Adherence

Intensive lifestyle counseling does not consistently reduce cardiovascular events or mortality in the long term, although it significantly reduces the incidence of diabetes.

While lifestyle counseling significantly lowers your risk of developing diabetes and improves your blood pressure and cholesterol, it may not immediately prevent heart attacks or death in the short term. This is often because the number of heart attacks in these studies was low. The real value is in preventing diabetes and managing risk factors over many years, which collectively lowers your long-term cardiovascular risk.