Obese adults ( n = @ , BMI @ @ kg/m ( @ ) , age @ @ years ) with T@DM were randomized to a hypocaloric LC diet ( @ % carbohydrate -LSB- < @ g/day -RSB- , @ % protein , and @ % fat -LSB- < @ % saturated fat -RSB- ) or an energy-matched HC diet ( @ % carbohydrate , @ % protein , and @ % fat -LSB- < @ % saturated fat -RSB- ) combined with structured exercise for @ weeks .