Abstract
Research on the role of behavior change as an efficacious intervention for adults with type 2 diabetes is evolving. Searching PubMed and Ovid Medline, we identified and reviewed primarily randomized controlled trials from 2010 to 2013 of adults managing type 2 diabetes without insulin. All studies are evaluated in terms of the rigor of their design and their impact on glycosylated hemoglobin. The most efficacious interventions appear to be low-carbohydrate/glycemic load diets, combined aerobic and resistance training, and self-monitoring of blood glucose, which educates patients about the impact of their food selections and physical activity on their blood glucose.
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Acknowledgment
LifeScan, Inc. is funding Dr. Cox’s research project to investigate a lifestyle modification approach for the management of type 2 diabetes.
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Conflict of Interest
Daniel J. Cox, Ann Gill Taylor, Elizabeth S. Dunning, Mary C. Winston, Ingrid L. Luk Van, Anthony McCall, Harsimran Singh, and William S. Yancy, Jr. declare that they have no conflict of interest.
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This article does not contain any studies with human or animal subjects performed by any of the authors.
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Cox, D.J., Taylor, A.G., Dunning, E.S. et al. Impact of Behavioral Interventions in the Management of Adults with Type 2 Diabetes Mellitus. Curr Diab Rep 13, 860–868 (2013). https://doi.org/10.1007/s11892-013-0423-7
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DOI: https://doi.org/10.1007/s11892-013-0423-7
Keywords
- Lifestyle intervention
- Type 2 diabetes
- Dietary intervention
- Glycemic load
- Glycemic index
- Carbohydrate
- Exercise
- Physical activity
- Aerobic exercise
- Resistance training
- Self-monitoring of blood glucose
- Glycosylated hemoglobin
- Blood glucose
- Postprandial blood glucose
- Insulin sensitivity
- Glycemic control
- Cardiovascular risk profile
- Adults
- Jadad Scale
- Hyperglycemia