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 Carejournal_title
Diabetes careauthors
Tuomilehto Jdoi
10.2337/dc09-S308subject
Has Abstractpub_date
2009-11-01 00:00:00pages
S189-93eissn
0149-5992issn
1935-5548pii
32/suppl_2/S189journal_volume
32 Suppl 2pub_type
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