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Abstract

“A STUDY OF LIFESTYLE INTERVENTIONS IN PATIENTS WITH TYPE2 DIABETES MELLITUS”

Sagar Kamani, *Pradeep Kumar Singh and 3Veerendra S. Nagoria

ABSTRACT

Multiple studies provide evidence that diabetes nutrition therapy is effective for improving glycemic control and other metabolic outcomes. Because it reflects average glycemia over several months, hemoglobin A1c (HbA1c) is used to assess glycemic control. Overweight and obesity are common health problems in persons at risk for and with type 2 diabetes. Weight loss is also frequently recommended as the solution to improve glycemic control. This is a follow-up study to assess the impact of lifestyle intervention on clinical risk factors such as glycemic control (HbA1c) and weight in patients within Ahmedabad over a period of 3 months. In this research work we showed to evaluate the effects of lifestyle modifications, such as diet (Medical Nutritional Therapy), exercise (Physical Activity) and education on patients with type2 diabetes. During the study, 51 numbers of patients with T2DM were involved. Before screening, all enrolled participants were interviewed if they were wholly prepared to adhere for the interventions. The target population eligible to the lifestyle intervention trail was composed of men and women (non-pregnant), required group to be of age between 40 and 60 years, be resident within the Ahmedabad, have been diagnosed with type 2 diabetes not more than a year before study entry, and have persistent unsatisfactory glycemic control defined as HbA1c levels > 11 %. This was a three-month intervention study based on statistical analysis for Medical Nutrition Therapy (MNT) and Physical Activity (PA) conducted with previously inactive 51 T2DM participants. Averaged across three months of follow-up study in the Ahmedabad, T2DM participants had great improvements in their Glycemic control (5.37 % decreases in HbA1c). Weight reduction was observed with greater improvements in this lifestyle intervention study (5.40 % decrease). Medical Nutritional Therapy (MNT) and Physical Activity (PA) are successful interventions in achieving declines in HbA1c and weight. Therefore, T2DM patients should be stimulated to participate in intervention programs. Lifestyle Interventions (LI) can produce and maintain significant weight losses and improvements in fitness in individuals with type 2 diabetes.

Keywords: HbA1c, T2DM, Lifestyle Intervention, Nutritional Therapy, Physical Activity.


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