Diabetes thesis – Term Paper

Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin

Studying on the topic offers a systematic meta-analysis and the effectiveness of lifestyle-based intervention steps in weight loss for adult patients with type 2 diabetes. However, according to Wilding (2014), the majority of individuals who were diagnosed with diabetes mellitus (T2DM) were either overweight or obese. On the other hand, (Gaal &Scheen (2015) supported the idea, and in their report, they stated that diabetes being a global health concern, its prevention can be done through a pharmacotherapy that will ensure blood glucose is controlled. The research was conducted for 16weeks of the academic study, and they were seen to be eligible through proper evaluation of behavioral strategies of the patients. The method used was direct EMBASE and MEDLINE between the health workers and the patients under which the blind trials assessed, results indicated that there were some heterogeneity characteristics in the patientts cells. However, another strategy used was PubMed searchers that were used in determining clinical trials for weight loss prevention and its outcome in the long-run.

The objective was to develop lifestyle programs and evaluate the best efficient system in improving glycemic control from spreading within the region. Additionally, excess body weight was also associated with higher risk of cardiometabolic complications that can cause mortality and morbidity in T2DM. The primary outcome was formulating ways to reduce the risk factors of the body organs such as body mass index (BMI) and systolic blood pressure (SBP) among others.With weight loss, it was observed that glycemia control of T2DM was controlled, improved mobility, quality of life physical and sexual function of the human body.

Diabetes mellitus medical terminology

Some of the key terminologies are:

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Meta-analysis: A statistical technique used in obtaining quantitative measures for pooling data and deriving conclusions based on the observations.

Type 2diabetes: Its long-term metabolic disorder in the human body caused by insulin resistance and high blood sugar leading to cardiac complications.

Weight loss therapy it is a machine used in medical health for physical fitness and connectivity of tissues in the body.

Glycemic control: it refers to level if blood sugar in a patient with diabetes mellitus.

Additionally, the authors (Caroline et al. 2010 & Hensrud (2012), argued that the greater the carbohydrate restriction in the client’s body the higher the glucose is lowered creating an effect in the rating quality of reducing the type 2diabetes improving its postprandial glucose control. The results showed that glycated hemoglobin (HbA1c) weight n=5784 was -0.29% with a 95%Confidence Interval (CI) of -0.61% and 0.03% indicating that both have attenuated sensitivity analyses giving a pool effect on the body.

Diabetic diet types

The most efficient recommended foods a client with HbA1c should take a good diet with proper proportions that are sugar-free for example non-starchy vegetables, avoiding processed food and eating complex carbohydrates such as brown bread and potatoes as other healthy starches. Furthermore, having regular checkups on the blood sugar from a medical doctor to determine if it has an average range. Having daily exercises, for example, may help reduce the HbA1c and increase the energy levels in the body (Stanford et al., 2012).

Lowering hemoglobin a1c diet

According to the research, it was evident that the most efficient way to reducing HbA1c is by having a proper diet and physical exercise as it is the best approach convenient to everyone. Moreover, short-term weight loss in the patient improves glycemic control by reducing hepatic glucose control and increasing insulin secretion for energy flow and fiber content in the body. According to the ICER (2014) and AADE (2014) organizations, they stated that there exists other scientific methods developed and applicable in reducing the disease. For example, pharmacological and surgical interventions that improve long-term health outcome in the client. A meta-analysis is also useful in improving the synthesis of HBA1c (Gann; Gann, 2015) By using a nutritional therapy, a health worker will have self-management and monitoring with the patient having type 2diabetes and can further recommend a glycemic index depending on the hemoglobin content in the body.

In conclusion, medical practitioners need to encourage more patients who are obese to reduce their weight and use the appropriate glucose-lowering therapy in conducting their weight. Patients who are overweight should practice eating a balanced diet and regular exercises to maintain the physical fitness of the body and reduce the cardiac attack that might arise in the body. Future collaborative efforts by the organization such as The American Medical Association was formed to help the people with diabetes through guidance on proper diet, offer medical treatment and interventions that will assist the affected clients to prevent the disorder.


American Association of Diabetes Educators (AADE). 2014. Obesity and Diabetes

AADE Practice Synopsis. Retrieved from https://www.diabeteseducator.org/docs/default-source/default-document-library/obesity-and-diabetes.pdf?sfvrsn=0

Caroline et al. 2010 1 Effectiveness of lifestyle-based weight loss interventions for adults with type 2 diabetes: A systematic review and meta-analysis.

Gaal L.V ;Scheen A. (2015). Weight Management in Type 2Diabetes: Current and Emerging

Approaches to Treatment. Retrieved from http://care.diabetesjournals.org/content/diacare/38/6/1161.full.pdf

Gann D;Gann E. (2015). Type 2 Diabetic Patients on Insulin Can Reduce or Eliminate Insulin with Lifestyle Change and Carbohydrate Restriction. Retrieved from https://www.juniperpublishers.com/crdoj/pdf/CRDOJ.MS.ID.555551.pdf

Hensrud D.D. (2012). Dietary Treatment and Long-Term Weight Loss and Maintenance in Type 2 Diabetes, Retrieved from http://onlinelibrary.wiley.com/doi/10.1038/oby.2001.141/pdf

ICER. 2014. Controversies in the Management of Patients with Type 2 Diabetes. http://icer-review.org/wp-content/uploads/2015/03/CEPAC-T2D-Final-Report-December-22.pdf

Standford J et al. (2012). The effect of weight loss on fasting blood sugars and hemoglobin A1c in overweight and obese diabetics and non-diabetics. Retrieved from http://file.scirp.org/pdf/JDM20120100020_22412448.pdf

Wilding J.P.H. (2014). The importance of weight management in type 2 diabetes mellitus. Retrieved from https://pdfs.semanticscholar.org/51ed/637fcd14a5cc192103b8eb318a1dbe5f0a32.pdf