Keto diet battles plate method for diabetes control
NCT ID NCT05237128
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study compared two diets for people with type 2 diabetes: a very low-carbohydrate (keto) diet and a plate-method diet. Over 12 months, researchers tracked blood sugar control and body composition in 182 participants. The goal was to see which approach better improves diabetes management.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- very low-carbohydrate (keto) diet and plate-method diet
- What this could lead to
- If successful, this could show that a keto diet is better than a standard plate-method diet for managing blood sugar and body composition in type 2 diabetes.
- What could go wrong
- This is a completed study with 182 participants, so results are limited in size. Dietary studies rely on self-reporting, and individual results may vary. The keto diet can be hard to stick with long-term.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
-
Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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182 people
The number who actually took part.
- Started
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Mar 2022
- Finished
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Oct 2025
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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21 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * diagnosis of type 2 diabetes, with current HbA1c \> 6.5% and \< 12% (self-reported and then measured at screening) * ability to speak English (this is a group-based intervention) * ability to engage in light physical activity * willingness to be randomized to either type of diet Exclusion Criteria: * unable to provide informed consent * substance abuse, mental health, cognitive, or medical condition that would, in the opinion of the investigators, make it difficult for the individual to take part in the intervention, may alter key outcomes, or may require important diet modifications and includes conditions such as hypercalcemia or thyroid dysfunction * pregnant or planning to become pregnant in the next 12 months, or currently breastfeeding (pregnancy and breastfeeding require modifications to the intervention's dietary approaches) * current use of weight loss medications (this is likely to alter weight outcomes and may alter other measures) * history of weight loss (bariatric) surgery or plans for bariatric surgery in the next year * currently enrolled in a weight loss program or have unalterable plans to enroll in one of these programs in the next year * vegan or vegetarian * unwilling or unable to participate in study measurements and group classes * current use of systemic steroids (self-reported in screening survey; oral or IV systemic steroids excluded. Injected steroids may be permitted depending on frequency and timing of injections with regard to lab assessments (minimum of 2 weeks between injection and blood tests)) * weight above 400 pounds (weight limit for dual-energy X-ray absorptiometry (DEXA) scans) * history of multiple or recent (within the last four years) kidney stones * currently following a very low-carbohydrate diet * unwilling to stop an SGLT2 inhibitor medication if the participant were to be randomized to the very low-carbohydrate diet
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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The University of California San Francisco (UCSF)
San Francisco, California, 94143, United States
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University of MIchigan
Ann Arbor, Michigan, 48109, United States
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