Energy balance
Intentional weight loss of approximately 7% of initial body weight combined with moderate-to-vigorous physical activity (175 min/week) improves glycemic control, blood pressure, and lipid profiles in overweight individuals with type 2 diabetes.
To improve your diabetes and heart health, aim to lose about 7% of your starting weight and walk briskly for 175 minutes a week. Start with meal replacements for two meals a day to help you hit your calorie goals, then transition to portion-controlled regular foods. Focus on consistency and behavioral habits rather than rapid scale changes, as sustainable loss is more beneficial than quick, regained weight.
Losses of this size improve glycemic control in patients with type 2 diabetes (10) and ameliorate blood pressure (11) and lipids (12) in clinically affected individuals.
Why this rating
Based on a large multicenter RCT design (Look AHEAD) supported by multiple prior RCTs cited in the text.
Source
The Look AHEAD Study: A Description of the Lifestyle Intervention and the Evidence Supporting It
Thomas A Wadden et al. · Obesity · 2006
DOI 10.1038/oby.2006.84
More from this paper
- The use of liquid meal replacements (shakes and bars) for two meals and one snack daily significantly increases weight loss compared to conventional isocaloric diets in individuals with type 2 diabetes.Good
- Orlistat, a gastrointestinal lipase inhibitor, provides modest additional weight loss (4-6% of initial weight) and improves weight maintenance when used as an adjunct to lifestyle modification in patients with type 2 diabetes who fail to lose 10% of initial weight.Good
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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