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 TrackerResearch Summary
Analyzed using Evidence Intelligence™
Weight management program shows little effect on HbA1c but aids weight loss.
Last updated July 17, 2026
Key finding
difference: −0.84 [95% CI −2.99, 1.31] mmol/mol, p =0.44
A behavioral weight management program combined with dietary counseling did not improve HbA1c levels in participants with type 2 diabetes over 12 months.
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
A behavioral weight management program combined with dietary counseling did not improve HbA1c levels in participants with type 2 diabetes over 12 months.
Clinical relevance
These findings highlight the potential benefits of behavioral weight management programs in achieving weight loss and diabetes remission, which are crucial for managing type 2 diabetes. However, the lack of impact on HbA1c levels suggests that additional strategies may be needed to improve glycemic control in this population.
Keep in mind
The study may have limited generalizability due to specific inclusion criteria. No significant change in body weight was reported for the standard care group. The intervention's long-term effects beyond 12 months remain unclear.
Published in
Journal Reference
Publication details and source links for this paper.
Julia M, Penny B, Francesco F, et al. A commercial behavioural weight management programme combined with remote dietary counselling after diagnosis of type 2 diabetes did not improve HbA 1c up to 12 months post intervention in this trial. Diabetologia. 2025;68(5):969-980. doi:10.1007/s00125-024-06355-6
Main Effects
No significant change in HbA1c levels at 12 months (difference: −0.84 mmol/mol, p = 0.44).
Weight loss at 6 months was significant in the intervention group (−1.77 kg).
Higher likelihood of diabetes remission at 12 months in the intervention group (RR 2.53).
Evidence network
How this study fits
Understand where this research contributes within the broader evidence network.
Evidence Context
This study contributes evidence to DSMES, Lifestyle intervention for prediabetes and Body weight, Diabetes remission, HbA1c.
This study contributes evidence to
Primary intervention
DSMES
Primary outcomes
- Body weight
- Diabetes remission
- HbA1c
Evidence topics
Primary intervention
Primary outcomes
Evidence relationships
Intervention and outcome relationships this study adds to the evidence network.
5
Evidence pairs
5
Relationships
4
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: 72
4
Related topics
5
Evidence pairs
560
Related studies
High relevance in at least one topic
Why it is useful
- Contributes to 5 evidence relationships
- Includes primary outcome data
- Linked to 4 direct semantic evidence topics
Topic contributions
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c
Related evidence
Evidence relationship
Diabetes Self-Management Education and Support (DSMES) Programs and Body Weight
Save evidence
Evidence topic
HbA1c Reduction
Save evidence
Core evidence
Study findings
The primary outcomes reported in this study.
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 TrackerEvidence Intelligence™
- EvidenceScore™
- 84
- Strong
- ImpactScore™
- 71
- Positive
- ConsistencyScore™
- 71
- generally_consistent
Supporting studies: Based on 7 studies
Add to Evidence TrackerBody weight
Lifestyle intervention for prediabetes → Body weight
Lifestyle intervention for prediabetes → Body weight
Evidence Intelligence™
- EvidenceScore™
- 85
- Strong
- ImpactScore™
- 63
- Slightly Positive
- ConsistencyScore™
- 75
- consistent
Supporting studies: Based on 8 studies
Add to Evidence TrackerEvidence Intelligence™
- EvidenceScore™
- 83
- Strong
- ImpactScore™
- 85
- Very Positive
- ConsistencyScore™
- 86
- consistent
Supporting studies: Based on 7 studies
Add to Evidence TrackerEvidence Library
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Evidence Suggest
- Weight loss was significant at both 6 months (−1.77 kg) and 12 months (−1.38 kg).
- Participants in the intervention group had a higher likelihood of diabetes remission (RR 2.53 at 12 months).
- No intervention effect on HbA1c levels was found (difference: −0.84 mmol/mol).
Who this applies to
- Adults diagnosed with type 2 diabetes.
- Individuals seeking weight management strategies post-diagnosis.
Keep in Mind
- The study's findings may not apply to all populations with type 2 diabetes.
- The intervention's effectiveness was limited to weight loss and remission, not glycemic control.
- Further research is needed to explore long-term outcomes and additional interventions.
Between the Lines
- The study may have limited generalizability due to specific inclusion criteria.
- No significant change in body weight was reported for the standard care group.
- The intervention's long-term effects beyond 12 months remain unclear.
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 Lifestyle intervention for prediabetes and Body Weight, Diabetes Self-Management Education and Support (DSMES) Programs and HbA1c.
Related evidence relationships
Explore in Evidence ExplorerThis study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Lifestyle intervention for prediabetes → Body Weight
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- 85
- Strong
- ImpactScore™
- 63
- Slightly Positive
- ConsistencyScore™
- 75
- consistent
Supporting studies: Based on 8 studies
View evidenceBehavioral & Lifestyle
Diabetes Self-Management Education and Support (DSMES) Programs → HbA1c
Behavioral & Lifestyle
Evidence Intelligence™
- EvidenceScore™
- 84
- Strong
- ImpactScore™
- 71
- Positive
- ConsistencyScore™
- 71
- generally_consistent
Supporting studies: Based on 7 studies
View evidenceIncluded in these evidence collections
Curated evidence collections and hubs this study is part of.
Body Weight Evidence Hub
All studies measuring Body Weight
8 studies
outcome_hubMeasures Body Weight as a key outcome.
Lifestyle intervention for prediabetes Evidence Hub
All studies on Lifestyle intervention for prediabetes
8 studies
intervention_hubContributes to Lifestyle intervention for prediabetes evidence base.
Diabetes Self-Management Education and Support (DSMES) Programs Evidence Hub
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
7 studies
intervention_hubContributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
HbA1c Evidence Hub
All studies measuring HbA1c
7 studies
outcome_hubMeasures HbA1c as a key outcome.
Recent Diabetes Research
Latest published studies
recency_collection
Published within the last 2 years.
Explore more in Evidence Explorer
Jump to pre-filtered views in Evidence Explorer.
All studies on Lifestyle intervention for prediabetes and Body weight
Intervention: Lifestyle intervention for prediabetesOutcome: Body weight
8 results
All studies on DSMES and HbA1c
Intervention: DSMESOutcome: HbA1c
7 results
All studies on Lifestyle intervention for prediabetes
Intervention: Lifestyle intervention for prediabetes
8 results
All studies on DSMES
Intervention: DSMES
7 results
All studies measuring Body weight
Outcome: Body weight
8 results
Questions answered by this study
Generated from the study's connected evidence using Evidence Intelligence™.
Does Diabetes Self-Management Education and Support (DSMES) Programs improve HbA1c?
Strong Evidence
Diabetes Self-Management Education and Support (DSMES) Programs may improve HbA1c.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 83.8 | moderate positive | ConsistencyScore™ Generally Consistent | 1 study
Why this answer: This answer is based on 32 supporting studies with generally consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does Diabetes Self-Management Education and Support (DSMES) Programs affect body weight?
Strong Evidence
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Body Weight.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Body weight
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 10 supporting studies with consistent results and a positive effect signal.
Limitations
- Population details are unavailable.
Does Lifestyle intervention for prediabetes affect body weight?
Strong Evidence
Lifestyle intervention for prediabetes may improve Body weight.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
Body weight
EvidenceScore™ Strong | EvidenceScore™ 85.3 | weak positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Population details are unavailable.
Does Lifestyle intervention for prediabetes improve HbA1c?
Strong Evidence
Lifestyle intervention for prediabetes appears to improve HbA1c.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
- 1
HbA1c
EvidenceScore™ Strong | EvidenceScore™ 83.2 | strong positive | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
- Only one supporting study is available.
- Population details are unavailable.
Next steps
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