Research Summary
Analyzed using Evidence Intelligence™

Moderate Carbohydrate Diet Improves Glycemic Control in Type 1 Diabetes

Last updated August 22, 2026

Key finding

Mean blood glucose level decreased by 1.5 mmol/L.

This study examined the effects of moderate carbohydrate and traditional diabetes diets on glycemic control in adults with Type 1 diabetes, finding no significant differences between the two diets.

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 examined the effects of moderate carbohydrate and traditional diabetes diets on glycemic control in adults with Type 1 diabetes, finding no significant differences between the two diets.

Clinical relevance

Understanding the impact of different dietary approaches on glycemic control is crucial for managing Type 1 diabetes. This study suggests that patients may have flexibility in their dietary choices without compromising their blood sugar management, which can enhance adherence and quality of life.

Keep in mind

Limited sample size may affect the generalizability of results. Short duration of the study may not capture long-term effects. Potential unmeasured confounders could influence outcomes.

Published in

Journal Reference

Publication details and source links for this paper.

Sofia SI, Arndís F&, Marcus L. Effects of Carbohydrate Intake on Glycemic Control in Adults with Type 1 Diabetes. Frontiers in Nutrition. 2023;10:1114317. doi:10.3389/fnut.2023.1114317

Main Effects

No significant difference in mean blood glucose levels between the diets.

No significant difference in time-in-range between the diets.

No significant difference in hypoglycemia events between the diets.

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Low-carbohydrate diet and Blood glucose, Blood lipid, Glucose variability, and 9 more.

Primary intervention

Low-carbohydrate diet

Primary outcomes

  • Blood glucose
  • Blood lipid
  • Glucose variability

Evidence relationships

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

12
Evidence pairs
12
Relationships
6
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

6

Related topics

12

Evidence pairs

1563

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 12 evidence relationships
  • Includes primary outcome data
  • Linked to 6 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Add related evidence to your Evidence Tracker

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Primary evidence

Evidence relationship

Low-Carbohydrate Diet Education and HbA1c

Related evidence

Evidence relationship

Low-Carbohydrate Diet Education and Blood Pressure

Save evidence

Evidence relationship

Low-Carbohydrate Diet Education and CGM Time in Range

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Blood glucose

Low-carbohydrate diet → Blood glucose

Low-carbohydrate diet → Blood glucose

Evidence Intelligence™
EvidenceScore™
56
Emerging
ImpactScore™
86
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 2 studies
Add to Evidence Tracker

Blood lipid

Low-carbohydrate diet → Blood lipid

Low-carbohydrate diet → Blood lipid

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

Glucose variability

Low-carbohydrate diet → Glucose variability

Low-carbohydrate diet → Glucose variability

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

Low-carbohydrate diet → HbA1c

Low-carbohydrate diet → HbA1c

Evidence Intelligence™
EvidenceScore™
82
Strong
ImpactScore™
86
Very Positive
ConsistencyScore™
75
consistent
Supporting studies: Based on 13 studies
Add to Evidence Tracker

Hyperglycemia events

Low-carbohydrate diet → Hyperglycemia events

Low-carbohydrate diet → Hyperglycemia events

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

Hypoglycaemia confidence measured by the Hypoglycemia Confidence Scale

Low-carbohydrate diet → Hypoglycaemia confidence measured by the Hypoglycemia Confidence Scale

Low-carbohydrate diet → Hypoglycaemia confidence measured by the Hypoglycemia Confidence Scale

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

Hypoglycemia events

Low-carbohydrate diet → Hypoglycemia events

Low-carbohydrate diet → Hypoglycemia events

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

Oxford Maternity Diabetes Treatment Satisfaction (OMDTSQ) score

Low-carbohydrate diet → Oxford Maternity Diabetes Treatment Satisfaction (OMDTSQ) score

Low-carbohydrate diet → Oxford Maternity Diabetes Treatment Satisfaction (OMDTSQ) score

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

Physical activity level (MET-minutes per week)

Low-carbohydrate diet → Physical activity level (MET-minutes per week)

Low-carbohydrate diet → Physical activity level (MET-minutes per week)

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 ketones

Low-carbohydrate diet → Plasma ketones

Low-carbohydrate diet → Plasma ketones

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

Systolic blood pressure

Low-carbohydrate diet → Systolic blood pressure

Low-carbohydrate diet → Systolic blood pressure

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
67
Slightly Positive
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Time in range

Low-carbohydrate diet → Time in range

Low-carbohydrate diet → Time in range

Evidence Intelligence™
EvidenceScore™
Strong
Score 79 · Based on 3 studies
ImpactScore™
50
Neutral
ConsistencyScore™
67
generally_consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Evidence Library

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evidence suggest

Evidence Suggest

  • Mean blood glucose decreased by 1.5 mmol/L (p=0.01) in one of the diets.
  • No significant differences in HbA1c levels were observed.
  • Diabetes treatment satisfaction scores did not differ between diets.
who this applies

Who this applies to

  • Adults diagnosed with Type 1 diabetes.
  • Individuals seeking dietary management options for diabetes.
keep in mind

Keep in Mind

  • Results may not apply to populations outside the study sample.
  • The study did not assess long-term dietary adherence or outcomes.
  • Findings are based on self-reported data, which may introduce bias.
between the lines

Between the Lines

  • Limited sample size may affect the generalizability of results.
  • Short duration of the study may not capture long-term effects.
  • Potential unmeasured confounders could influence outcomes.

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-Carbohydrate Diet Education and HbA1c, Low-Carbohydrate Diet Education and Blood Pressure.

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 HbA1c?

Strong Evidence

Low-Carbohydrate Diet Education appears to improve HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 82.0 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 14 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
14 supporting studiesUpdated: Aug 2026

Does Low-Carbohydrate Diet Education improve blood pressure?

Strong Evidence

Low-Carbohydrate Diet Education may improve Blood Pressure.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Systolic blood pressure

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | weak positive | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 4 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
4 supporting studiesUpdated: Aug 2026

Does Low-Carbohydrate Diet Education improve cgm time in range?

Strong Evidence

Low-Carbohydrate Diet Education may improve CGM Time in Range.

ConsistencyScore™: Results are generally consistent across studies.

Ranked evidence signals

  1. 1

    Time in range

    EvidenceScore™ Strong | EvidenceScore™ 79.0 | neutral | ConsistencyScore™ Generally Consistent | 1 study

Why this answer: This answer is based on 4 supporting studies with generally consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
4 supporting studiesUpdated: Aug 2026

Does Low-Carbohydrate Diet Education improve fasting glucose?

Strong Evidence

Low-Carbohydrate Diet Education appears to improve Fasting Glucose.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Blood glucose

    EvidenceScore™ Emerging | EvidenceScore™ 56.1 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on 6 supporting studies with consistent results and a positive effect signal.

Limitations

  • Population details are unavailable.
6 supporting studiesUpdated: Aug 2026
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