Diabetes prevention: is there more to it than lifestyle changes?

Abstract:

:Over the past years, there has been an explosive increase in the prevalence of type 2 diabetes (T2DM) and this is expected to continue, entailing associated morbidity and mortality. An increasing number of studies explore the different ways T2DM could be prevented. On-going lifestyle modifications need to be addressed. High-risk patients should be given counselling on weight loss, possibly using a low glycaemic index diet, with a target of around 7-10% over 6-12 months, as well as instruction for increasing physical activity to around 150 min of physical exercise weekly (NNT = 4-8). Moderate alcohol consumption and coffee consumption may also be of benefit (NNT = 89 and 66, respectively). Metformin (NNT = 14), acarbose (NNT = 11) and troglitazone (NNT = 6) have been shown to prevent/delay T2DM and angiotensin-converting enzyme (ACE) inhibitors and statins appear to have an adjunctive role (NNT = 42 and 112, respectively). Trials with orlistat and bariatric surgery have also prevented T2DM (NNT = 36 and 6, respectively), and forthcoming treatment with GLP1 mimetics appears promising. Diabetes prevention studies should help create well-defined strategies for screening and treating high-risk populations in the real world, as prevention is our only chance to alleviate the ever growing burden of diabetes mellitus in the world.

journal_name

Int J Clin Pract

authors

Gruber A,Nasser K,Smith R,Sharma JC,Thomson GA

doi

10.1111/j.1368-5031.2006.00929.x

subject

Has Abstract

pub_date

2006-05-01 00:00:00

pages

590-4

issue

5

eissn

1368-5031

issn

1742-1241

pii

IJCP929

journal_volume

60

pub_type

杂志文章,评审
  • Clinical predictors of sleep apnoea in heart failure outpatients.

    abstract:BACKGROUND:Sleep-disordered breathing (SDB) is common in heart failure patients. Many of them still remain undiagnosed. The aim of this study was to detect clinical predictors of sleep apnoea which may help to identify patients with SDB at a heart failure clinic. METHODS:We performed an in-home sleep study on 115 cons...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.12396

    authors: Herrscher TE,Akre H,Overland B,Sandvik L,Westheim AS

    更新日期:2014-06-01 00:00:00

  • Randomised trial of the effect of orlistat on body weight and cardiovascular disease risk profile in obese patients: UK Multimorbidity Study.

    abstract::The potential effect of orlistat on cardiovascular co-morbidities may have been previously underestimated. This study assesses the efficacy of orlistat therapy for weight loss and cardiovascular risk factor reduction in obese patients with cardiovascular risk. This was a 54-week, double-blind, randomised, placebo-cont...

    journal_title:International journal of clinical practice

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Broom I,Wilding J,Stott P,Myers N,UK Multimorbidity Study Group.

    更新日期:2002-09-01 00:00:00

  • The long-term results of diltiazem treatment for anal fissure.

    abstract::The effects of diltiazem treatment on symptoms of chronic anal fissures and their long-term outcome were investigated. One hundred and twelve patients were supplied with 6-week course of 2% diltiazem cream for twice-daily topical application. The medical notes and extended follow-up by telephone for 112 patients were ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2006.00895.x

    authors: Nash GF,Kapoor K,Saeb-Parsy K,Kunanadam T,Dawson PM

    更新日期:2006-11-01 00:00:00

  • Role of serum sodium in assessing hospital mortality in cancer patients with spontaneous tumour lysis syndrome inducing acute uric acid nephropathy.

    abstract::Spontaneous tumour lysis syndrome (STLS) inducing acute uric acid nephropathy, a rare and neglected disease, presents more insidiously than conventional post-treatment tumour lysis syndrome. Although STLS is a serious and potentially fatal complication in patients with neoplastic disorders, few investigations have add...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Hsu HH,Chen YC,Tian YC,Chan YL,Kuo MC,Tang CC,Fang JT,Lee SY,Yang CW

    更新日期:2009-05-01 00:00:00

  • Therapeutic comparison of a new budesonide/formoterol pMDI with budesonide pMDI and budesonide/formoterol DPI in asthma.

    abstract:BACKGROUND:Budesonide/formoterol is an effective treatment for both asthma and chronic obstructive pulmonary disease. This study compared the efficacy and safety of a novel hydrofluoroalkane (HFA) pressurised metered-dose inhaler (pMDI) formulation of budesonide/formoterol with that of budesonide pMDI and budesonide/fo...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1742-1241.2007.01574.x

    authors: Morice AH,Peterson S,Beckman O,Osmanliev D

    更新日期:2007-11-01 00:00:00

  • Is paediatric day case tonsillectomy desirable? The parents' perspective.

    abstract::Tonsillectomy is the most commonly performed otolaryngological procedure in most units. There is considerable financial pressure to perform paediatric tonsillectomy as a day case. Responding to concern that day case tonsillectomy might not be welcomed by parents or felt to be in the best interests of the patients, we ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Vowles R,Loney E,Williams H,Gormley-Fleming E,Kulkarni P,Ryan R

    更新日期:2000-05-01 00:00:00

  • Comparative clinical- and cost-effectiveness of candesartan and losartan in the management of hypertension and heart failure: a systematic review, meta- and cost-utility analysis.

    abstract::The UK National Health Service (NHS) currently spends in excess of £250 million per annum on angiotensin II receptor blockers (ARBs) for the treatment of hypertension and heart failure; with candesartan currently dominating the market. With the recent introduction of generic losartan, we set out to directly compare th...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/j.1742-1241.2011.02633.x

    authors: Grosso AM,Bodalia PN,Macallister RJ,Hingorani AD,Moon JC,Scott MA

    更新日期:2011-03-01 00:00:00

  • Acute cerebellar ataxia associated with chickenpox.

    abstract::A case of a child with acute cerebellar ataxia associated with chickenpox virus infection is described. Acute cerebellar ataxia associated with chickenpox is a well-recognised complication and the pertinent features of this condition are discussed. ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Saab M,Wadhwa V

    更新日期:2002-11-01 00:00:00

  • Acute myocardial infarction and rescue percutaneous transluminal coronary angioplasty in a young HIV-infected patient.

    abstract::We report a case of acute myocardial infarction in an HIV-infected patient without significant coronary artery disease (CAD) risk factors. The patient underwent rescue percutaneous transluminal coronary angioplasty (PTCA), with a successful outcome. We presume a possible pathogenetic role of anti-retroviral therapy an...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2004.00246.x

    authors: Saporito F,Micari A,Raffa S,Cerrito M,Micari G,Grassi R

    更新日期:2005-03-01 00:00:00

  • Patterns and predictors of exhaustion episodes in patients with stable COPD: A longitudinal study.

    abstract:BACKGROUND AND OBJECTIVE:Exhaustion is the perception of low energy. Little is known about how exhaustion persists, remits or reappears over time in patients with chronic obstructive pulmonary disease (COPD) or how to predict these events. We determined the likelihood of transitions between states of exhaustion and no ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.13068

    authors: Medina-Mirapeix F,Bernabeu-Mora R,Giménez-Giménez LM,Montilla-Herrador J,García-Vidal JA,Benítez-Martínez J

    更新日期:2018-05-01 00:00:00

  • Proton pump inhibitors: update on their role in acid-related gastrointestinal diseases.

    abstract::Gastric acid is pathogenic in many gastrointestinal disorders, such as gastroesophageal reflux disease and peptic ulcer disease. Proton pump inhibitors (PPIs) are the antisecretory drugs of choice for serious acid-related conditions. Ample recent data exist to explicate virtually every aspect of the clinical managemen...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1368-5031.2005.00517.x

    authors: Robinson M

    更新日期:2005-06-01 00:00:00

  • The prevalence of osteoporosis in an older population with very high body mass index: evidence for an association.

    abstract:BACKGROUND:Studies have demonstrated the beneficial effect of normal and high body mass index (BMI) upon risk of osteoporosis (OP). No study has investigated the prevalence of OP in an older population with a very high BMI (higher than 40 kg/m(2) ). METHODS:Data of patients aged over 50 years that attended for a dual ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.12371

    authors: Oldroyd A,Mitchell K,Bukhari M

    更新日期:2014-06-01 00:00:00

  • Motor restlessness.

    abstract::Motor restlessness, characterised by an irresistible urge to move about, can be a manifestation of many underlying disorders. Unfortunately, it is often poorly recognised and underdiagnosed in clinical practice, possibly because patients do not seek medical attention, or their complaints were thought to be secondary t...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:

    authors: Tan EK,Ondo WG

    更新日期:2001-06-01 00:00:00

  • Cardiac arrhythmias among hospitalized Coronavirus 2019 (COVID-19) patients: prevalence, characterization, and clinical algorithm to classify arrhythmic risk.

    abstract:OBJECTIVES:A significant proportion of COVID-19 patients may have cardiac involvement including arrhythmias. Although arrhythmia characterization and possible predictors were previously reported, there are conflicting data regarding the exact prevalence of arrhythmias. Clinically applicable algorithms to classify COVID...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.13788

    authors: Rav-Acha M,Orlev A,Itzhaki I,Zimmerman SF,Fteiha B,Bohm D,Kurd R,Samuel TY,Asher E,Helviz I,Glikson M,Michowitz Y

    更新日期:2020-10-30 00:00:00

  • Strontium ranelate in the prevention of osteoporotic fractures.

    abstract::Osteoporosis results from a decrease in bone strength yielding increased susceptibility to fractures. Hip and spine fractures are a major cause of morbidity and mortality in the elderly population. With an increasingly ageing world population, early prevention of bone loss is essential for adequate control of this con...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2006.01249.x

    authors: Reginster JY,Malaise O,Neuprez A,Bruyere O

    更新日期:2007-02-01 00:00:00

  • Glycaemic control and the risk of mortality in elderly type 2 diabetic patients (ZODIAC-20).

    abstract:AIMS:Studies on macrovascular consequences of glucose control in elderly patients (>75 years) with type 2 diabetes mellitus (T2DM) are lacking. The present study aimed to investigate the relationship between HbA(1c) and mortality in this specific population. METHODS:Between 1998 and 1999, 374 primary care patients wit...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2010.02596.x

    authors: van Hateren KJ,Landman GW,Kleefstra N,Drion I,Groenier KH,Houweling ST,Bilo HJ

    更新日期:2011-04-01 00:00:00

  • Massage therapy for the treatment of depression: a systematic review.

    abstract:BACKGROUND:People with depressive disorders or subsyndromal symptoms of depression (SSD) often use complementary and alternative therapies, including massage therapy (MT). This systematic review evaluates the evidence, from randomised clinical trials (RCTs), for the effectiveness of multiple sessions of classical Europ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2007.01553.x

    authors: Coelho HF,Boddy K,Ernst E

    更新日期:2008-02-01 00:00:00

  • Effect of Helicobacter pylori infection and eradication therapy on interleukin-6 levels in patients with Familial Mediterranean Fever.

    abstract::It is being questioned if Helicobacter pylori infection, which causes a chronic inflammatory response, can increase the frequency and severity of attacks in patients with Familial Mediterranean Fever (FMF) and if the impact of inflammatory response can be diminished by eradication of the infection. To evaluate if ther...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2006.01098.x

    authors: Ozel AM,Demirturk L,Aydogdu A,Gultepe M,Yazgan Y,Imirzalioglu N,Gurbuz AK,Narin Y

    更新日期:2008-05-01 00:00:00

  • Effects of annual influenza vaccination on winter mortality in elderly people with chronic pulmonary disease.

    abstract:BACKGROUND:Although there is a general agreement for the recommendation of the influenza vaccine to persons with chronic obstructive pulmonary disease (COPD), the magnitude of clinical effectiveness and benefit from the annual vaccination is controversial. We assessed the effects of annual influenza vaccination on wint...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2007.01414.x

    authors: Vila-Córcoles A,Ochoa O,de Diego C,Valdivieso A,Herreros I,Bobé F,Alvarez M,Juárez M,Guinea I,Ansa X,Saún N

    更新日期:2008-01-01 00:00:00

  • Efficacy, tolerability and safety of darifenacin, an M(3) selective receptor antagonist: an investigation of warning time in patients with OAB.

    abstract::This double-blind, randomised placebo-controlled, multicentre study evaluated the efficacy, tolerability and safety of 12 weeks' treatment with controlled release darifenacin 15 mg once daily (qd), in 445 patients with overactive bladder (OAB). The primary endpoint was warning time (time from first sensation of urgenc...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:10.1111/j.1368-5031.2005.00770.x

    authors: Zinner N,Susset J,Gittelman M,Arguinzoniz M,Rekeda L,Haab F

    更新日期:2006-01-01 00:00:00

  • Prevalence of bacteria in the nipple discharge of patients with duct ectasia.

    abstract::The aim of this study was to identify the aerobic and the anaerobic microorganisms which can be related to duct ectasia. The patients were divided into two groups. Group 1 comprised 100 patients with coloured nipple discharge (duct ectasia group), and Group 2 (the control group) was composed of 50 patients without nip...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2005.00619.x

    authors: Rahal RM,Júnior RF,Reis C,Pimenta FC,Netto JC,Paulinelli RR

    更新日期:2005-09-01 00:00:00

  • Ezetimibe/simvastatin (INEGY) in the treatment of hyperlipidaemia.

    abstract::Ezetimibe/simvastatin (INEGY), a dual inhibitor of both cholesterol production and absorption, is a new approach to the management of hyperlipidaemia. Recent studies have shown that it produces greater reductions in low-density lipoprotein (LDL) cholesterol than the single inhibition of statin therapy, enabling many m...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1368-5031.2005.00737.x

    authors: Kastelein JJ,Sankatsing RR

    更新日期:2005-12-01 00:00:00

  • Comparison of spiramycin and clarithromycin for community-acquired lower respiratory tract infections.

    abstract::This open multicentre study compared the efficacy and tolerability of clarithromycin and spiramycin in the treatment of lower respiratory tract infections in Brazil and Colombia. A total of 125 patients with a clinical and radiological diagnosis of pneumonia, acute bronchitis or exacerbation of chronic bronchitis were...

    journal_title:International journal of clinical practice

    pub_type: 临床试验,杂志文章,多中心研究,随机对照试验

    doi:

    authors: Rocha RT,Awad CE,Ali A,Matyas R,Vital AC,Silva CO,Dainesi SM,Salazar MS,Nakatani J

    更新日期:1999-09-01 00:00:00

  • Physical examination to screen for peripheral artery disease in a defined Primary Care population: A diagnostic accuracy study.

    abstract:INTRODUCTION:Peripheral arterial disease (PAD) is an underdiagnosed prevalent disease which implies high cardiovascular risk. Professionals usually depend on physical examination to screen for PAD. OBJECTIVE:To assess the diagnostic accuracy of physical examination to screen for PAD in a rural Primary Care population ...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/ijcp.13253

    authors: Herráiz-Adillo Á,Piñar-Serrano O,Mariana-Herráiz JÁ,Martínez-Vizcaíno V,Pozuelo-Carrascosa DP,Notario-Pacheco B

    更新日期:2018-11-01 00:00:00

  • Efficacy of AMC/DCBA lozenges for sore throat: A systematic review and meta-analysis.

    abstract:BACKGROUND:Lozenges containing Amylmetacresol and 2,4-Dichlorobenzylalcohol (AMC/DCBA, eg Strepsils® ) are marketed as a remedy for acute sore throat. This over-the-counter formulation has antiseptic and local anaesthetic qualities. OBJECTIVES:The objective of this systematic review and meta-analysis is to evaluate th...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,meta分析,评审

    doi:10.1111/ijcp.13002

    authors: Weckmann G,Hauptmann-Voß A,Baumeister SE,Klötzer C,Chenot JF

    更新日期:2017-10-01 00:00:00

  • Clinimetrics: the science of clinical measurements.

    abstract::'Clinimetrics' is the term introduced by Alvan R. Feinstein in the early 1980s to indicate a domain concerned with indexes, rating scales and other expressions that are used to describe or measure symptoms, physical signs and other clinical phenomena. Clinimetrics has a set of rules that govern the structure of indexe...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,评审

    doi:10.1111/j.1742-1241.2011.02825.x

    authors: Fava GA,Tomba E,Sonino N

    更新日期:2012-01-01 00:00:00

  • Hyponatraemia in patients with normal pressure hydrocephalus.

    abstract:BACKGROUND:In clinical practice, hyponatraemia was frequently found in patients with hydrocephalus. We conducted this study to determine the prevalence and risk factors for hyponatraemia in patients with normal pressure hydrocephalus (NPH). METHODS:We retrospectively reviewed all patients with NPH who were admitted to...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2008.01925.x

    authors: Chou CY,Liu JH,Wang SM,Yang YF,Lin HH,Liu YL,Huang CC

    更新日期:2009-03-01 00:00:00

  • Prescription patterns in patients with systolic heart failure at hospital discharge: why beta blockers are underprescribed or prescribed at low dose in real life?

    abstract::Systolic heart failure (SHF) is associated with increased morbidity and mortality. Beta-blockers (BB) were shown to provide mortality benefit in patients with SHF, and currently indicated in all stages of patients with SHF. We evaluated the factors influencing the prescription of BBs at discharge in patients hospitali...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章

    doi:10.1111/j.1742-1241.2006.01157.x

    authors: Yilmaz MB,Refiker M,Guray Y,Guray U,Altay H,Demirkan B,Caldir V,Korkmaz S

    更新日期:2007-02-01 00:00:00

  • Glycaemic control and implementation of the ADA/EASD-2006 consensus algorithm in type 2 diabetes mellitus patients in primary care in Spain.

    abstract:BACKGROUND:In 2006, the American Diabetes Association and the European Association for the Study of Diabetes established a consensus algorithm (ADA/EASD-2006) for the adjustment of drug therapy for type 2 diabetes mellitus (T2DM). AIMS:To study glycaemic control in T2DM patients and the implementation of the ADA/EASD-...

    journal_title:International journal of clinical practice

    pub_type: 杂志文章,多中心研究

    doi:10.1111/ijcp.12251

    authors: Alvarez-Guisasola F,Guiada Study Group.

    更新日期:2014-01-01 00:00:00

  • Best practice guidelines on publishing ethics: a publisher's perspective, 2nd edition.

    abstract::Wiley has updated its publishing ethics guidelines, first published in 2006. The new guidelines provide guidance, resources and practical advice on ethical concerns that arise in academic publishing for editors, authors and researchers, among other audiences. New guidance is also included on whistle blowers, animal re...

    journal_title:International journal of clinical practice

    pub_type: 信件

    doi:10.1111/ijcp.12557

    authors: Graf C,Deakin L,Docking M,Jones J,Joshua S,McKerahan T,Ottmar M,Stevens A,Wates E,Wyatt D

    更新日期:2014-12-01 00:00:00