Lifestyle and the Prevention of Type 2 Diabetes: A Status Report

Galavíz, Karla I.; Narayan, K.M. Venkat; Lobelo, Felipe; Weber, Mary Beth

doi:10.1177/1559827615619159

Cited by 151 publications

(99 citation statements)

References 177 publications

(287 reference statements)

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“…This is important because patients diagnosed with T2DM are at increased risk of comorbidities and mortality. Integration of lifestyle counseling with T2DM patients has resulted in improvements in weight, HbA1c, and overall lifestyle patterns 18,20,27,28. Noncommunicable disease can be prevented and/or managed with improvements in physician–patient interactions focused on diet and lifestyle.…”

Section: Discussionmentioning

confidence: 99%

Online nutrition and T2DM continuing medical education course launched on state-level medical association

Hicks¹,

Murano²

2017

AMEP

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ObjectiveThe purpose of this research study was to determine whether a 1-hour online continuing medical education (CME) course focused on nutrition for type 2 diabetes would result in a gain in nutrition knowledge by practicing physicians.MethodsA practicing physician and dietitian collaborated to develop an online CME course (both webinar and self-study versions) on type 2 diabetes. This 1-hour accredited course was launched through the state-level medical association’s education library, available to all physicians.ResultsPhysicians (n=43) registered for the course, and of those, 31 completed the course in its entirety. A gain in knowledge was found when comparing pre- versus post-test scores related to the online nutrition CME (P<0.0001).ConclusionsOnline CME courses launched via state-level medical associations offer convenient continuing education to assist practicing physicians in addressing patient nutrition and lifestyle concerns related to chronic disease. The present diabetes CME one-credit course allowed physicians to develop basic nutrition care concepts on this topic to assist patients in a better way.

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Section: Discussionmentioning

confidence: 99%

Online nutrition and T2DM continuing medical education course launched on state-level medical association

Hicks¹,

Murano²

2017

AMEP

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“…The main benefit of pre-diabetes early identification is that it does not require medical management. The modification of lifestyle parameters, such as increase physical activity or decrease time devoted to sedentary activities, weight loss, adopting healthy dietary habits, etc., may be important measures in order to prevent the onset of glycaemic abnormalities [41][42][43][44], and thus to lower its economic public health burden [45].…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of Two Self-Reported Tools for Insulin Resistance and Hypertension Risk Assessment in A European Cohort: The Feel4Diabetes-Study

et al. 2020

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Early identification of type 2 diabetes mellitus (T2DM) and hypertension (HTN) risk may improve prevention and promote public health. Implementation of self-reported scores for risk assessment provides an alternative cost-effective tool. The study aimed to develop and validate two easy-to-apply screening tools identifying high-risk individuals for insulin resistance (IR) and HTN in a European cohort. Sociodemographic, lifestyle, anthropometric and clinical data obtained from 1581 and 1350 adults (baseline data from the Feel4Diabetes-study) were used for the European IR and the European HTN risk assessment index respectively. Body mass index, waist circumference, sex, age, breakfast consumption, alcohol, legumes and sugary drinks intake, physical activity and sedentary behavior were significantly correlated with Homeostatic Model Assessment of IR (HOMA-IR) and/or HTN and incorporated in the two models. For the IR index, the Area Under the Curve (AUC), sensitivity and specificity for identifying individuals above the 75th and 95th of HOMA-IR percentiles were 0.768 (95%CI: 0.721–0.815), 0.720 and 0.691 and 0.828 (95%CI: 0.766–0.890), 0.696 and 0.778 respectively. For the HTN index, the AUC, sensitivity and specificity were 0.778 (95%CI: 0.680–0.876), 0.667 and 0.797. The developed risk assessment tools are easy-to-apply, valid, and low-cost, identifying European adults at high risk for developing T2DM or having HTN.

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“…Although there is definitive evidence on the effectiveness of lifestyle interventions in preventing diabetes among high-risk individuals [5,6], little is known about implementing these interventions in real-life settings in SSA. The South African diabetes prevention program (SA-DPP) aims to develop and evaluate a culturally relevant T2DM prevention model for South Africa, using evidence from successful diabetes prevention effectiveness and implementation programs [7][8][9][10].…”

Section: Introductionmentioning

confidence: 99%

Findings from Community-Based Screenings for Type 2 Diabetes Mellitus in at Risk Communities in Cape Town, South Africa: A Pilot Study

Hill

Peer

Jonathan

et al. 2020

IJERPH

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Completed and ongoing implementation activities globally advocate for community-based approaches to improve strategies for type 2 diabetes prevention. However, little is known about such strategies in the African region where there are higher relative increases in diabetes prevalence. We reported findings from the first 8-month pilot phase of the South African diabetes prevention program. The study was conducted across eight townships (four black and four mixed-ancestry communities) in Cape Town, South Africa, between August 2017 and March 2018. Participants were recruited using both random and self-selected sampling techniques because the former approach proved to be ineffective; <10% of randomly selected individuals consented to participate. Non-laboratory-based diabetes risk screening, using the African diabetes risk score, and based on targeted population specific cut-offs, identified potentially high-risk adults in the community. This was followed by an oral glucose tolerance test (OGTT) to confirm prevalent pre-diabetes. Among the 853 adults without prior diabetes who were screened in the community, 354 (43.4%) were classified as high risk, and 316 presented for further screening. On OGTT, 13.1% had dysglycemia, including 10% with screen-detected diabetes and 67.9% with glycated haemoglobin (HbA1c)-defined high risk. Participants with pre-diabetes (n = 208) had high levels of common cardiovascular risk factors, i.e., obesity (73.7%), elevated total cholesterol (51.9%), and hypertension (29.4%). Self-referral is likely an efficient method for selecting participants for community-based diabetes risk screening in Africa. Post-screening management of individuals with pre-diabetes must include attention to co-morbid cardiovascular risk factors.

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Lifestyle and the Prevention of Type 2 Diabetes: A Status Report

Cited by 151 publications

References 177 publications

Online nutrition and T2DM continuing medical education course launched on state-level medical association

Online nutrition and T2DM continuing medical education course launched on state-level medical association

Development and Validation of Two Self-Reported Tools for Insulin Resistance and Hypertension Risk Assessment in A European Cohort: The Feel4Diabetes-Study

Findings from Community-Based Screenings for Type 2 Diabetes Mellitus in at Risk Communities in Cape Town, South Africa: A Pilot Study

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