Adherence
Major weight variability (cycling) after type 2 diabetes diagnosis is independently associated with poorer survival and increased cardiovascular risk, whereas steady weight loss or stability is associated with better glycaemic control.
If you have type 2 diabetes, maintaining a steady weight (even if you don't lose much) is likely safer for your heart and longevity than experiencing large swings. If you do lose weight, aim for a slow, steady decline rather than yo-yo dieting. Monitor your weight consistency, not just the number on the scale.
While weight change itself was not related to mortality or cardiovascular outcomes, major weight variability was independently associated with poorer survival and increased cardiovascular outcome risks... Our results suggest that weight loss or being weight stable with little weight variability early after diabetes diagnosis, are associated with better glycaemic control
Why this rating
Large retrospective cohort (n=29,316) with robust statistical adjustment, but observational design limits causal inference.
Source
Patterns of weight change after the diagnosis of type 2 diabetes in Scotland and their relationship with glycaemic control, mortality and cardiovascular outcomes: a retrospective cohort study
Lorna Aucott et al. · BMJ Open · 2016
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