Review: the effect of exercise on HbA1c in type 1 diabetes is still uncertain

Runners

Existing recommendations for exercise in diabetes are based largely on evidence from the general population or from people with type 2 diabetes.  This systematic review set out to look specifically at the effect of exercise on glycaemic control among people with type 1 diabetes. Clinical question In people with type 1 diabetes, does exercise improve [read the full story…]

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Moderate physical activity is associated with lower mortality in people with diabetes

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Physical exercise is beneficial to everyone, with or without diabetes. But how much actual benefit accrues from it?  A recent paper  measured the association between physical activity and mortality in diabetes. Clinical question: In people with diabetes, does physical activity reduce the risk of premature death? The evidence This paper reports the findings of a [read the full story…]

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In people with obesity and type 2 diabetes, an intensive lifestyle programme reduced disability

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We don’t usually include individual studies in diabetes because there are so many of them.  However, a new report of the Look AHEAD trial, published in the New England Journal of Medicine, points towards significant potential benefits from an intensive lifestyle intervention for people suffering from obesity and type 2 diabetes. Clinical question: In overweight [read the full story…]

Review: some evidence that lifestyle education can help diabetics with schizophrenia

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For many different reasons, people with schizophrenia and schizoaffective disorders have a greater risk of type 2 diabetes.  This review looked for evidence of the efficacy of interventions to help them manage their diabetes. Clinical question: In people with type 2 diabetse and schizophrenia or schizo-affective disorder, what lifestyle interventions improve self-management? The scope included [read the full story…]

In type 2 diabetes, sustained weight loss with an intensive lifestyle intervention.

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The Look AHEAD (Action for Health in Diabetes) study is an ongoing randomised trial examining the consequences of weight loss in overweight and obese people with type 2 diabetes.  This publication reports on factors influencing sustained weight loss after four years of an intensive lifestyle intervention focusing on diet and exercise. Clinical question: In overweight [read the full story…]

Lifestyle changes aimed at preventing type 2 diabetes were cost-effective for improving quality of life.

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A recent follow-up of a randomised trial looked at the long-term costs of different ways of preventing type 2 diabetes in people with impaired glucose tolerance. Clinical question: In people with impaired glucose tolerance and fasting hyperglycaemia, are lifestyle interventions, as compared to metformin or usual care, cost-effective? This paper reports the costs and quality [read the full story…]

Clearer evidence needed on exercise interventions in ethnic minorities with type 2 diabetes.

chinese_exercise

This systematic review set out to summarise previous trials of aerobic and resistance training. Clinical question: In people from an ethnic minority with type 2 diabetes, what programmes are effective The review was carried out in Australia and included people with African, Indian, Polynesian, Hispanic, Arabian, and Chinese ethnicity. It’s not clear whether the review [read the full story…]

Healthy lifestyle is better than drugs for reversing metabolic syndrome

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This systematic review addressed methods of preventing progression from metabolic syndrome or pre-diabetes to full type 2 diabetes or cardiovascular disease. Clinical question In people with metabolic syndrome, what interventions exist that can prevent progression to type 2 diabetes? The evidence The reviewers only included randomised trials in their review.  The trials did not provide [read the full story…]