{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T14:25:14Z","timestamp":1787927114749,"version":"build-2784847793"},"reference-count":0,"publisher":"American Diabetes Association","license":[{"start":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T00:00:00Z","timestamp":1787875200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/www.diabetesjournals.org\/journals\/pages\/license"}],"funder":[{"DOI":"10.13039\/100000968","name":"American Heart Association","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100000968","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100006108","name":"National Center for Advancing Translational Sciences","doi-asserted-by":"publisher","award":["1UM1TR004926"],"award-info":[{"award-number":["1UM1TR004926"]}],"id":[{"id":"10.13039\/100006108","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K01DK138273"],"award-info":[{"award-number":["K01DK138273"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23DK128572"],"award-info":[{"award-number":["K23DK128572"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["K23HL153774"],"award-info":[{"award-number":["K23HL153774"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["R01DK128900"],"award-info":[{"award-number":["R01DK128900"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000062","name":"National Institute of Diabetes and Digestive and Kidney Diseases","doi-asserted-by":"publisher","award":["U54DK137331"],"award-info":[{"award-number":["U54DK137331"]}],"id":[{"id":"10.13039\/100000062","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K23HL153774"],"award-info":[{"award-number":["K23HL153774"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000050","name":"National Heart, Lung, and Blood Institute","doi-asserted-by":"publisher","award":["K24 HL152440"],"award-info":[{"award-number":["K24 HL152440"]}],"id":[{"id":"10.13039\/100000050","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Sheikh Khalifa Stroke Institute at Johns Hopkins University School of Medicine"}],"content-domain":{"domain":["diabetesjournals.org"],"crossmark-restriction":true},"short-container-title":[],"abstract":"<jats:sec>\n                    <jats:title>OBJECTIVE<\/jats:title>\n                    <jats:p>To examine the effect of the Dietary Approaches to Stop Hypertension for Diabetes (DASH4D) diet (a DASH-style diet tailored for diabetes) on biomarkers of glycemia.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESEARCH DESIGN AND METHODS<\/jats:title>\n                    <jats:p>In this controlled feeding trial, adults with type 2 diabetes were fed four diets in a random order: DASH4D diet and comparison diet (representative of a typical American diet), each with higher and lower sodium. Each feeding period lasted 5 weeks. Using a modified intention-to-treat approach, we estimated the effect of the DASH4D (versus comparison) diet on fructosamine, fasting glucose, and HbA1c with linear mixed-effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS<\/jats:title>\n                    <jats:p>Among 101 participants (mean age 67 years, 65% female, 87% Black adults), compared with the comparison diet, the DASH4D diet significantly reduced end-of-period fructosamine (adjusted difference: \u22125.6 \u03bcmol\/L, P = 0.002), fasting glucose (adjusted difference: \u22124.5 mg\/dL; P = 0.02), and HbA1c (adjusted difference: \u22120.09 percentage points; P = 0.04).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS<\/jats:title>\n                    <jats:p>Our results support recommending the DASH4D diet for glycemic management in type 2 diabetes.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.2337\/dc26-1062","type":"journal-article","created":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:38:14Z","timestamp":1787924294000},"update-policy":"https:\/\/doi.org\/10.2337\/ada-journal-policies","source":"Crossref","is-referenced-by-count":0,"title":["Effects of the DASH4D Diet on Biomarkers of Glycemia in Adults With Type 2 Diabetes: A Secondary Analysis of the DASH4D Randomized Clinical Trial"],"prefix":"10.2337","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2849-1780","authenticated-orcid":false,"given":"Michael","family":"Fang","sequence":"first","affiliation":[{"name":"1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"},{"name":"2Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Dan","family":"Wang","sequence":"additional","affiliation":[{"name":"1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"},{"name":"2Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5442-8745","authenticated-orcid":false,"given":"Casey M.","family":"Rebholz","sequence":"additional","affiliation":[{"name":"1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"},{"name":"2Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD"},{"name":"3Division of Nephrology, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8460-1617","authenticated-orcid":false,"given":"Justin B.","family":"Echouffo-Tcheugui","sequence":"additional","affiliation":[{"name":"2Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD"},{"name":"4Division of Endocrinology, Diabetes and Metabolism, Department of Medicine, Johns Hopkins School of Medicine, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christopher","family":"Farnsworth","sequence":"additional","affiliation":[{"name":"5Department of Pathology and Immunology, Washington University School of Medicine, St. Louis, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jennifer Powers","family":"Carson","sequence":"additional","affiliation":[{"name":"6Division of Endocrinology, Metabolism and Lipid Research, Washington University School of Medicine, St. Louis, MO"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Christine M.","family":"Mitchell","sequence":"additional","affiliation":[{"name":"1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"},{"name":"2Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3292-9047","authenticated-orcid":false,"given":"Scott J.","family":"Pilla","sequence":"additional","affiliation":[{"name":"2Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD"},{"name":"7Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD"},{"name":"8Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence J.","family":"Appel","sequence":"additional","affiliation":[{"name":"1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"},{"name":"2Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD"},{"name":"7Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6923-7151","authenticated-orcid":false,"given":"Elizabeth","family":"Selvin","sequence":"additional","affiliation":[{"name":"1Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD"},{"name":"2Welch Center for Prevention, Epidemiology and Clinical Research, Johns Hopkins University, Baltimore, MD"},{"name":"7Division of General Internal Medicine, Department of Medicine, Johns Hopkins University School of Medicine, Baltimore, MD"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1167","published-online":{"date-parts":[[2026,8,28]]},"container-title":["Diabetes Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc26-1062\/893769\/dc261062.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/diabetesjournals.org\/care\/article-pdf\/doi\/10.2337\/dc26-1062\/893769\/dc261062.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T13:38:15Z","timestamp":1787924295000},"score":1,"resource":{"primary":{"URL":"https:\/\/diabetesjournals.org\/care\/article\/doi\/10.2337\/dc26-1062\/172425\/Effects-of-the-DASH4D-Diet-on-Biomarkers-of"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,8,28]]},"references-count":0,"URL":"https:\/\/doi.org\/10.2337\/dc26-1062","relation":{},"ISSN":["0149-5992","1935-5548"],"issn-type":[{"value":"0149-5992","type":"print"},{"value":"1935-5548","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,8,28]]},"article-number":"dc261062"}}