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Table 3 Very low carbohydrate diet (≤ 50 g/day or < 10% total energy intake) quantitative studies outcomes quality of life section the reference for Gardemann, Knowles & Marquardt, 2023, Germany reported as number [20]. Corrected to [11]

From: Correction: Low carbohydrate diets, glycaemic control, enablers, and barriers in the management of type 1 diabetes: a mixed methods systematic review

Author, year, country

Pre intervention

Post intervention

P-value

Primary outcome

HbA1c (%)

   

 Buehler et al. 2021, USA [9]

7.7 ± NR

5.5 ± NR

NR

 Eiswirth, Clark & Diamond, 2018, UK [10]

7.5 ± NR

5.3 ± NR

NR

 Gardemann, Knowles & Marquardt, 2023, Germany [11]

7.2 ± NR

5.1 ± NR

NR

 Kleiner et al. 2022, Italy [12]

8.3 ± 1.7

6.8 ± 0.8

 < 0.001

 Kwiendacz et al. 2019, Poland [13]

6.4 ± NR

5.4 ± NR

NR

 aO’Neill et al. 2003, USA [14]

6.8 ± 1.1

5.5 ± 0.8

NR

 Raab, 2003, Australia [15]

8.4 ± NR

5.6 ± NR

NR

 Ranjan et al. 2017, Denmark [16]

7.0 ± 0.6

6.2 ± 0.4

NR

 aVernon et al. 2003, USA [17]

16.8 ± NR

5.3 ± NR

NR

Secondary outcomes

Bolus insulin (units/day)

   

 Buehler et al. 2021, USA [9]

33 ± NR

1 ± NR

NR

 Eiswirth, Clark & Diamond, 2018, UK [10]

NR

NR

NR

 Gardemann, Knowles & Marquardt, 2023, Germany [11]

20–24 ± NR

12.5 ± NR

NR

 Kleiner et al. 2022, Italy [12]

18.3 ± 9.5

10.3 ± 6.5

 < 0.001

 Kwiendacz et al. 2019, Poland [13]

NR

14.4 ± NR

NR

 aO’Neill et al. 2003, USA [14]

NR

NR

NR

 Raab, 2003, Australia [15]

NR

NR

NR

 Ranjan et al. 2017, Denmark [16]

16.3 ± 7.9

6.6 ± 1.8

0.001

 aVernon et al. 2003, USA [17]

NR

NR

NR

Weight (kg)

   

 Buehler et al. 2021, USA [9]

NR

NR

NR

 Eiswirth, Clark & Diamond, 2018, UK [10]

NR

Decreased by 3

NR

 Gardemann, Knowles & Marquardt, 2023, Germany [11]

61 ± NR

61 ± NR

NR

 Kleiner et al. 2022, Italy [12]

68.9 ± 13.5

66.0 ± 6.8

NS

 Kwiendacz et al. 2019, Poland [13]

NR

62 ± NR

NR

 aO’Neill et al. 2003, USA [14]

NR

NR

NR

 Raab, 2003, Australia [15]

84.0 ± NR

72 ± NR

NR

 Ranjan et al. 2017, Denmark [16]

75.2 ± 11.7

72.9 ± 10.3

NR

 aVernon et al. 2003, USA [17]

61.2 ± NR

69.4 ± NR

NR

Quality of life (participant reported)

   

 Buehler et al. 2021, USA [9]

NR

NR

NR

 Eiswirth, Clark & Diamond, 2018, UK [10]

NR

Improved

NR

 Gardemann, Knowles & Marquardt, 2023, Germany [11]

NR

Improved

NR

 Kleiner et al. 2022, Italy [12]

NR

NR

NR

 Kwiendacz et al. 2019, Poland [13]

NR

NR

NR

 aO’Neill et al. 2003, USA [14]

NR

NR

NR

 Raab, 2003, Australia [15]

NR

Improved

NR

 Ranjan et al. 2017, Denmark [16]

NR

NR

NR

 aVernon et al. 2003, USA [17]

NR

NR

NR

  1. HbA1c glycated haemoglobin, kg kilograms, NR not reported, NS not significant, T1D type 1 diabetes, T2D type 2 diabetes
  2. aParticipants with T1D and T2D in this study – only T1D participant results are reported in this review