Energy balance
Among patients with type 2 diabetes in placebo-controlled trials, baseline BMI has significantly increased over time (rising by ~0.70 kg/m² per decade), indicating a growing prevalence of obesity and inadequate management of weight despite improved glycemic control.
If you have Type 2 Diabetes, your weight is likely increasing even if your blood sugar is controlled. This meta-analysis of over 260,000 patients shows that baseline BMI has risen by 0.7 kg/m² every decade. You cannot ignore weight management; it is becoming harder, not easier, to maintain a healthy weight with current standard care. Focus on energy balance (diet and activity) as rigorously as you focus on glucose numbers.
Baseline BMI increased over the past 35 years (R = 0.464, P = 0.0074, I2 = 99.4%), rising by around 0.70 kg/m2 per decade.
Why this rating
Systematic review and meta-analysis of 427 RCTs with 261,462 participants.
Source
Trends in baseline HbA1c and body-mass index in randomised placebo-controlled trials of type 2 diabetes from 1987 to 2022: a systematic review and meta-analysis
Suiyuan Hu et al. · EClinicalMedicine · 2023
DOI 10.1016/j.eclinm.2023.101868
Related findings · Energy balance
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