Chapter

Diet, exercise and other lifestyle factors

Katarina Kos and John PH Wilding

in Type 2 Diabetes

Second edition

Published on behalf of Oxford University Press

Published in print May 2010 | ISBN: 9780199596171
Published online January 2012 | e-ISBN: 9780191739699 | DOI: http://dx.doi.org/10.1093/med/9780199596171.003.0071

Series: Oxford Diabetes Library

Diet, exercise and other lifestyle factors

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• All patients with type 2 diabetes, irrespective of their weight, should be advised to follow a healthy diet and be as physically active as possible • Weight control is an essential part of the management of overweight and obese patients with type 2 diabetes; this may improve glucose metabolism and other risk factors • Desirable lifestyle changes are alterations of the diet to one with a reduced energy intake and an increase in physical activity. Adherence to these changes requires behaviour modification and sustained motivation, so a multicomponent approach is recommended • Anti-obesity drug therapy can help support lifestyle intervention, but should only be continued long term in patients who show clinical benefit • Bariatric surgery, particularly gastric bypass, is highly effective in severely obese patients, providing remission of diabetes in about two-thirds of patients • Other lifestyle recommendations—including smoking cessation, moderation of alcohol intake and salt reduction (in those with hypertension)—may be important for some patients.

Chapter.  3561 words. 

Subjects: Endocrinology and Diabetes

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