Research Summary
Analyzed using Evidence Intelligence™

MiRNAs may help select diets for T2DM remission

Last updated August 21, 2026

Key finding

Patients with low baseline plasma levels of miR-let7b-3p showed a high probability of T2DM remission after the consumption of a low-fat diet.

This study investigated the role of miRNAs in selecting dietary therapies for achieving T2DM remission in patients with coronary heart disease.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Extended (5–20+ y)

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 role of miRNAs in selecting dietary therapies for achieving T2DM remission in patients with coronary heart disease.

Clinical relevance

Understanding how specific miRNA levels influence dietary therapy success can help clinicians tailor interventions for patients with T2DM and coronary heart disease. This personalized approach may enhance remission rates and improve overall patient health, leading to more effective management of diabetes and related cardiovascular risks.

Keep in mind

Unclear effectiveness of both dietary interventions due to lack of specific effect sizes. Limited generalizability due to the specific population studied. Potential confounding factors not measured in the study.

Published in

Journal Reference

Publication details and source links for this paper.

Juan FA, Antonio C, Cristina V, et al. MiRNAs as a Tool for Selecting Dietary Therapy to Achieve T2DM Remission in Patients with Coronary Heart Disease. Nutrition & Diabetes. 2025;15:7. doi:10.1038/s41387-025-00362-1

Main Effects

Patients with low miR-let7b-3p levels had a high probability of T2DM remission on a low-fat diet.

Patients with high levels of miR-141-5p, miR-182, and miR-192 showed a high probability of T2DM remission on a Mediterranean diet.

No significant differences were found in miRNA levels for non-responders.

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 Baseline Plasma Levels of miR-let7b-3p, T2DM remission after dietary intervention, Baseline plasma levels of miR-192, and 2 more.

Primary intervention

Low-fat diet

Primary outcomes

  • Baseline Plasma Levels of miR-let7b-3p
  • T2DM remission after dietary intervention
  • Baseline plasma levels of miR-192

Evidence relationships

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

6
Evidence pairs
6
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: 63

1

Related topics

6

Evidence pairs

21

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 6 evidence relationships
  • Includes primary outcome data
  • Linked to 1 direct semantic evidence topic

Topic contributions

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Diabetes Remission

matched_outcome

Core evidence

Study findings

The primary outcomes reported in this study.

Baseline Plasma Levels of miR-let7b-3p

Low-fat diet → Baseline Plasma Levels of miR-let7b-3p

Low-fat diet → Baseline Plasma Levels of miR-let7b-3p

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

T2DM remission after dietary intervention

Low-fat diet → T2DM remission after dietary intervention

Low-fat diet → T2DM remission after dietary intervention

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

Baseline plasma levels of miR-192

Mediterranean diet → Baseline plasma levels of miR-192

Mediterranean diet → Baseline plasma levels of miR-192

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 arginine levels

Mediterranean diet → Plasma arginine levels

Mediterranean diet → Plasma arginine levels

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 levels of miR-182

Mediterranean diet → Plasma levels of miR-182

Mediterranean diet → Plasma levels of miR-182

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

T2DM remission after dietary intervention

Mediterranean diet → T2DM remission after dietary intervention

Mediterranean diet → T2DM remission after dietary intervention

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

  • Low-fat diet linked to T2DM remission in patients with low miR-let7b-3p levels.
  • Mediterranean diet linked to T2DM remission in patients with high miR-141-5p, miR-182, and miR-192 levels.
  • No significant differences in miRNA levels for non-responders.
who this applies

Who this applies to

  • Patients with coronary heart disease.
  • Individuals diagnosed with type 2 diabetes mellitus.
keep in mind

Keep in Mind

  • Results may not apply to populations outside of those with coronary heart disease.
  • Further research is needed to confirm findings and explore additional miRNAs.
  • The study's findings are based on specific dietary interventions and may not generalize to other diets.
between the lines

Between the Lines

  • Unclear effectiveness of both dietary interventions due to lack of specific effect sizes.
  • Limited generalizability due to the specific population studied.
  • Potential confounding factors not measured in the study.

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 Baseline Plasma Levels of miR-let7b-3p, Low-fat Diets and T2DM remission after dietary intervention.

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-fat diet improve t2dm remission after dietary intervention?

Emerging Evidence

Low-fat diet appears to improve t2dm remission after dietary intervention.

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

Ranked evidence signals

  1. 1

    T2DM remission after dietary intervention

    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 t2dm remission after dietary intervention?

Emerging Evidence

Mediterranean diet appears to improve t2dm remission after dietary intervention.

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

Ranked evidence signals

  1. 1

    T2DM remission after dietary intervention

    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 Low-fat diet improve baseline plasma levels of mir-let7b-3p?

Emerging Evidence

Current evidence does not show a clear benefit of Low-fat diet for baseline plasma levels of mir-let7b-3p.

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

Ranked evidence signals

  1. 1

    Baseline Plasma Levels of miR-let7b-3p

    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 baseline plasma levels of mir-192?

Emerging Evidence

Current evidence does not show a clear benefit of Mediterranean diet for baseline plasma levels of mir-192.

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

Ranked evidence signals

  1. 1

    Baseline plasma levels of miR-192

    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
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