Hormonal
Intensive lifestyle interventions improve Type 2 Diabetes remission rates and reduce medication usage, even if they do not significantly reduce cardiovascular mortality events compared to standard care.
Even if your weight loss isn't dramatic enough to eliminate all cardiovascular risk factors, the metabolic benefits of lifestyle change are profound. You can achieve diabetes remission (normal blood sugar without meds) and significantly reduce your reliance on glucose-lowering and blood pressure medications. Work with your doctor to adjust medications as you lose weight to avoid side effects like hypoglycemia. The goal is to improve your metabolic health, which often happens before major cardiovascular events are prevented.
Significantly greater rates of remission of T2D were observed among those in the ILI; at Year 1 follow-up, an 11.2% remission rate was reported in the ILI group compared with 2.0% in the control group... there was no difference in the primary outcome of cardiovascular deaths and events between those in the intervention and control groups.
Why this rating
Based on the same large, long-term RCT (Look AHEAD).
Source
Evidence-based lifestyle interventions for obesity and Type 2 diabetes: The Look AHEAD intensive lifestyle intervention as exemplar.
Delia Smith West et al. · American Psychologist · 2016
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