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Factors Related To Lifestyle Goal Achievement In A Diabetes Prevention Program Dissemination Study

Factors related to lifestyle goal achievement in a diabetes prevention program dissemination study

Factors related to lifestyle goal achievement in a diabetes prevention program dissemination study


, Volume 7, Issue4 , pp 873880 | Cite as
Factors related to lifestyle goal achievement in a diabetes prevention program dissemination study
The U.S. Diabetes Prevention Program (DPP) showed that lifestyle participants who achieved 7% weight loss and 150min/week physical activity experienced the greatest reduction in type 2 diabetes incidence. Demographic, clinical, and program factors that are related to achieving both these lifestyle goals have seldom been explored in community-delivered DPP programs. The purpose of this investigation is to examine factors associated with concurrent achievement of weight loss and physical activity goals in a 12-month community DPP lifestyle intervention. Adults [n=223; age=58.4 (SD=11.5); BMI=33.8 (SD=6.0)] with glucose or HbA1c values in the pre-diabetes range and/or metabolic syndrome risk factors enrolled from one worksite and three community centers in the Pittsburgh, PA metropolitan area between January 2011 and January 2014. Logistic regression analyses determined the demographic, clinical and program adherence factors related to goal achievement at 6, 12, and 18months. Participants achieving both intervention goals at 6months (n=57) were more likely to attend sessions [Adjusted Odds Ratio (AOR) =1.48], self-weigh (AOR=1.19), and self-monitor behaviors (AOR=1.18) than those meeting neither goal (n=35; all p<0.05). Baseline BMI (AOR=0.87, p<0.01), elevated glycemic status (AOR=0.49, p<0.05), and female sex (AOR=0.52, p<0.05) were inversely related to goal achievement at 6months. Meeting either lifestyle goal at 6months had the str Continue reading

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A Website to Promote Physical Activity in People With Type 2 Diabetes Living in Remote or Rural Locations: Feasibility Pilot Randomized Controlled Trial

A Website to Promote Physical Activity in People With Type 2 Diabetes Living in Remote or Rural Locations: Feasibility Pilot Randomized Controlled Trial

Background: Research supports the use of Web-based interventions to promote physical activity in diabetes management. However, previous interventions have found poor levels of engagement or have not included health professionals and people with diabetes in the design of the tool.
Objective: To develop and explore the feasibility and indicative effect of a Web-based physical activity promotion intervention in people diagnosed with type 2 diabetes living in remote or rural locations.
Methods: A qualitative approach using focus groups that included patients with diabetes and health professionals were run to identify key concepts, ideas, and features, which resulted in the design of a physical activity website. This site was tested using a quantitative approach with a qualitative 6-month pilot study that adopted a three-armed approach. Participants were randomized into three groups: a control group who received written diabetes-specific physical activity advice; an information Web group, a Web-based group who received the information online; and an intervention Web group, an interactive Web-based group who received online information plus interactive features, such as an activity log, personalized advice, and goal setting.
Results: A website was designed based on patient and health professional ideas for effective physical activity promotion. This website was tested with 31 participants, 61% (19/31) male, who were randomized into the groups. Website log-ins decreased over time: 4.5 times in month 1, falling to 3 times in month 6. Both the information Web group—mean 134.6 (SD Continue reading

One Weird Spice that Destroys Diabetes

One Weird Spice that Destroys Diabetes


An urgent message from Dr Scott Saunders, MD to reverse diabetes without drugs.
Tags: , Barton Publishing , diabetes , diabetes reversed remedy report , diabetes solution kit , dr scott d saunders , health , home remedy , natural cure , natural remedies , natural treatment , reverse diabetes
If you or someone you love suffers from Pre-Diabetes, Type 1 or Type 2 Diabetes read this now.
As a Medical Doctor, I am sick and tired of how people with high blood sugar, pre-diabetes or diabetes are being treated by the mainstream medical system.
Thats why I am going to turn the tables on the Big Drug Companies that sell $114 BILLION each year in Diabetes and blood sugar drugs.
Its no secret they would love to keep you buying their drugs
I am going to show you how to improve your blood sugar levels and gain relief from your problems without side effects associated with the prescription medication.
Dr Scott Saunders, MD Diabetes Reversed
I am the mother of 3 teenagers. I was diagnosed with diabetes and my doctor put me on the prescription drug Metformin and then also on a statin drug. I had unbearable side effects. I got bad stomach cramps and felt ill. I became extremely tired (always), depressed and couldnt function on a day to day basis.
I got your tips. It was the best thing I have ever done in my life. Ultimately, was able to move off drugs. It was so simple and straightforward, so easy. My sugar levels are down, and my energy level is up. I now go to the gym and have lost weight.
Amazing story, isnt it? Joannes true story is just one from many people who have gai Continue reading

Impaired Regulation of the Incretin Effect in Patients with Type 2 Diabetes

Impaired Regulation of the Incretin Effect in Patients with Type 2 Diabetes


Impaired Regulation of the Incretin Effect in Patients with Type 2 Diabetes
Diabetes Research Division (J.I.B., F.K.K., A.L., T.V.), Department of Internal Medicine F, Gentofte Hospital;
Center for Endocrinology and Metabolism (J.I.B., H.V.), Department of Medicine O, Herlev Hospital;
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Diabetes Research Division (J.I.B., F.K.K., A.L., T.V.), Department of Internal Medicine F, Gentofte Hospital;
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Diabetes Research Division (J.I.B., F.K.K., A.L., T.V.), Department of Internal Medicine F, Gentofte Hospital;
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Center for Endocrinology and Metabolism (J.I.B., H.V.), Department of Medicine O, Herlev Hospital;
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Department of Biomedical Sciences (J.J.H.), The Panum Institute, University of Copenhagen, DK-2900 Copenhagen, Denmark
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Diabetes Research Division (J.I.B., F.K.K., A.L., T.V.), Department of Internal Medicine F, Gentofte Hospital;
Address all correspondence and requests for reprints to: Dr. Tina Vilsbll, M.D., D.M.Sc., Head of Diabetes Research Division, Department of Internal Medicine F, Gentofte Hospital, University of Copenhagen, Niels Andersens Vej 65, DK-2900 Hellerup, Denmark.
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The Journal of Clinical Endocrinology & Metabolism, Volume 96, Issue 3, 1 March 2011, Pages 737745, https://doi.org/10.1210/jc.2010-2435
Jonatan I. Bagger, Filip K. Knop, Asger Lund, Henrik Vestergaard, Jens J. Holst, Tina Vilsbll; Imp Continue reading

What's the Best Time of Day to Eat Carbs If You Have Diabetes?

What's the Best Time of Day to Eat Carbs If You Have Diabetes?


What's the Best Time of Day to Eat Carbs If You Have Diabetes?
Eating large amounts of carbs over time can limit your body's ability to metabolize them, especially if you have diabetes.
The following excerpt is adapted from the new book Master Your Diabetes: A Comprehensive, Integrative Approach for Both Type 1 and Type 2 Diabetes by Mona Morstein, ND (2017, Chelsea Green Publishing)
What exactly are carbohydrates? Carbohydrates are biological molecules consisting of carbon, hydrogen, and oxygen atoms, but we also use the term as shorthand for foods that contain a lot of starches or sugars. People with diabetes need to be strict in eliminating high carbohydrate foods from their diets because even small amounts of these foods can pose big problems for regulating glucose levels. A low-carb diet means restricting carbohydrates to less than 45 grams per day, and even down to 20 grams per day, depending on your daily caloric intake.
Carbohydrates are listed on nutrition labels as total carbohydrates, fiber, and sugar. A diabetic patient reading a nutrition label only needs to take into account total carbohydrates minus fiber, as fiber is not absorbed into the body and so does not raise glucose levels. The result equals how many carbs will be absorbed by your intestine and affect your glucose level.
We do not focus on the sugar content of the label, because it is not helpful to us. If a label says each serving of food contains 19 grams of total carbohydrates, 1 gram of fiber, 4 grams of sugar, and a diabetic patient does not understand how to interpret that label, he might Continue reading

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