Research Summary
Analyzed using Evidence Intelligence™

Mediterranean diet may improve insulin response in type 2 diabetes

Last updated June 12, 2026

Key finding

The low-carbohydrate diet induced lower insulin excursions compared with the low-fat diet (p<0.0005).

This study evaluated the postprandial effects of three diets in patients with type 2 diabetes, finding significant differences in insulin and glucose responses.

Quick read

Study at a glance

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EvidenceScore™

Moderate

Study type

RCTs

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 postprandial effects of three diets in patients with type 2 diabetes, finding significant differences in insulin and glucose responses.

Clinical relevance

Understanding the impact of different dietary approaches on postprandial responses is crucial for managing type 2 diabetes. The findings suggest that a low-carbohydrate diet may provide better glycemic control, potentially leading to improved long-term health outcomes for patients with diabetes.

Keep in mind

Unclear effectiveness of the Mediterranean-style diet compared to the low-fat diet. Limited generalizability due to specific population studied. Potential unmeasured confounders affecting outcomes.

Published in

Journal Reference

Publication details and source links for this paper.

Hanna F, Christine J, Bekim B, et al. Postprandial Effects of Low-Fat, Low-Carbohydrate, and Mediterranean Diets in Type 2 Diabetes. PLoS ONE. 2013. doi:10.1371/journal.pone.0079324

Main Effects

The low-carbohydrate diet induced lower insulin excursions compared to the low-fat diet (-0.87 pmol/l, p<0.0005).

The low-carbohydrate diet induced lower glucose excursions compared to the low-fat diet (-0.87 mmol/l, p<0.0005).

The insulin-response following the Mediterranean-style diet was more pronounced than during the low-fat diet lunch (4.35 pmol/l, p=0.001).

Evidence network

How this study fits

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Evidence Context

This study contributes evidence to Low-carbohydrate diet, Low-fat diet, Mediterranean diet and Postprandial blood glucose, Postprandial insulin AUC.

Primary intervention

Low-carbohydrate diet

Primary outcomes

  • Postprandial blood glucose
  • Postprandial insulin AUC

Evidence relationships

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

5
Evidence pairs
5
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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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

5

Evidence pairs

847

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 5 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 relationship

Low-Carbohydrate Diet Education and Insulin Resistance

Related evidence

Evidence relationship

Low-Carbohydrate Diet Education and Postprandial and OGTT Glucose

Save evidence

Evidence topic

Dietary Patterns

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Postprandial blood glucose

Low-carbohydrate diet → Postprandial blood glucose

Low-carbohydrate diet → Postprandial blood glucose

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

Postprandial insulin AUC

Low-carbohydrate diet → Postprandial insulin AUC

Low-carbohydrate diet → Postprandial insulin AUC

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

Postprandial blood glucose

Low-fat diet → Postprandial blood glucose

Low-fat diet → Postprandial blood glucose

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 insulin AUC

Low-fat diet → Postprandial insulin AUC

Low-fat diet → Postprandial insulin AUC

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

Postprandial blood glucose

Mediterranean diet → Postprandial blood glucose

Mediterranean diet → Postprandial blood glucose

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

  • The low-carbohydrate diet induced lower insulin excursions compared to the low-fat diet (-0.87 pmol/l, p<0.0005).
  • The low-carbohydrate diet induced lower glucose excursions compared to the low-fat diet (-0.87 mmol/l, p<0.0005).
  • The insulin-response following the Mediterranean-style diet was more pronounced than during the low-fat diet lunch (4.35 pmol/l, p=0.001).
keep in mind

Keep in Mind

  • Unclear effectiveness of the Mediterranean-style diet compared to the low-fat diet.
  • Limited generalizability due to specific population studied.
  • Potential unmeasured confounders affecting outcomes.
between the lines

Between the Lines

  • Unclear effectiveness of the Mediterranean-style diet compared to the low-fat diet.
  • Limited generalizability due to specific population studied.
  • Potential unmeasured confounders affecting outcomes.

Evidence Library

Build your 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 Low-Carbohydrate Diet Education and Postprandial and OGTT Glucose, Low-Carbohydrate Diet Education and Insulin Resistance.

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 Low-Carbohydrate Diet Education improve insulin resistance?

Strong Evidence

Low-Carbohydrate Diet Education may improve Insulin Resistance.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Postprandial insulin AUC

    EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on 3 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
3 supporting studiesUpdated: Jul 2026

Does Low-Carbohydrate Diet Education improve postprandial and ogtt glucose?

Emerging Evidence

Low-Carbohydrate Diet Education appears to improve Postprandial and OGTT Glucose.

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

Ranked evidence signals

  1. 1

    Postprandial blood glucose

    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: Jul 2026

Does Low-fat diet improve postprandial insulin auc?

Emerging Evidence

Low-fat diet appears to improve Postprandial insulin AUC.

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

Ranked evidence signals

  1. 1

    Postprandial insulin AUC

    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: Jul 2026

Does Low-fat diet improve postprandial blood glucose?

Emerging Evidence

Current evidence does not show a clear benefit of Low-fat diet for Postprandial blood glucose.

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

Ranked evidence signals

  1. 1

    Postprandial blood glucose

    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: Jul 2026
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