Nonpharmacologic therapy and exercise in the prevention of type 2 diabetes.

Abstract:

OBJECTIVE:To review the current knowledge about nonpharmacologic approaches in the prevention and early treatment of type 2 diabetes. RESEARCH DESIGN AND METHODS:This study reviewed the research reports dealing with nonpharmacologic interventions aimed at preventing type 2 diabetes with early lifestyle interventions. RESULTS:The results from the randomized controlled trials all show that people with impaired glucose tolerance who received enhanced lifestyle advice had significantly lower (on average approximately 50% reduced) incidence of type 2 diabetes compared with those allocated to receive "usual care." Individuals who were able to correct their lifestyle habits as recommended for usual healthy life patterns were mostly protected against type 2 diabetes. Thus, compelling evidence exists that most of the cases of type 2 diabetes can be prevented or at least the onset of the disease can be significantly delayed. CONCLUSIONS:Randomized controlled trials have unequivocally demonstrated that lifestyle management is highly efficient in the prevention and also in the early management of type 2 diabetes. This evidence of lifestyle modification in diabetes prevention is stronger than for most other multifactorial diseases.

journal_name

Diabetes Care

journal_title

Diabetes care

authors

Tuomilehto J

doi

10.2337/dc09-S308

subject

Has Abstract

pub_date

2009-11-01 00:00:00

pages

S189-93

eissn

0149-5992

issn

1935-5548

pii

32/suppl_2/S189

journal_volume

32 Suppl 2

pub_type

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