Article

International Journal of Behavioral Medicine

, 8:42

First online:

A controlled study of weight reduction in type 2 diabetics treated by two reinforcers

  • H. ZapotoczkyAffiliated withDepartment of Internal Medicine, University Hospital Email author 
  • , B. SemlitschAffiliated withDepartment of Internal Medicine, University Hospital
  • , G. HerzogAffiliated withDepartment of Psychiatry, University Hospital
  • , B. BahadoriAffiliated withDepartment of Internal Medicine, University Hospital
  • , A. SiebenhoferAffiliated withDepartment of Internal Medicine, University Hospital
  • , T. R. PieberAffiliated withDepartment of Internal Medicine, University Hospital
  • , H. G. ZapotoczkyAffiliated withDepartment of Psychiatry, University Hospital

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Abstract

The aim of this clinical study was to evaluate a practicable method to improve metabolic control and body weight in obese patients suffering from Type 2 diabetes. Eighteen overweight Type 2 diabetic patients received an outpatient psychoeducational group program over 1 year, which was centered on aspects of metabolic control in diabetes. This group was compared with 18 control patients who did not obtain any special psychoeducational training. There was a significant reduction of glycosylated hemoglobin and body weight over 1 year in the treatment group compared with the controls. In conclusion, 1 year of psychoeducational training of obese Type 2 diabetic patients significantly improved body weight and glycosylated hemoglobin. Implications are described for professional health care management of the disorder and aspects of the learning theory.

Key words

operant reinforcement Type 2 diabetes outpatient health care management weight loss HbA1c