Evidence map›Paper›PMID 40994182›Full record

ArticleJournal of human nutrition and dietetics : the official journal of the British Dietetic Association2025

Efficacy of a Homemade Very Low Calorie Diet to Achieve Prevention or Remission of Type 2 Diabetes: A Pilot Study.

Kirsty A Hickson, Charlotte Heppenstall, Andrew Treweeke, Emma Coghill, Ian L Megson, Sally Nicolson, David P Macfarlane, Sandra M MacRury

Abstract read
In one paragraph

Article in Journal of human nutrition and dietetics : the official journal of the British Dietetic Association, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

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Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Kirsty A HicksonInstitute of Health Research and Innovation, Life Sciences Innovation Centre, Inverness Campus, University of the Highlands and Islands, Inverness, Scotland.
Charlotte HeppenstallDepartment of Diabetes, Highland Diabetes Centre, UHI House, NHS Highland, Inverness, Scotland.
Andrew TreweekeInstitute of Health Research and Innovation, Life Sciences Innovation Centre, Inverness Campus, University of the Highlands and Islands, Inverness, Scotland.
Emma CoghillInstitute of Health Research and Innovation, Life Sciences Innovation Centre, Inverness Campus, University of the Highlands and Islands, Inverness, Scotland.
Ian L MegsonInstitute of Health Research and Innovation, Life Sciences Innovation Centre, Inverness Campus, University of the Highlands and Islands, Inverness, Scotland.
Sally NicolsonDepartment of Diabetes, Highland Diabetes Centre, UHI House, NHS Highland, Inverness, Scotland.
David P MacfarlaneDepartment of Diabetes, Highland Diabetes Centre, UHI House, NHS Highland, Inverness, Scotland.
Sandra M MacRuryInstitute of Health Research and Innovation, Life Sciences Innovation Centre, Inverness Campus, University of the Highlands and Islands, Inverness, Scotland.ORCID https://orcid.org/0000-0001-7599-1302

Funding

We are grateful to the North Highland Type 2 Diabetes Framework Development Group for funding to support this study.
6 · The paper itself

Abstract

introductionVery low calorie diets have achieved remission of type 2 diabetes in obese individuals and lowered cardiovascular risk. However, there is less evidence for prevention of diabetes with these diets. Oxidative stress is a feature of obesity, diabetes and cardiovascular disease, but it is not clear what impact these diets have on oxidative stress in diabetes or prediabetes. Commercial meal replacement products may be expensive, so in this pilot study, we sought to explore the use of a homemade very low calorie diet to achieve weight loss in obese individuals with prediabetes or early onset type 2 diabetes and the effect on oxidative stress.

methodsIndividuals with a BMI > 35 kg/m

resultsOf 22 individuals enroled at baseline, 16 completed the 12 week diet intervention phase and 12 completed 48 weeks. There were significant falls in weight (p < 0.001), and in waist circumference (p < 0.001) up to 36 weeks with mean weight loss of 15 kg at 48 weeks. HbA1

conclusionWe have demonstrated that an inexpensive homemade very low calorie meal replacement as a weight loss tool has high levels of acceptability in addition to health and quality of life benefits in type 2 or prediabetes. The effect of very low calorie diets on inflammation and oxidative stress require further exploration.

Indexed as

Caloric RestrictionDiabetes Mellitus, Type 2Diet, ReducingObesityPrediabetic StateAdultAgedBody Mass IndexFeeding BehaviorFemaleGlycated HemoglobinHumansLipoproteins, LDLMaleMiddle AgedOxidative StressGlycated HemoglobinLipoproteins, LDLoxidized low density lipoproteindiabetesprediabetesvery low‐calorie dietweight loss

Identifiers

PMID40994182
PMCPMC12461181

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.