Management of obesity in patients with Type 2 diabetes

Campbell, Lesley V.; Rössner, Stephan

doi:10.1046/j.1464-5491.2001.00546.x

Cited by 35 publications

(25 citation statements)

References 71 publications

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“…The authors attributed their findings to the fact that both groups devoted the same amount of time to physical exercise. [16] Moreover, this finding is in contrast with findings from other studies that there was no significant difference between individual and group education in the reduction of BMI at 6 to 9 months [17] or at 12 to 18 months. [18,19] Age was independent of BMI change, a finding meaning that the participants were influenced by the educational program independently of their age.…”

Section: Hba1ccontrasting

confidence: 56%

Group-based education for people with type 2 diabetes mellitus in Greece: An observational study

Merakou

Knithaki²,

Karageorgos

et al. 2015

JNEP

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Objective: The objective of this study is the assessment of the impact of a brief patient group education intervention (Conversation Maps TM ) in people with type 2 Diabetes Mellitus.Methods: A total of 138 people with type 2 Diabetes Mellitus who were regular patients at the diabetic clinic of a Primary Health Care setting in Attica participated in the study. The intervention group attended a structured group, brief educational programme (three sessions of two hours each). The main outcome measures were glycated hemoglobin (HbA1c), Body Mass Index (BMI), triglycerides, High-density lipoprotein (HDL), Low-density lipoprotein (LDL), measured at baseline and six months after the intervention. Results: After 6 months, significant reductions were observed between the baseline and follow-up data in HbA1c (p < .001) in BMI (p < .007) in triglycerides (p < .003), in LDL-cholesterol (p < .001), while the mean HDL-cholesterol remained stable (p = .397). Conclusions: Group-based patient education with Conversation Maps TM for people with type 2 diabetes is effective in the improvement of clinical outcomes.

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Section: Hba1ccontrasting

confidence: 56%

Group-based education for people with type 2 diabetes mellitus in Greece: An observational study

Merakou

Knithaki²,

Karageorgos

et al. 2015

JNEP

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“…Obesity is progressively worsened among diabetic patients which may be due to insulin therapy and other medication, poor glycemic control and diabetic complications [44,45].…”

Section: Discussionmentioning

confidence: 99%

Glycemic Control and Accompanying Risk Factors: 4-Year Primary Care Study

Abdulmajeed¹

2015

J Diabetes Metab

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Objective: This study is to assess the glycemic control and the other risk factors like LDL, blood pressure readings and body mass index for type 2 diabetes mellitus (T2DM) in 8 primary care centers over 4 years of time.Methods: An observational, retrospective cohort, multicenter study which was conducted in 8 National Guard primary health care centers. Four of the centers were located in Riyadh; while the others are from different regions in Saudi Arabia. A stratified random sampling method was used according to number of diabetic patients at each centerThe main study outcomes were to measure the mean HbA1c, LDL levels, blood pressure and BMI readings and the percentage of diabetic patients who reached the ADA goal of HbA1c, LDL, and blood pressure and how it changed during 4 years of time. Also the percentage of adults with diabetes who have HbA1c<0.07 and the changes of controlled patients within the study period.Results: Total number of type-2 diabetic patients of this study was 778, with mean age of 55.03 ± 11.4, 62.7% of them were females. The mean of the HbA1c was 8.7 on 2006 and reduced to 8.6 within four years, 16.6% of diabetic patients had their last HbA1c reading reached the HbA1c goal (≤7%). The LDL and diastolic blood pressure decreased also within the follow up years insignificantly (-0.299 and -1.37). While the systolic blood pressure and BMI increased over 4 years of time (+0.58 and +0.27). HbA1c level shows a significant relation with the education levels in 2007 and 2008. HbA1c also prove a significant relation with LDL for three years in sequence. Age and BMI had a significant relation with the systolic blood pressure. Conclusion:Poor glycemic control has serious impact not only on patients but on the society. The primary health care setting and structure were not well-prepared to properly manage diabetes and its related comorbidities.

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“…There are a number of barriers to effective weight loss in obese persons with diabetes (138). Physical activity is particularly a problem in older persons with diabetes, who often have contraindications to exercise and may not be able to perform even mild exercise to aid in their attempts at weight loss (139).…”

Section: Preventionmentioning

confidence: 99%