Diabetes mellitus is characterized by low-grade inflammation and cognitive impairment. An Okinawan-based Nordic (O-BN) diet rendered improved anthropometry and metabolism. The aim of this study was to examine the inflammatory and neural responses after O-BN diet in health and type 2 diabetes (T2D). Two different breakfasts; one standard and one O-BNbased, were given in random order to 19 healthy volunteers. A 12-week O-BN-dietary intervention in T2D was performed, and the participants were followed for another 16 weeks, with registration of anthropometry and metabolic parameters. Non-diabetic subjects served as controls at baseline. Plasma was analyzed for cytokines by a 10-plex Luminex assay and for neurofilament light (NfL) by an ultrasensitive Single molecule array (Simoa) assay. Cytokine levels decreased after a single breakfast intake, independent of composition. Cytokine levels 3 were higher in T2D than in controls. Anthropometric and metabolic parameters were improved by the dietary intervention. In parallel, cytokine levels were lowered, although only significantly for IL-18 (p=0.001) and with a tendency for IL-12p70 (p=0.07). IL-18 levels correlated with fasting glucose, HbA1c and lipids, but did not correlate with body mass index, insulin levels or blood pressure. NfL levels increased during the intervention (p=0.049). In conclusion, an O-BN-dietary 12-week intervention in T2D rendered decreased circulating IL-18 levels, which correlated with improved metabolic markers, but no beneficial effect on a blood-based neurodegeneration marker in the form of NfL.