Brief Intensive Lifestyle and Drug Therapy Beneficial in Type 2 Diabetes

Short courses of drug and lifestyle therapy lead to patients with type 2 diabetes achieving normoglycemia.
Short courses of drug and lifestyle therapy lead to patients with type 2 diabetes achieving normoglycemia.

HealthDay News — Intensive lifestyle and drug therapy is associated with achievement of normoglycemia and sustained weight loss in patients with type 2 diabetes, according to a study published online in the Journal of Clinical Endocrinology & Metabolism.

Natalia McInnes, MD, from McMaster University in Hamilton, Canada, and colleagues randomly allocated 83 participants with type 2 diabetes to an 8-week intensive metabolic intervention, a 16-week intensive metabolic intervention, or standard diabetes care. Weight loss and normoglycemia were targeted with lifestyle approaches and treatment with metformin, acarbose, and insulin glargine during the intensive intervention period; diabetes drugs were then discontinued.

The researchers found that 50% and 3.6% of the 8-week intervention group and controls achieved normoglycemia on therapy at 7 weeks (relative risk [RR]: 14; 95% CI, 1.97-99.38); these percentages were 70.4% and 3.6% in the 16-week and control groups, respectively, at 16 weeks (RR: 19.7; 95% CI, 2.83-137.13). Overall, 21.4% of the 8-week group and 10.7% of controls and 40.7% of the 16-week group vs 14.3% of controls met hemoglobin A1c criteria for complete or partial diabetes remission at 12 weeks after completion of the intervention (RRs: 2.00 [95% CI, 0.55-7.22] and 2.85 [95% CI, 1.03-7.87], respectively).

"A short course of intensive lifestyle and drug therapy achieves on-treatment normoglycemia and promotes sustained weight loss," the authors write.

Reference

McInnes N, Smith A, Otto R, et al. Piloting a remission strategy in type 2 diabetes: results of a randomized controlled trial [published online March 15, 2017]. J Clin Endocrinol Metab. doi: 10.1210/jc.2016-3373

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