    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.
1 supporting study

Does Resistant starch (HAM-RS2) improve postprandial glp1 excursions?

Emerging Evidence

Resistant starch (HAM-RS2) appears to improve postprandial glp1 excursions.

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

Ranked evidence signals

  1. 1

    Postprandial GLP1 excursions

    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.
1 supporting study
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