Research Summary
Analyzed using Evidence Intelligence™

Weight management improves metabolomic profiles in type 2 diabetes

Last updated August 22, 2026

Key finding

Decreases in branched-chain amino acids were associated with the intervention (Holm-corrected p <0.05).

This study evaluated the metabolomic effects of a weight management program in individuals with type 2 diabetes, finding significant changes in various metabolites.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

RCTs

Follow-up

Long-Term (1–5 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 evaluated the metabolomic effects of a weight management program in individuals with type 2 diabetes, finding significant changes in various metabolites.

Clinical relevance

These findings highlight the potential of lifestyle interventions in managing type 2 diabetes and improving metabolic health. By effectively reducing harmful metabolites and enhancing beneficial ones, such programs may contribute to diabetes remission and overall better health outcomes for patients.

Keep in mind

Unclear effectiveness of some outcomes Potential limitations in generalizability due to specific population characteristics Limited sample size may affect the robustness of findings

Published in

Journal Reference

Publication details and source links for this paper.

Laura JC, David AH, Caroline JB, et al. Metabolomic effects of a weight management programme in individuals with type 2 diabetes: a randomized controlled trial. Diabetologia. 2023;67(1):74-87. doi:10.1007/s00125-023-06019-x

Main Effects

Decreased branched-chain amino acids by -0.82 mmol/L (p=0.001)

Decreased sugars by -0.75 mmol/L (p=0.001)

Decreased LDL triglycerides by -0.67 mmol/L (p=0.001)

Increased sphingolipids by 0.59 mmol/L (p=0.001)

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Weight management programme and Blood glucose, Decreases in branched-chain amino acids, Decreases in sugars, and 6 more.

Primary intervention

Weight management programme

Primary outcomes

  • Blood glucose
  • Decreases in branched-chain amino acids
  • Decreases in sugars

Evidence relationships

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

9
Evidence pairs
9
Relationships
2
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: 64

2

Related topics

9

Evidence pairs

886

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 9 evidence relationships
  • Includes primary outcome data
  • Linked to 2 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Fasting Blood Glucose

matched_outcome

Related evidence

Evidence topic

Glycemic Control

Save evidence

Core evidence

Study findings

The primary outcomes reported in this study.

Blood glucose

Weight management programme → Blood glucose

Weight management programme → 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

Decreases in branched-chain amino acids

Weight management programme → Decreases in branched-chain amino acids

Weight management programme → Decreases in branched-chain amino acids

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

Decreases in sugars

Weight management programme → Decreases in sugars

Weight management programme → Decreases in sugars

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

Increases in metabolites related to fatty acid metabolism

Weight management programme → Increases in metabolites related to fatty acid metabolism

Weight management programme → Increases in metabolites related to fatty acid metabolism

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

Increases in plasmalogens associated with weight management intervention

Weight management programme → Increases in plasmalogens associated with weight management intervention

Weight management programme → Increases in plasmalogens associated with weight management 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

Reduction in Fructose Levels

Weight management programme → Reduction in Fructose Levels

Weight management programme → Reduction in Fructose 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

Reduction in Mannose Levels

Weight management programme → Reduction in Mannose Levels

Weight management programme → Reduction in Mannose 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

Sphingolipids

Weight management programme → Sphingolipids

Weight management programme → Sphingolipids

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

Triglycerides

Weight management programme → Triglycerides

Weight management programme → Triglycerides

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

  • Significant decreases in branched-chain amino acids and sugars linked to the intervention.
  • Greater reductions in glucose and fructose among those achieving diabetes remission.
  • Increases in beneficial metabolites like sphingolipids and plasmalogens.
who this applies

Who this applies to

  • Adults diagnosed with type 2 diabetes
  • Individuals seeking weight management solutions
keep in mind

Keep in Mind

  • Results may not be generalizable to all populations with diabetes.
  • Further research needed to confirm long-term effects.
  • Effectiveness of the intervention may vary based on individual adherence.
between the lines

Between the Lines

  • Unclear effectiveness of some outcomes
  • Potential limitations in generalizability due to specific population characteristics
  • Limited sample size may affect the robustness of findings

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 Weight management programme and Fasting Glucose, Weight management programme and Decreases in branched-chain amino acids.

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 Weight management programme improve blood glucose?

Emerging Evidence

Weight management programme appears to improve blood glucose.

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

Ranked evidence signals

  1. 1

    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.
1 supporting study

Does Weight management programme improve decreases in branched-chain amino acids?

Emerging Evidence

Weight management programme appears to improve decreases in branched-chain amino acids.

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

Ranked evidence signals

  1. 1

    Decreases in branched-chain amino acids

    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 Weight management programme improve decreases in sugars?

Emerging Evidence

Weight management programme appears to improve decreases in sugars.

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

Ranked evidence signals

  1. 1

    Decreases in sugars

    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 Weight management programme improve increases in metabolites related to fatty acid metabolism?

Emerging Evidence

Weight management programme appears to improve increases in metabolites related to fatty acid metabolism.

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

Ranked evidence signals

  1. 1

    Increases in metabolites related to fatty acid metabolism

    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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