“I Did Not Believe You Could Get Better”—Reversal of Diabetes Risk Through Dietary Changes in Older Persons with Prediabetes in Region Stockholm

Diabetes risk can be controlled and even reversed by making dietary changes. The aim of this study was to improve the understanding of how older persons with a high risk of developing Type 2 diabetes manage and relate to information about diabetes risk over a ten-year period. Fifteen qualitative interviews were conducted among participants from the Stockholm Diabetes Prevention Program (SDPP). The participants were asked to recall the health examinations conducted by the SDPP related to their prediabetes and to describe their experiences and potential changes related to diet and physical activity. Data were analyzed using qualitative content analysis. The main theme found was that T2D (type 2 diabetes) risk is not perceived as concrete enough to motivate lifestyle modifications, such as changing dietary patterns, without other external triggers. Diagnosis was recognized as a reason to modify diet, and social interactions were found to be important for managing behavior change. Diagnosis was also a contributing factor to lifestyle modification, while prognosis of risk was not associated with efforts to change habits. The results from this study suggest that the potential of reversing prediabetes needs to be highlighted and more clearly defined for older persons to serve as motivators for lifestyle modification.

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Comparison of the Effectiveness of Lifestyle Modification with Other Treatments on the Incidence of Type 2 Diabetes in People at High Risk: A Network Meta-Analysis

Nutrients ◽

10.3390/nu11061373 ◽

2019 ◽

Vol 11 (6) ◽

pp. 1373 ◽

Cited By ~ 4

Author(s):

Kazue Yamaoka ◽

Asuka Nemoto ◽

Toshiro Tango

Keyword(s):

Type 2 Diabetes ◽

High Risk ◽

Lifestyle Modification ◽

Meta Analysis ◽

Intervention Group ◽

Control Group ◽

Lifestyle Modifications ◽

Randomized Controlled ◽

Indirect Comparisons

Background: Many clinical trials have been conducted to verify the effects of interventions for prevention of type 2 diabetes (T2D) using different treatments and outcomes. The aim of this study was to compare the effectiveness of lifestyle modifications (LM) with other treatments in persons at high risk of T2D by a network meta-analysis (NMA). Methods: Searches were performed of PUBMED up to January 2018 to identify randomized controlled trials. The odds ratio (OR) with onset of T2D at 1 year in the intervention group (LM, dietary, exercise, or medication) versus a control group (standard treatments or placebo) were the effect sizes. Frequentist and Bayesian NMAs were conducted. Results: Forty-seven interventions and 12 treatments (20,113 participants) were used for the analyses. The OR in the LM was approximately 0.46 (95% CI: 0.33 to 0.61) times lower compared to the standard intervention by the Bayesian approach. The effects of LM compared to other treatments by indirect comparisons were not significant. Conclusions: This meta-analysis further strengthened the evidence that LM reduces the onset of T2D compared to standard and placebo interventions and appears to be at least as effective as nine other treatments in preventing T2D.

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Ambulatory glucose profile as an educational tool in the management of patients with type 2 diabetes mellitus

International Journal of Research in Medical Sciences ◽

10.18203/2320-6012.ijrms20200032 ◽

2020 ◽

Vol 8 (2) ◽

pp. 734

Author(s):

A. G. Unnikrishnan ◽

Vedavati Bharat Purandare

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Lifestyle Modification ◽

Glucose Monitoring ◽

Dietary Treatment ◽

Postprandial Glucose ◽

Lifestyle Modifications ◽

Glucose Profile

A 60-year-old male patient with Type 2 Diabetes Mellitus (T2DM) since the last two years was presented in the clinic with repeated falls. He was on dietary treatment and was also taking metformin 500 mg twice daily, on and off. His Fasting Plasma Glucose (FPG) was 116 mg/dL, Postprandial Glucose (PPG) was 140 mg/dL and Glycosylated Haemoglobin (HbA1c) was 6.4%. The complete glycaemic profile obtained from the first Ambulatory Glucose Profile (AGP) revealed that the patient was not having hypoglycaemia and has very minimal glucose fluctuations without any post-prandial excursions. The visual cue obtained from Continuous Glucose Monitoring (CGM) / AGP enabled physicians to better inform the patient on the effects of medication and lifestyle on diabetes, thereby allowing the patient to make informed treatment and lifestyle modifications. This case study sheds light on the need to recommend AGP in such cases to provide insights on the glucose trends, thereby improve patient’s confidence in the therapy, with lifestyle modification.

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A study of the knowledge and practice of lifestyle modification in patients with type 2 diabetes mellitus in Middelburg sub-district of Mpumalanga

South African Family Practice ◽

10.4102/safp.v60i1.4668 ◽

2018 ◽

Vol 60 (1) ◽

pp. 45

Author(s):

Andrew Ekene Umeh ◽

Lushiku Nkombua

Keyword(s):

Diabetes Mellitus ◽

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Glycaemic Control ◽

Lifestyle Modification ◽

Significant Finding ◽

Lifestyle Modifications ◽

Poor Glycaemic Control ◽

Knowledge And Practice

Introduction: Diabetes mellitus is one of the most common clinical conditions seen by family physicians in their daily practice. They are constantly confronted with the burden of caring for poorly controlled and poorly adherent patients presenting with preventable debilitating, disabling and mutilating complications. Lifestyle modifications in combination with medications have been proven to contribute to the prevention and delay of complications. Aims: The study aimed to investigate the knowledge and practice of lifestyle modifications and also to determine challenges faced by patients in their practice of lifestyle changes in the management of type 2 diabetes mellitus in the Middelburg subdistrict of Mpumalanga. Study design: An observational, descriptive and cross-sectional study was done. Data were collected from 150 patients with type 2 diabetes mellitus (T2DM) using a self-administered questionnaire. Results: The results showed that DM was more prevalent among females and the age group 50– 59 years was mostly affected. Nearly 50% of the respondents were obese and about 35% of them overweight. Lifestyle modification was understood as healthy dietary habits. Only 35% of the respondents participated in exercises. Brisk walking (59%) was the preferred form of exercise among these participants. A statistically significant finding was that 79.63% of participants who did not adhere to exercise recommendations had poor glycaemic control. Only 40.48% of participants who adhered to exercise recommendations had good glycaemic control. Obesity (47.52%) and overweight (32.67%) were associated with poor glycaemic control. Conclusion and recommendation: The majority of the participants thought that lifestyle modification was healthy eating; only a third of them regularly exercised. The author recommends a multidisciplinary and multilevel approach involving different stakeholders— among others, patients and community, health professionals/providers and government services—in assisting diabetic patients with lifestyle modification. (Full text of the research articles are available online at www.medpharm.tandfonline.com/ojfp) S Afr Fam Pract 2018; DOI: 10.1080/20786190.2017.1364012

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Effect of a Low-Resource-Intensive Lifestyle Modification Program Incorporating Gymnasium-Based and Home-Based Resistance Training on Type 2 Diabetes Risk in Australian Adults

Diabetes Care ◽

10.2337/dc08-0152 ◽

2008 ◽

Vol 31 (12) ◽

pp. 2244-2250 ◽

Cited By ~ 35

Author(s):

W. R. Payne ◽

K. J. Walsh ◽

J. T. Harvey ◽

M. F. Livy ◽

K. J. McKenzie ◽

...

Keyword(s):

Type 2 Diabetes ◽

Resistance Training ◽

Lifestyle Modification ◽

Diabetes Risk ◽

Low Resource ◽

Home Based ◽

Lifestyle Modification Program

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Knowledge, attitude and practice regarding lifestyle modification in type 2 diabetic patients

African Journal of Primary Health Care & Family Medicine ◽

10.4102/phcfm.v6i1.655 ◽

2014 ◽

Vol 6 (1) ◽

Cited By ~ 10

Author(s):

Henry I. Okonta ◽

John B. Ikombele ◽

Gboyega A. Ogunbanjo

Keyword(s):

Type 2 Diabetes ◽

Type 2 Diabetes Mellitus ◽

Lifestyle Modification ◽

Diabetic Patients ◽

Lifestyle Modifications ◽

Type 2 Diabetic Patients ◽

Attitude And Practice ◽

Knowledge Attitude And Practice ◽

Type 2 Diabetic

Background: The number of persons suffering from type 2 diabetes mellitus continues to rise worldwide and causes significant morbidity and mortality, especially in the developing world. Behaviour change and adoption of healthy lifestyle habits help to prevent or slow down the complications of type 2 diabetes mellitus. However, the knowledge and practice of healthy lifestyles in many diabetic patients have been inadequate. Aim: This study sought to establish the knowledge, attitude and practice regarding lifestyle modification amongst type 2 diabetic patients. Setting: The diabetic clinic of Mamelodi hospital, Pretoria, Gauteng Province, South Africa. Methods: A cross-sectional study was done using a structured questionnaire amongst 217 type 2 diabetic patients seen at the diabetic clinic of Mamelodi hospital. Baseline characteristics of the participants were obtained and their knowledge, attitude and practice regarding lifestyle modification were assessed. Results: Of the 217 participants, 154 (71%) were obese and 15 (7%) were morbidly obese. The majority of respondents (92.2%) had poor knowledge of the benefits of exercise, weight loss and a healthy diet. What is interesting is that the majority (97.7%) demonstrated bad practices in relation to lifestyle modifications, although over four-fifths (84.3%) had a positive attitude toward healthy lifestyle modifications. Conclusion: Despite the positive attitudes of respondents toward healthy lifestyle modifications, the knowledge and practice regarding lifestyle modifications amongst type 2 diabetes mellitus participants seen at Mamelodi hospital were generally poor.

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