Lifestyle changes cut diabetes risk in high-risk patients

October 16, 2013
Lifestyle changes cut diabetes risk in high-risk patients
Comprehensive lifestyle interventions decrease the incidence of type 2 diabetes in high-risk patients, but the benefits are less clear in diagnosed patients, according to a review published in the Oct. 15 issue of the Annals of Internal Medicine.

(HealthDay)—Comprehensive lifestyle interventions decrease the incidence of type 2 diabetes in high-risk patients, but the benefits are less clear in diagnosed patients, according to a review published in the Oct. 15 issue of the Annals of Internal Medicine.

Elizabeth Sumamo Schellenberg, M.P.H., from the University of Alberta in Edmonton, Canada, and colleagues reviewed the literature and conducted a meta-analysis of nine randomized, controlled trials with patients at risk for and 11 including patients with diabetes to examine the effectiveness of lifestyle interventions. In all trials, lifestyle interventions (at least three months duration) such as exercise, diet, and at least one other component were compared with standard care.

The researchers found that based on seven studies, the risk of diabetes was decreased with lifestyle interventions, from the end of the intervention to up to 10 years after the intervention. Two trials (which included pharmacotherapy) involving patients with diabetes reported no improvement in all-cause mortality. Pooling of composite outcomes for cardiovascular disease was hindered by heterogeneity. At 13 years' follow-up one trial reported improvement in microvascular outcomes.

"Comprehensive lifestyle interventions effectively decrease the incidence of type 2 diabetes in high-risk patients," the authors write. "In who have already been diagnosed with type 2 diabetes, the evidence of benefit of comprehensive on patient-oriented outcomes is less clear."

Explore further: Diabetes care for African-Americans can be improved

More information: Full Text

Related Stories

Diabetes care for African-Americans can be improved

April 1, 2013
(HealthDay)—For African-Americans with type 2 diabetes, health care-promoted interventions targeting patients, the health care system, or both, can improve the quality of care, according to a review and meta-analysis published ...

Metformin may increase risk of cognitive impairment

September 21, 2013
(HealthDay)—Metformin may increase the risk of cognitive impairment in patients with diabetes; however, calcium supplementation may attenuate this risk, according to research published online Sept. 5 in Diabetes Care.

Lower coronary heart disease deaths by making several lifestyle changes

July 10, 2013
Lifestyle modification programs that addressed at least two health behaviors lowered the risk of a fatal heart attack or stroke in people with coronary heart disease, finds a new systematic review in the American Journal ...

Healthy diet, moderate alcohol linked with decreased risk of kidney disease in patient with diabetes

August 12, 2013
Eating a healthy diet and drinking a moderate amount of alcohol may be associated with decreased risk or progression of chronic kidney disease (CKD) in patients with type 2 diabetes mellitus, according to a report published ...

Teen type 1 diabetes outcomes up with internet interventions

April 22, 2013
(HealthDay)—Internet-based psycho-educational programs are beneficial for young patients with type 1 diabetes as they transition into adolescence, according to a study published online April 11 in Diabetes Care.

Study shows that diet and lifestyle advice for those with diabetes should be 'no different' from that for general public

October 13, 2013
New research published in Diabetologia (the journal of the European Association for the Study of Diabetes [EASD]) suggests that lifestyle advice for people with diabetes should be no different from that for the general public, ...

Recommended for you

Skimping on sleep may contribute to gestational diabetes

October 17, 2017
The amount of time spent sleeping in the United States has dropped significantly in the past twenty years with almost a quarter of women and 16 percent of men experiencing insufficient sleep. Now, a new study has found that ...

Artificial pancreas performs well in clinical trial

October 16, 2017
During more than 60,000 hours of combined use of a novel artificial pancreas system, participants in a 12-week, multi-site clinical trial showed significant improvements in two key measures of well-being in people living ...

Omega-6 fats may help prevent type 2 diabetes

October 11, 2017
The risk of developing type 2 diabetes could be significantly reduced by eating a diet rich in omega-6 polyunsaturated fats, a new study suggests.

Where there's type 1 diabetes, celiac disease may follow

October 10, 2017
(HealthDay)—Parents of young children with type 1 diabetes need to be on the lookout for symptoms of another autoimmune condition—celiac disease, new research suggests.

Type 1 diabetes and the microbiota—MAIT cells as biomarkers and new therapeutic targets

October 10, 2017
Together with colleagues from AP-HP Necker–Enfants Malades Hospital in Paris, scientists from the Cochin Institute (CNRS / INSERM / Paris Descartes University) have discovered that the onset of type 1 diabetes is preceded ...

Likely new treatment target identified for diabetic retinopathy

October 10, 2017
In oxygen-compromising conditions like diabetes, the body grows new blood vessels to help, but the result is often leaky, dysfunctional vessels that make bad matters worse.

0 comments

Please sign in to add a comment. Registration is free, and takes less than a minute. Read more

Click here to reset your password.
Sign in to get notified via email when new comments are made.