A Nutrition Intervention Focused on Weight Management Through Lifestyle Improvements in Prediabetic Subjects

Abstract

We reported the cases in order to evaluate the effects of individualized nutrition interventions for enhancing self-management abilities of prediabetic subjects. We conducted four nutrition interventions for weight control in two subjects with high-risk of type 2 diabetes. The first subject was a 53-year-old housewife, and the second subject was a 46-year-old male office worker. The subjects visited the medical center 4 times during the study period, and the lifestyle interventions were advised by a clinical team comprised physicians, clinical dietitians, and nurses. In particular, nutrition intervention to achieve weight loss focused on enhancing motivation and problem-solving skills to improve self-management ability. As a result, both subjects achieved weight loss by the time of their last visits. These two case studies, which differed in terms of sex, occupation, and dietary habits showed the importance of individualized nutrition intervention and forming an intimate relationship based on trust centered on prediabetic subjects. In conclusion, systematic collaboration within the clinical team is necessary, and social infrastructure should be prepared to fully realize the benefits of a systematic intervention program.

Possibilities of preventing the conversion of prediabetes to type 2 diabetes from the perspective of clinical dietetics. Life-style intervention strategies

“…redukcja masy ciała obniża ryzyko rozwoju T2DM w przyszłości o 80%, przy czym większa redukcja masy ciała nie przynosi dodatkowych zysków zdrowotnych. Korzyści metaboliczne można jednak zaobserwować już przy redukcji masy ciała o 5% [17]. W świetle zaleceń AACE/ACE w leczeniu otyłości u osób z prediabetes oraz MetS w celu obniżenia ryzyka T2DM należy dążyć do redukcji masy ciała o 10% [6].…”

“…Ze względu na ryzyko niepowodzenia leczenia dietetycznego bardzo ważne jest utrzymanie u pacjenta przyjemności związanej z przyjmowaniem posiłków [40]. Zwraca się ponadto uwagę, że pacjent powinien być osobiście zaangażowany w planowanie procesu leczenia, w tym opracowywanie zindywidualizowanego planu żywienia [17,39,56].…”