Mixed

A culturally adapted Mediterranean-style dietary pattern combined with physical activity promotes sustained, clinically significant weight loss in adults with type 2 diabetes over a 24-month period.

For adults with type 2 diabetes, especially those from minority or low-income backgrounds, a sustainable weight loss strategy involves adopting a Mediterranean-style diet that respects cultural food preferences (e.g., using healthy fats like olive oil and nuts, which are common in Southern cuisine) combined with regular walking. This approach, delivered through culturally sensitive counseling and flexible support (phone or group sessions), can lead to sustained weight loss of approximately 3.7 kg (8 lbs) over two years, which is clinically beneficial for managing diabetes and cardiovascular risk.