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Can cutting carbs reshape the Body's sugar response?
NCT ID NCT07802275
First seen Sep 03, 2026 · Last updated Sep 04, 2026 · Updated 1 time
Summary
This study compares two diets in people with overweight and early signs of blood sugar problems: a low-carbohydrate diet and a Mediterranean diet, both designed to produce similar weight loss. Each participant follows both diets for four weeks, in random order, with a break in between. After each diet, researchers use a special sugar drink test to measure how quickly sugar enters the blood, how much the liver releases, and how fast the body clears sugar. The goal is to see whether carbohydrate restriction changes these processes independently of weight loss.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- A 4-week low-carbohydrate diet (20% carbs) compared with a 4-week Mediterranean diet (50% carbs), both with mild calorie restriction
- What this could lead to
- If it works, this could clarify whether cutting carbohydrates changes how the body handles sugar after meals, which might inform dietary advice for people with prediabetes.
- What could go wrong
- The trial is small and short, and results may not apply to everyone. Differences in glucose handling could be modest or hard to detect.
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
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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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29 people
The number who actually took part.
- Started
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Nov 2019
- Finished
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Aug 2026
- 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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18 to 65 years
- 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: * both females and males * age 18-65 years * BMI 25-40 kg/m2 * impaired glucose regulation (defined as fasting plasma glucose 5.6-6.9 mmol/L, 1-h plasma glucose ≥8.6 mmol/L, 2-h plasma glucose 7.8-11.0 mmol/L, or HbA1c 39-47 mmol/mol) Exclusion Criteria: * Diabetes mellitus * Chronic kidney disease * Heart failure * Severe liver disease * Medications known to interfere with carbohydrate metabolism or intestinal nutrient absorption * Metabolic surgery
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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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Laboratory of Metabolism, Nutrition and Atherosclerosis, University of Pisa
Pisa, PI, 56126, Italy
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Other studies related to the condition(s) this trial covers.
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