Sedentary behaviour is associated with metabolic syndrome

We already know that sedentary lifestyle is associated with a greater risk of type 2 diabetes.  This systematic review looked for an association with metabolic syndrome, a precursor condition of diabetes. Clinical question: Is a sedentary lifestyle associated with a high risk of developing metabolic syndrome? Metabolic syndrome is the presence of three of the [read the full story…]

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Coffee intake was associated with a lower incidence of type 2 diabetes

A new systematic review has summarised the findings of observational research into the association between coffee and type 2 diabetes. Clinical question: Is coffee intake associated with an increased risk of developing diabetes? The reviewers wanted to explore whether different amounts of coffee intake affected the risk differently. The evidence: The reviewers searched MEDLINE for [read the full story…]

Non-drug interventions were better than drug interventions at preventing progression to type 2 diabetes

Clinical question: In people with impaired glucose tolerance, what interventions prevent progression to type 2 diabetes and reduce the risk of macrovascular complications? The evidence: The reviewers found 10 RCTs comprising 23,152 participants. When they combined individual data from these studies, they found that: Both drug interventions and non-drug interventions, when compared to controls, reduced [read the full story…]

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

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…]

How cultural and social norms affect the uptake of diabetes prevention messages.

Asian couple

Diabetes has a higher prevalence among some ethnic groups, particularly people of South Asian origin.  This systematic review looked for  qualitative evidence on the implementation of community based lifestyle behaviour interventions to reduce the risk of diabetes in black and minority ethnic (BME) groups in the UK. Clinical question: In ethnic minority populations, what cultural [read the full story…]

Healthy lifestyle is better than drugs for reversing metabolic syndrome

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…]

Review: More research needed on risk models to predict type 2 diabetes.

A pen ticking off a checklist

Clinical question What risk models work best for predicting whether a person will get type 2 diabetes? There is some evidence that we can prevent diabetes from developing if we can reliably  identify people who are at risk.  This systematic review set out to find and evaluate risk models that have previously been validated and [read the full story…]

Counselling did not prevent gestational diabetes

Taking a blood test during pregnancy

Clinical question: In women at risk of developing gestational diabetes, does a counselling programme focused on diet and exercise reduce the risk of progression? Gestational diabetes can usually be controlled through changes to diet and lifestyle.  This study looked at whether they can be prevent it from developing in the first place. The evidence The [read the full story…]

Guidance: diet and nutrition for adults with type 1 or type 2 diabetes

Fruit slices

New guidelines by Diabetes UK describe how adults with type 1 or type 2 diabetes and adults at high risk of developing type 2 diabetes should manage their diet. The guidelines are intended to: support appropriate food choices, reduce the risk of type 2 diabetes and diabetes-associated complications, achieve optimal glycaemic control and quality of [read the full story…]

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Treating obesity in primary care prevents diabetes

A fat stomach

A systematic review by the US Governmen thas been published in the Annals of Internal Medicine/  The review sets out to assess the potential benefits and harms of primary care-led behavioural interventions to reduce obesity. The interventions they looked at included behavioural and medical treatments.  They found that overall, weight loss treatments prevented the development [read the full story…]

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