INS and type 2 diabetes mellitus: In contrast, in a crossover study conducted in 20 Chinese patients with T2D and mild-hyperlipidemia assigned to either a control diet (National Cholesterol Education Program (NCEP) step II diet) or an almond-enriched diet (with almonds replacing the 20% total daily calorie intake) for 4 weeks, a significant decrease in fasting insulin and glucose concentrations together with an improvement of HOMA-IR were reported during the almond phase [80].