Research
Energy balance
In patients with diabetes, there is no evidence of reduced all-cause mortality.
Practitioners should be aware that lifestyle interventions may not reduce mortality in patients already diagnosed with type 2 diabetes.
StrongRefutesmedium confidence
2 randomized, controlled trials (which included pharmacotherapy) reported no improvement in all-cause mortality.
Why this rating
Based on the inclusion of randomized controlled trials.
Source
Lifestyle Interventions for Patients With and at Risk for Type 2 Diabetes
Elizabeth Sumamo Schellenberg et al. · Annals of Internal Medicine · 2013
DOI 10.7326/0003-4819-159-8-201310150-00007
systematic_review · n=20Cited 514×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
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
This is one finding among thousands. Every one is graded and traced to its source, so you can see what the evidence actually supports. Browse the research →