Energy balance
Lifestyle interventions, specifically moderate-intensity physical activity for at least 150 minutes per week and caloric restriction, significantly reduce the risk of developing type 2 diabetes in individuals with prediabetes.
To prevent type 2 diabetes, you need to combine diet and exercise. Aim to lose about 7% of your body weight (or reach a BMI of 24) by cutting 400-500 calories from your daily intake and limiting saturated fats. Add at least 150 minutes of moderate exercise each week. Stick with it by getting regular check-ins and support to keep these habits long-term.
Specific objectives for prevention among those with prediabetes are (1) among overweight or obese individuals, lowering of BMI to approximately 24 kg/m2 or weight loss of at least 7%, (2) reduction in total daily caloric intake by at least 400 to 500 kcal (1 kcal = 4.184 kJ), (3) reduction in saturated fatty acid intake to less than 30% of total fatty acid intake, and (4) moderate-intensity physical activity for at least 150 min/week.
Why this rating
The guideline cites multiple randomized controlled trials (Daqing, Finnish Diabetes Prevention Study, US Diabetes Prevention Program) demonstrating significant risk reduction.
Source
Standards of medical care for type 2 diabetes in China 2019
Weiping Jia et al. · Diabetes/Metabolism Research and Reviews · 2019
DOI 10.1002/dmrr.3158
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