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Type 2 Diabetes Interventions

Lifestyle Interventions Can Reduce Progression To Diabetes In At-risk Patients

Lifestyle Interventions Can Reduce Progression To Diabetes In At-risk Patients

Lifestyle Interventions Can Reduce Progression to Diabetes in At-risk Patients Comprehensive lifestyle interventions can reduce the incidence of type 2 diabetes(annals.org) in patients at increased risk for the disease, says a recent review and meta-analysis published in the Annals of Internal Medicine. The same types of interventions, however, do not appear to confer similar outcome benefits in those already diagnosed with type 2 diabetes. Avoiding Disease Progression in At-risk Patients According to data synthesized from nine randomized, controlled trials (RCTs) involving patients at risk for developing diabetes, interventions lasting six months or longer that included exercise, dietary changes and at least one other component, such as counseling or behavior modification, were effective in decreasing the incidence of progression to type 2 diabetes compared with usual care, a single-component intervention or assignment to a waiting list. At-risk patients were defined as those who had one or more of the following risk factors: Comprehensive lifestyle interventions can reduce the incidence of type 2 diabetes patients at increased risk for the disease, a new meta-analysis finds. The same types of interventions do not confer similar benefits in patients already diagnosed with the disease. Longer-term studies may provide greater insight into which combination of interventions produces the most benefit. Specifically, seven of the nine studies included in the analysis reported that comprehensive lifestyle interventions decreased diabetes risk from the end of the intervention to as long as 10 years afterward. Most of the studies also reported positive secondary outcomes, including beneficial changes in body composition, metabolic variables, physical activity levels and dietar Continue reading >>

Nonpharmacological Interventions For The Prevention Of Type 2 Diabetes Mellitus

Nonpharmacological Interventions For The Prevention Of Type 2 Diabetes Mellitus

Nonpharmacological interventions for the prevention of type 2 diabetes mellitus P. E. Schwarz is physician and professor for prevention and care of diabetes. His MD thesis was awarded from the University of Dresden on genetics of chronic diseases and his PhD thesis on mechnisms of diabetes prevention. The main focus of his work is on the implementation and evaluation of type 2 diabetes prevention programmes. He is the coordinator of the European project IMAGE and was involved in the DE-PLAN project and initiated the Global Network Active in diabetes prevcention and the Global Diabetes Survey. Peter Schwarz is leading a number of international activities focusing on the realisation of chronic care prevention programmes in real-world health care. C. J. Greaves is a Chartered Psychologist and a Senior Research Fellow. His research involves developing and evaluating interventions to support health-related behaviour change. He has helped to develop intervention and training materials for supporting weight loss, physical activity and smoking cessation, as well as NICE guidance and a European guideline on the prevention of type 2 diabetes. J. Lindstrm is a nutritionist with a doctoral degree in public health. The main focus of her work is on prevention of type 2 diabetes, with special emphasis on dietary factors. She is the co-ordinator of the DPS and has been involved with the DE-PLAN and the IMAGE projects. She has also helped develop the Finnish diabetes risk score FINDRISC. T. Yates specializes in the role of lifestyle, particularly physical activity, in the prevention and treatment of chronic disease. He has helped lead on the development, evaluation and implementation of diabetes prevention pathways within routine clinical care in the United Kingdom and has been involve Continue reading >>

Family Intervention To Control Type 2 Diabetes: A Controlled Clinical Trial

Family Intervention To Control Type 2 Diabetes: A Controlled Clinical Trial

Family intervention to control type 2 diabetes: a controlled clinical trial Family Medicine Department, Pontificia Universidad Catlica de Chile, Santiago, Chile Correspondence to Diego Garca-Huidobro, Departamento de Medicina Familiar, Vicua Mackenna 4686, Macul, Santiago, Chile; E-mail: [email protected] Search for other works by this author on: Family Medicine Department, Pontificia Universidad Catlica de Chile, Santiago, Chile Search for other works by this author on: Family Medicine Department, Pontificia Universidad Catlica de Chile, Santiago, Chile Search for other works by this author on: Family Medicine Department, Pontificia Universidad Catlica de Chile, Santiago, Chile Search for other works by this author on: Family Practice, Volume 28, Issue 1, 1 February 2011, Pages 411, Diego Garca-Huidobro, Marcela Bittner, Paulina Brahm, Klaus Puschel; Family intervention to control type 2 diabetes: a controlled clinical trial, Family Practice, Volume 28, Issue 1, 1 February 2011, Pages 411, Purpose. Chilean patients with type 2 diabetes mellitus (T2DM) have a low rate of blood sugar control. We studied the effectiveness of a culturally sensitive family oriented intervention designed to improve metabolic control in primary care patients with uncontrolled T2DM. Methods. Patients with T2DM from three primary care clinics in Santiago, Chile were randomly selected for inclusion if they had a recent HbA1c 7%, were between 18 and 70 years old and lived with a family member. Patients from one clinic received the family oriented intervention; patients from the other two (control) clinics received standard care. The intervention involved family members in care and included family counselling during clinic visits, family meetings and home visits. The primary outcome was HbA1c, Continue reading >>

Workplace Interventions To Prevent Type 2 Diabetes Mellitus: A Narrative Review

Workplace Interventions To Prevent Type 2 Diabetes Mellitus: A Narrative Review

Workplace Interventions to Prevent Type 2 Diabetes Mellitus: a Narrative Review Economics and Policy in Diabetes (ES Huang and AA Baig, Section Editors) This study aims to summarize the recent peer-reviewed literature on workplace interventions for prevention of type 2 diabetes mellitus (T2DM), including studies that translate the Diabetes Prevention Program (DPP) curriculum to workplace settings (n = 10) and those that use different intervention approaches to achieve the specific objective of T2DM prevention among employees (n = 3). Weight reduction was achieved through workplace interventions to prevent T2DM, though such interventions varied substantially in their effectiveness. The greatest weight loss was reported among intensive lifestyle interventions (i.e., at least 4months in duration) that implemented the structured DPP curriculum (n = 3). Weight reduction was minimal among less intensive interventions, including those that substantially modified the DPP curriculum (n = 2) and those that used non-DPP intervention approaches to prevent T2DM (n = 3). Most studies (n = 12) reported increased levels of physical activity following the intervention. Implementation of the DPP in workplaces may be an effective strategy to prevent T2DM among employees. This article is part of the Topical Collection on Economics and Policy in Diabetes The online version of this article (doi: 10.1007/s11892-017-0840-0 ) contains supplementary material, which is available to authorized users. This is a preview of subscription content, log in to check access. Dr. Hafez acknowledges support from the Robert Wood Johnson Foundation in her role as a Clinical Scholar. Dr. OBrien acknowledges support from the National Institute of Diabetes and Digestive and Kidney Disease, National Institutes of Continue reading >>

A Lifestyle Intervention Study In Patients With Diabetes Or Impaired Glucose Tolerance: Translation Of A Research Intervention Into Practice

A Lifestyle Intervention Study In Patients With Diabetes Or Impaired Glucose Tolerance: Translation Of A Research Intervention Into Practice

Baseline Characteristics of Participants (n = 31) Three graduate students majoring in exercise science were thoroughly trained to deliver the DPP lifestyle curriculum according to the DPP Lifestyle Intervention Manual of Operations. 10 Each student (a health coach) was assigned approximately 10 participants for the duration of the study. The health coaches met with their participants on a weekly or biweekly basis during the first 6 months (the weight-loss phase) and once a month during the last 6 months (the weight-loss maintenance phase). In addition to a monthly visit, the health coaches made at least one monthly telephone call to each participant to discuss progress, address concerns, and provide encouragement during the maintenance phase. The health coaches met with each participant individually, except for spouses who attended educational sessions together. The DPP lifestyle modification curriculum described elsewhere 11 consisted of 16 core sessions that each participant completed within the first 6 months. In brief, the sessions were designed to increase participants knowledge of healthy eating and physical activity, provide options and practical suggestions for safe weight loss and positive lifestyle changes, and familiarize participants with motivational and problem-solving strategies. The primary diet-related goal was to reduce the amount of dietary fat. Each participant was assigned a weekly fat gram goal based on their initial body weight. Participants recorded their fat intake during the weight-loss phase. In addition, Fitness Plus participants had one weekly physical activity (ie, personal training) session with their health coaches during the weight loss phase. A physical activity session usually followed an educational session, or a participant could ch Continue reading >>

Diabetes Management: Intensive Lifestyle Interventions For Patients With Type 2 Diabetes

Diabetes Management: Intensive Lifestyle Interventions For Patients With Type 2 Diabetes

The Community Preventive Services Task Force (CPSTF) recommends intensive lifestyle interventions for patients with type 2 diabetes to improve glycemic control and reduce risk factors for cardiovascular disease. Intervention Intensive lifestyle interventions provide ongoing counseling, coaching, or individualized guidance to patients with type 2 diabetes to help them change their diet, level of physical activity, or both. Patients must interact with program staff multiple times for a period of six months or longer. Dietary components may include tailored advice, and physical activity components may include structured and personalized guidance or supervised exercise training. Programs may have weight loss goals or include additional components related to weight loss or maintenance. The largest and longest trial to date provided intensive individual and group counseling and extended interpersonal support for dietary changes, regular physical activity, and weight management. Read the full CPSTF Finding and Rationale Statement [PDF - 603 kB] for details including implementation issues, possible added benefits, potential harms, and evidence gaps. This expedited finding was based on the following published systematic review: Huang XL, Pan JH, Chen D, Chen J, Hu TT. Efficacy of lifestyle interventions in patients with type 2 diabetes: A systematic review and meta-analysis. European Journal of Internal Medicine 2016;27;37-47. Promotional Materials Continue reading >>

Lifestyle Interventions For Patients With And At Risk For Type 2 Diabetes: A Systematic Review And Meta-analysis Free

Lifestyle Interventions For Patients With And At Risk For Type 2 Diabetes: A Systematic Review And Meta-analysis Free

Article, Author, and Disclosure Information Author, Article, and Disclosure Information From the University of Alberta Evidence-based Practice Center and Alberta Research Centre for Health Evidence, University of Alberta, Edmonton, Alberta, Canada. Disclaimer: The findings and conclusions in this article are those of the authors, who are responsible for its content, and do not necessarily represent the views of the Agency for Healthcare Research and Quality. No statement in this article should be construed as an official position of the Agency for Healthcare Research and Quality or the U.S. Department of Health and Human Services. Acknowledgment: The authors thank the following persons for their contributions: Carol Spooner (screening, data extraction, and research support), Tamara Durec (searching), Andrea Milne (searching), and Teodora Radisic (article retrieval). Grant Support: By the Agency for Healthcare Research and Quality (contract 290-2007-10021-I). Potential Conflicts of Interest: Mr. Vandermeer: Grant: Agency for Healthcare Research and Quality. Dr. Korownyk: Grant: Agency for Healthcare Research and Quality. All other authors have no disclosures. Disclosures can also be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M13-0950 . Requests for Single Reprints: Christina Korownyk, MD, CCFP, Department of Family Medicine, 1706 College Plaza, 8215 112 Street, University of Alberta, Edmonton, Alberta T6G 2C8, Canada; e-mail, [email protected] . Current Author Addresses: Ms. Sumamo Schellenberg: Edmonton Clinic Health Academy, 4-88D, University of Alberta, 11405-87 Avenue, Edmonton, Alberta T6G 1C9, Canada. Dr. Dryden: Edmonton Clinic Health Academy, 4-474, University of Alberta, 11405-87 Avenue, Edmonton, Alberta T6G 1C9, Canada. Mr. Van Continue reading >>

Nutrition Interventions For The Prevention Of Type 2 Diabetes: Conference On Multidisciplinary Approaches To Nutritional Problems Symposium On Diabetes And Health

Nutrition Interventions For The Prevention Of Type 2 Diabetes: Conference On Multidisciplinary Approaches To Nutritional Problems Symposium On Diabetes And Health

This article has been cited by the following publications. This list is generated based on data provided by CrossRef . Costa, BernardoCastell, ConxaCos, XavierSol, ClaustreMestre, SantiagoCanela, MartaBoquet, AntoniCabr, Joan-JosepBarrio, FranciscoFlores-Mateo, GemmaFerrer-Vidal, DanielandLindstrm, Jaana2016.Rationale and design of the DP-TRANSFERS project: diabetes prevention-transferring findings from European research to society in Catalonia.Journal of Translational Medicine,Vol. 14,Issue. 1, Derakhshan, RezaArababadi, Mohammad KazemiAhmadi, ZahraKarimabad, Mojgan NorooziSalehabadi, Vajihe AkbarpourAbedinzadeh, MehdiKhorramdelazad, HosseinBalaei, ParisaKennedy, DerekandHassanshahi, Gholamhossein2012.Increased Circulating Levels of SDF-1 (CXCL12) in Type 2 Diabetic Patients Are Correlated to Disease State but Are Unrelated to Polymorphism of the SDF-1 Gene in the Iranian Population.Inflammation,Vol. 35,Issue. 3,p.900. View all Google Scholar citations for this article. Nutrition interventions for the prevention of type 2 diabetes: Conference on Multidisciplinary approaches to nutritional problems Symposium on Diabetes and health MRC Sports Science Institute and Department of Human Biology Diabetes mellitus is escalating globally and it is predicted that 200 million individuals worldwide will have diabetes by 2010 and 300 million by 2025. However, there is compelling evidence from many studies that for subjects with impaired fasting glucose or impaired glucose tolerance the presentation of type 2 diabetes can be delayed by lifestyle modification. The aim of the present review is to present a summary of lifestyle modification interventions that have included a dietary component in their overall diabetes prevention programme. Medline, allied health literature and diabet Continue reading >>

Effect Of Lifestyle Intervention In Patients With Type 2 Diabetes: A Meta-analysis

Effect Of Lifestyle Intervention In Patients With Type 2 Diabetes: A Meta-analysis

Abstract The effect of lifestyle intervention on clinical risk factors in patients with type 2 diabetes is unclear. The aim of this meta-analysis was to evaluate the effects of comprehensive lifestyle change, such as diet, exercise, and education, on clinical markers that are risk-factors for cardiovascular disease in patients with type 2 diabetes. We searched Medline, Cochrane, EMBASE, and Google Scholar (up to August 31, 2013) for randomized controlled trials that compared standard of care (control group) with treatment regimens that included changes in lifestyle (intervention group). The primary outcome was reduction in risk factors of cardiovascular disease including body mass index (BMI), glycated hemoglobin (HbA1c), systolic blood pressure (SBP), diastolic blood pressure (DBP), high-density lipoprotein cholesterol (HDL-c), and low-density lipoprotein cholesterol (LDL-c). A total of 16 studies were included in the meta-analysis. The standardized difference in means of change from baseline significantly favored the intervention compared with the control group in BMI (− 0.29; 95% CI, − 0.52 to − 0.06, P = 0.014), HbA1c (− 0.37; 95% CI, − 0.59 to − 0.14, P = 0.001), SBP (− 0.16: 95% CI, − 0.29 to − 0.03, P = 0.016), DBP (− 0.27, 95% CI = − 0.41 to − 0.12, P < 0.001). There was no difference between the intervention and control groups in HDL-c (0.05; 95% CI, − 0.10 to 0.21; P = 0.503) and LDL-c (− 0.14; 95% CI, − 0.29 to 0.02; P = 0.092). The meta-analysis found that lifestyle intervention showed significant benefit in risk factors that are known to be associated with development of cardiovascular disease in patients with type 2 diabetes. Fig. 1. Flow chart for study selection. Fig. 2. The quality assessment for each included study was sum Continue reading >>

Long-term Effectiveness Of A Lifestyle Intervention For The Primary Prevention Of Type 2 Diabetes In A Low Socio-economic Community An Intervention Follow-up Study On Reunion Island

Long-term Effectiveness Of A Lifestyle Intervention For The Primary Prevention Of Type 2 Diabetes In A Low Socio-economic Community An Intervention Follow-up Study On Reunion Island

Click through the PLOS taxonomy to find articles in your field. For more information about PLOS Subject Areas, click here . Long-Term Effectiveness of a Lifestyle Intervention for the Primary Prevention of Type 2 Diabetes in a Low Socio-Economic Community An Intervention Follow-Up Study on Reunion Island Affiliations Centre dInvestigation Clinique de la Runion (CIC 1410), Institut National de la Sant et de la Recherche Mdicale (Inserm), Saint-Pierre, la Runion, France, Centre dInvestigation Clinique de la Runion (CIC 1410), Centre Hospitalier Universitaire la Runion (CHU la Runion), Saint-Pierre, la Runion, France, Unit Mixte de Recherche 1027 (UMR1027), Universit Toulouse III Paul-Sabatier, Toulouse, France, Unit Mixte de Recherche 1027 (UMR1027), Institut National de la Sant et de la Recherche Mdicale (Inserm), Toulouse, France Affiliations Centre dInvestigation Clinique de la Runion (CIC 1410), Institut National de la Sant et de la Recherche Mdicale (Inserm), Saint-Pierre, la Runion, France, Centre dInvestigation Clinique de la Runion (CIC 1410), Centre Hospitalier Universitaire la Runion (CHU la Runion), Saint-Pierre, la Runion, France Affiliations Centre dInvestigation Clinique de la Runion (CIC 1410), Institut National de la Sant et de la Recherche Mdicale (Inserm), Saint-Pierre, la Runion, France, Centre dInvestigation Clinique de la Runion (CIC 1410), Centre Hospitalier Universitaire la Runion (CHU la Runion), Saint-Pierre, la Runion, France Affiliation Service dEndocrinologie, Diabtologie et de Nutrition, Centre Hospitalier Universitaire la Runion (CHU la Runion), Saint-Pierre, la Runion, France Affiliations Unit Mixte de Recherche 1027 (UMR1027), Universit Toulouse III Paul-Sabatier, Toulouse, France, Unit Mixte de Recherche 1027 (UMR1027), Institut National Continue reading >>

Lifestyle Interventions Can Reduce Type 2 Diabetes Risk

Lifestyle Interventions Can Reduce Type 2 Diabetes Risk

Lifestyle Interventions Can Reduce Type 2 Diabetes Risk Comprehensive lifestyle interventions may reduce the risk for type 2 diabetes in patients who are at high risk for the disease, but the interventions do not appear to reduce all-cause mortality in patients with the disease, according to a systematic literature review. Elizabeth Sumamo Schellenberg, BSc, MPH, and colleagues from the University of Alberta in Edmonton, Canada, present their findings in an article published in the October 15 issue of the Annals of Internal Medicine. "Many systematic reviews have reported a benefit with exercise and dietary interventions in diabetes prevention," the authors write. "However, we are not aware of any reviews that assessed the effect of multifaceted lifestyle interventions on clinically oriented outcomes across a spectrum of metabolic risk factors and abnormal glucose. Therefore, Dr. Schellenberg and colleagues searched 5 electronic databases (MEDLINE, Cochrane Central Register of Controlled Trials, CINAHL, EMBASE, and SCOPUS) to identify randomized controlled trials that evaluated the effects of multifaceted interventions (a exercise component, a diet component, and a third component) on the clinical outcomes of adult patients with type 2 diabetes or who were at high risk for the disease. They identified 9 studies of high-risk patients and 11 studies of patients with type 2 diabetes. For studies of high-risk patients, the duration of the intervention ranged from 6 to 72 months compared with 6 to 93 months for the studies of patients with type 2 diabetes. Among high-risk patients, the lifestyle intervention was associated with a reduced risk for type 2 diabetes (risk ratio [RR], 0.35; 95% confidence interval [CI], 0.14 - 0.85), and the efficacy of the intervention was main Continue reading >>

Lifestyle Interventions To Prevent Type 2 Diabetes: A Systematic Review Of Economic Evaluation Studies

Lifestyle Interventions To Prevent Type 2 Diabetes: A Systematic Review Of Economic Evaluation Studies

Lifestyle Interventions to Prevent Type 2 Diabetes: A Systematic Review of Economic Evaluation Studies Koffi Alouki ,1 Hlne Delisle ,1,* Clara Bermdez-Tamayo ,2 and Mira Johri 3,4 1TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Development, Department of Nutrition, Faculty of Medicine, University of Montreal, 2405 Chemin de la Cte Sainte-Catherine, Montreal, QC, Canada H3T 1A8 1TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Development, Department of Nutrition, Faculty of Medicine, University of Montreal, 2405 Chemin de la Cte Sainte-Catherine, Montreal, QC, Canada H3T 1A8 2Institut de Recherche en Sant Publique de l'Universit de Montral (IRSPUM), University of Montreal, 7101 Avenue du Parc, 3e tage, Montral, QC, Canada H3N 1X9 3Centre de Recherche du Centre Hospitalier de l'Universit de Montral (CRCHUM), Tour Saint-Antoine, 850 Rue Saint-Denis, Montral, QC, Canada H2X 0A9 4Department of Health Administration, School of Public Health (ESPUM), Faculty of Medicine, University of Montreal, 7101 Avenue du Parc, 3e tage, Montral, QC, Canada H3N 1X9 1TRANSNUT, WHO Collaborating Centre on Nutrition Changes and Development, Department of Nutrition, Faculty of Medicine, University of Montreal, 2405 Chemin de la Cte Sainte-Catherine, Montreal, QC, Canada H3T 1A8 2Institut de Recherche en Sant Publique de l'Universit de Montral (IRSPUM), University of Montreal, 7101 Avenue du Parc, 3e tage, Montral, QC, Canada H3N 1X9 3Centre de Recherche du Centre Hospitalier de l'Universit de Montral (CRCHUM), Tour Saint-Antoine, 850 Rue Saint-Denis, Montral, QC, Canada H2X 0A9 4Department of Health Administration, School of Public Health (ESPUM), Faculty of Medicine, University of Montreal, 7101 Avenue du Parc, 3e tage, Montral, QC, Canada H3N 1X9 Received 2015 Jul 17 Continue reading >>

Lifestyle Intervention For Type 2 Diabetes Patients Trial Protocol Of The Copenhagen Type 2 Diabetes Rehabilitation Project

Lifestyle Intervention For Type 2 Diabetes Patients Trial Protocol Of The Copenhagen Type 2 Diabetes Rehabilitation Project

Lifestyle intervention for type 2 diabetes patients trial protocol of The Copenhagen Type 2 Diabetes Rehabilitation Project Vadstrup et al; licensee BioMed Central Ltd.2009 Current guidelines recommend education, physical activity and changes in diet for type 2 diabetes patients, yet the composition and organization of non-pharmacological care are still controversial. Therefore, it is very important that programmes aiming to improve non-pharmacological treatment of type 2 diabetes are developed and evaluated. The Copenhagen Type 2 Diabetes Rehabilitation Project aims to evaluate the effectiveness of a new group-based lifestyle rehabilitation programme in a Health Care Centre in primary care. The group-based diabetes rehabilitation programme consists of empowerment-based education, supervised exercise and dietary intervention. The effectiveness of this multi-disciplinary intervention is compared with conventional individual counselling in a Diabetes Outpatient Clinic and evaluated in a prospective and randomized controlled trial. During the recruitment period of 18 months 180 type 2 diabetes patients will be randomized to the intervention group and the control group. Effects on glycaemic control, quality of life, self-rated diabetes symptoms, body composition, blood pressure, lipids, insulin resistance, beta-cell function and physical fitness will be examined after 6, 12 and 24 months. The Copenhagen Type 2 Diabetes Rehabilitation Project evaluates a multi-disciplinary non-pharmacological intervention programme in a primary care setting and provides important information about how to organize non-pharmacological care for type 2 diabetes patients. Glycaemic ControlHealth Care CentreSupervise ExerciseDiabetes Outpatient ClinicInclude Patient Education Type 2 diabetes mell Continue reading >>

Prevention Of Diabetes Mellitus Type 2

Prevention Of Diabetes Mellitus Type 2

Main article: Diabetes mellitus type 2 Prevention of diabetes mellitus type 2 can be achieved with both lifestyle changes and use of medication.[1] The American Diabetes Association categorizes prediabetes as a high-risk group that has glycemic levels higher than normal but does not meet criteria for diabetes. Without intervention people with prediabetes progress to type 2 diabetes with a 5% to 10% rate. Diabetes prevention is achieved through weight loss and increased physical activity, which can reduce the risk of diabetes by 50% to 60%.[2] Lifestyle[edit] Many interventions to promote healthy lifestyles have been shown to prevent diabetes. A combination of diet and physical activity promotion through counselling and support programs decrease weight, improve systolic blood pressure, improve cholesterol levels and decrease risk of diabetes.[2] Increasing physical activity may be helpful in preventing type 2 diabetes, particularly if undertaken soon after a carbohydrate rich meal that increases blood sugar levels.[3][4][5] The American Diabetes Association (ADA) recommends maintaining a healthy weight, getting at least 2½ hours of exercise per week (several brisk sustained walks appear sufficient), having a modest fat intake (around 30% of energy supply should come from fat), and eating sufficient fiber (e.g., from whole grains). Some preliminary evidence suggests that resistant starch, used as a substitute for refined carbohydrate, may increase insulin sensitivity[6] and may reduce the risk of type 2 diabetes.[7] The U.S. Food and Drug Administration requires claims that resistant starch can reduce the risk of type 2 diabetes to be qualified with a declaration that scientific evidence in support of this claim is limited.[8] Foods with low glycemic index rich in fiber Continue reading >>

Programs | Diabetes Interventions

Programs | Diabetes Interventions

Health-related programs for type 2 diabetes prevention and control 1-2 Employee programs refer to activities that include active employee involvement, such as classes, seminars or competitions. Employee programs are frequently provided on-site at the workplace. Employee health surveys in the workplace provide assessment and implementation opportunities Information from employee health surveys can be used to identify the percent of employees that have received appropriately timed type 2 diabetes screening (e.g., blood glucose testing) Survey information can be used not only in obtaining baseline group data on employee health but also to educate individual employees to their needs for counseling and follow-up for specific health concerns Assessment should also include employees’ responses regarding lifestyle issues such as obesity, nutrition, and physical activity Blood glucose testing should be carried out within the health care setting because of the need for follow-up and discussion of abnormal results. Community screening outside a health care setting is not recommended Use multifaceted employee lifestyle change participation programs Obesity, nutrition, and physical activity programs in the workplace are critical elements in addressing type 2 diabetes Research suggests that the progression from prediabetes to type 2 diabetes can be prevented or delayed. In 2001, results from landmark clinical trials, including the Diabetes Prevention Program (DPP), showed that sustained lifestyle changes that included modest weight loss and physical activity substantially reduced progression to type 2 diabetes among adults who were at very high risk The lifestyle intervention worked equally well for men and women and all racial/ethnic groups, and it was most effective among people Continue reading >>

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