Research Summary
Analyzed using Evidence Intelligence™

Mediterranean diet improves endothelial function in diabetes

Last updated August 22, 2026

Key finding

The Mediterranean diet increased plasma antioxidant capacity.

A Mediterranean diet enriched with olive oil improved endothelial function and reduced inflammatory markers in individuals with type 2 diabetes.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Short-Term (≤3 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

A Mediterranean diet enriched with olive oil improved endothelial function and reduced inflammatory markers in individuals with type 2 diabetes.

Clinical relevance

Improving endothelial function and reducing inflammation are crucial for managing type 2 diabetes, as they can lower the risk of cardiovascular diseases. This study suggests that dietary interventions, particularly the Mediterranean diet, can be an effective strategy for enhancing health outcomes in diabetic patients.

Keep in mind

The study's sample size and demographic diversity may limit generalizability. Effect sizes for some outcomes were not statistically significant. Long-term effects of the diet were not assessed.

Published in

Journal Reference

Publication details and source links for this paper.

Antonio C, Katherine E, Lucia LS, et al. Mediterranean diet using olive oil improves endothelial function in type 2 diabetes. Cardiovascular Diabetology. 2014;13:140. doi:10.1186/s12933-014-0140-9

Main Effects

The Mediterranean diet increased plasma antioxidant capacity by 907.1 µmol/l.

Endothelial function improved by 2.3% with the Mediterranean diet.

Nitrotyrosine levels decreased by 0.29 µmol/l following the Mediterranean diet.

IL-6 levels were reduced by 60.15 pg/ml with the Mediterranean diet.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Low-fat diet, Mediterranean diet and Endothelial function, Plasma antioxidant capacity (FRAP), Increased GLP-1-induced insulin secretion after Mediterranean diet, and 4 more.

Primary intervention

Low-fat diet

Primary outcomes

  • Endothelial function
  • Plasma antioxidant capacity (FRAP)
  • Increased GLP-1-induced insulin secretion after Mediterranean diet

Evidence relationships

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

9
Evidence pairs
9
Relationships
1
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: 59

1

Related topics

9

Evidence pairs

86

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence relationship

Low-fat Diets and Endothelial Function

Related evidence

Evidence topic

Inflammatory and Vascular Markers

Save evidence

Intervention

Low-fat Diets

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Endothelial function

Low-fat diet → Endothelial function

Low-fat diet → Endothelial function

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

Plasma antioxidant capacity (FRAP)

Low-fat diet → Plasma antioxidant capacity (FRAP)

Low-fat diet → Plasma antioxidant capacity (FRAP)

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

Endothelial function

Mediterranean diet → Endothelial function

Mediterranean diet → Endothelial function

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

Increased GLP-1-induced insulin secretion after Mediterranean diet

Mediterranean diet → Increased GLP-1-induced insulin secretion after Mediterranean diet

Mediterranean diet → Increased GLP-1-induced insulin secretion after Mediterranean diet

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

Intercellular Adhesion Molecule-1 (ICAM-1)

Mediterranean diet → Intercellular Adhesion Molecule-1 (ICAM-1)

Mediterranean diet → Intercellular Adhesion Molecule-1 (ICAM-1)

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

Interleukin-6 (IL-6)

Mediterranean diet → Interleukin-6 (IL-6)

Mediterranean diet → Interleukin-6 (IL-6)

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

Nitrotyrosine levels

Mediterranean diet → Nitrotyrosine levels

Mediterranean diet → Nitrotyrosine 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

Plasma antioxidant capacity (FRAP)

Mediterranean diet → Plasma antioxidant capacity (FRAP)

Mediterranean diet → Plasma antioxidant capacity (FRAP)

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

Reduced 8-iso-PGF2a levels

Mediterranean diet → Reduced 8-iso-PGF2a levels

Mediterranean diet → Reduced 8-iso-PGF2a 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

Evidence Library

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evidence suggest

Evidence Suggest

  • Mediterranean diet improved endothelial function by 2.3%.
  • IL-6 levels decreased by 60.15 pg/ml with the Mediterranean diet.
  • Plasma antioxidant capacity increased by 907.1 µmol/l.
who this applies

Who this applies to

  • Adults aged 30-65 with type 2 diabetes.
  • Individuals seeking dietary interventions to improve cardiovascular health.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study's demographics.
  • The control diet did not show significant changes, indicating a need for further research.
  • The study did not evaluate long-term adherence to the diets.
between the lines

Between the Lines

  • The study's sample size and demographic diversity may limit generalizability.
  • Effect sizes for some outcomes were not statistically significant.
  • Long-term effects of the diet were 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 Low-fat Diets and Endothelial Function, Low-fat Diets and Plasma antioxidant capacity (FRAP).

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™.

Do Low-fat Diets improve endothelial function?

Emerging Evidence

Current evidence does not show a clear benefit of Low-fat Diets for endothelial function.

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

Ranked evidence signals

  1. 1

    Endothelial function

    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.
1 supporting study

Does Mediterranean diet improve endothelial function?

Emerging Evidence

Mediterranean diet appears to improve endothelial function.

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

Ranked evidence signals

  1. 1

    Endothelial function

    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 Mediterranean diet improve increased glp-1-induced insulin secretion after mediterranean diet?

Emerging Evidence

Mediterranean diet appears to improve increased glp-1-induced insulin secretion after mediterranean diet.

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

Ranked evidence signals

  1. 1

    Increased GLP-1-induced insulin secretion after Mediterranean diet

    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 Mediterranean diet improve intercellular adhesion molecule-1 (ICAM-1)?

Emerging Evidence

Mediterranean diet appears to improve intercellular adhesion molecule-1 (ICAM-1).

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

Ranked evidence signals

  1. 1

    Intercellular Adhesion Molecule-1 (ICAM-1)

    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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