Energy balance
Intensive lifestyle interventions modeled on the Diabetes Prevention Program (DPP), including individualized MNT and physical activity, reduce the incidence of type 2 diabetes by 58% in adults with prediabetes and overweight/obesity.
If you have prediabetes and are overweight, ask your doctor about a DPP-modeled lifestyle program. The goal is to lose 7-10% of your body weight and get 150 minutes of moderate exercise per week. This approach is proven to cut your risk of developing type 2 diabetes by more than half. It is often covered by insurance.
The DPP demonstrated that an intensive lifestyle intervention resulting in weight loss could reduce the incidence of type 2 diabetes for adults with overweight/obesity and impaired glucose tolerance by 58% over 3 years.
Why this rating
Based on the Diabetes Prevention Program (DPP), Da Qing, and Finnish Diabetes Prevention Study, which are landmark RCTs with long-term follow-up.
Source
Nutrition Therapy for Adults With Diabetes or Prediabetes: A Consensus Report
Alison B. Evert et al. · Diabetes Care · 2019
DOI 10.2337/dci19-0014
More from this paper
- Individualized Medical Nutrition Therapy (MNT) provided by a Registered Dietitian Nutritionist (RDN) significantly improves glycemic control (A1C reduction up to 2.0% in T2D and 1.9% in T1D) and is cost-effective, making it a fundamental component of diabetes management.Strong
- Reducing overall carbohydrate intake, particularly to very low-carbohydrate levels (<26% of calories), demonstrates the most evidence for improving glycemia (A1C) and reducing medication needs in adults with type 2 diabetes, especially in the short term (3-6 months).Good
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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