Lifestyle Interventions to Stem the Tide of Type 2 Diabetes

Abstract

Prevention of obesity is one of the most important steps for diabetes prevention. For persons with pre-diabetes, encourage a moderate and maintainable weight loss and provide individuals with support for behavioral changes. For persons with pre-diabetes. recommend a cardioprotective energy-restricted diet and 150 min/week of physical activity. Some support is available for reducing fat intake, especially saturated fats and increasing intake of whole grains and fiber; glycemic index/load and alcohol recommendations are less clear. For persons at very high risk for diabetes, in combination with lifestyle interventions, metformin and acarbose may be considered.