Review Article

Comparing the Efficacy and Safety of Low-Carbohydrate Diets with Low-Fat Diets for Type 2 Diabetes Mellitus Patients: A Systematic Review and Meta-Analysis of Randomized Clinical Trials

Table 1

Characteristics of the trials and baseline of the enrolled participants.

TrailsCountryNumber of participants(n) (LC/LF)Attrition (%) (LC/LF)Duration of diabetes (years)Intervention measuresAge (years) (LC/LF)Female (%) (LC/LF)
LC groupLF group

Chen et al. (2020) [24]China47/456/8.510.1/9.7≤90 g of carbohydrate daily≤30% fat63.1/64.126/26
Daly et al. (2005) [25]UK51/5121.5/23NA≤70 g of carbohydrate dailyUnclear58.2/59.151/53
Davis et al. (2009) [26]USA55/5014.5/12NA0–25 g increasing by 5 g increments each week25% fat54/5345/37
Goday et al. (2016) [27]Spain45/4411/18NA50 g of carbohydrate daily<30% fat54.89/54.1767/64
Guldbrand et al. (2012) [28]Sweden30/310/0NA20% carbohydrate30% fat61.2/62.753/58
Saslow et al. (2017,1) [29]USA12/138/465.3/5.720–50 g of carbohydrate dailyUnclear53/58.250/69
Saslow et al. (2017,2) [30]USA16/1812.5/16.7NA20–50 g of carbohydrate daily45–50% carbohydrate64.8/55.156/89
Sato et al. (2017) [31]Japan33/339/314/13130g of carbohydrate daily50–60% carbohydrate60.5/58.423/25
Tay et al. (2017) [32]Australia58/5743/516/814% carbohydrate<30% fat58/5836/49
Yamada et al. (2013) [33]Japan12/120/08.9/9.570–130 g of carbohydrate daily≤25% fat63.3/63.242/58
Perna et al. (2019) [34]Italy8/90/0NA<125 g of carbohydrate daily25–30% fat59.50/67.7835.9/29.4
Nielsen et al. (2005) [35]Sweden16/150/013/8.520% carbohydrate25% fat57.1/58.6NA

TrailsHbA1c (%) (LC/LF)Bodyweight (kg) (LC/LF)BMI (kg/m2)TC (mg/dL) (LC/LF)HDL-C (mg/dL) (LC/LF)LDL-C (mg/dL) (LC/LF)TG (mg/dL) (LC/LF)Length of follow-up

Chen et al. (2020) [24]8.47/8.769.69/68.3427.31/26.55180.12/174.9547.21/43.61103.02/103.87163.70/177.811.5 years
Daly et al. (2005) [25]9/9.11101.6/102.335.4/36.7188/19146/47NA220/2283 months
Davis et al. (2009) [26]7.5/7.493.6/10135/37170/16650/4697/93124/1241 year
Goday et al. (2016) [27]6.89/6.8891.47/81.5433.25/32.88200.1/199.455.9/55.1112.7/109.8150.5/176.14 months
Guldbrand et al. (2012) [28]7.5/7.291.4/98.831.6/33.8174/16644/42104/93151/1592 years
Saslow et al. (2017,1) [29]7.1/7.2109.7/90.9NA174.1/151.545.7/53.996.9/90.5NA8 months
Saslow et al. (2017,2) [30]6.6/6.999.9/97.535.9/36.9106.5/160.348.4/45.888.7/98.1102.6/158.91 year
Sato et al. (2017) [31]8.0/8.374/73.626.7/26.5NA43.5/47.0101.5/97143.5/148.56 months
Tay et al. (2017) [32]NA101.7/101.634.2/35.1174/16646/5097/92142/1242 years
Yamada et al. (2013) [33]7.6/7.767/68.124.5/27NA62.8/59.899.8/112.2141.7/155.26 months
Perna et al. (2019) [34]5.90/5.9981.56/88.5230.30/32.41183.75/174.6748.50/46.44103.23/97.42159.38/154.003 months
Nielsen et al. (2005) [35]NA100.6/101.5NANANANANA6 months

LC: low-carbohydrate diet; LF: low-fat diet. HbA1c: glycated haemoglobin; BMI: body mass index; TC: total cholesterol; HDL-C: high-density lipoprotein cholesterol; LDL-C: low-density lipoprotein cholesterol; TG: triglycerides.