Non-pharmacological management of type 2 diabetes.
Major studies have demonstrated an association between poor glycaemic control and the development of micro - and macrovascular complications in type 2 diabetes. Optimized metabolic control, including treatment of hyperglycaemia and other risk factors, reduces the risk of complications. Current strategies aiming at achieving the best possible control include a non-pharmacological approach consisting of lifestyle intervention using physical exercise and modification of nutrition intakes in the early stage of type 2 diabetes, or in later stages, combined with pharmacotherapy. Such an approach is also efficient in preventing type 2 diabetes in patients with impaired glucose tolerance. The purpose of this review is to analyse, in a clinical practice perspective, the current recommendations with respect to lifestyle modifications.
Buysschaert
M
M
Service d'Endocrinologie et Nutrition Cliniques, Universitaires Saint-Luc, Université Catholique de Louvain, B- 1200 Bruxelles, Belgique. buysschaert@diab.ucl.ac.be
Hermans
M P
MP
D003924:Diabetes Mellitus, Type 2 / Q000453:epidemiology / Q000628:therapy*; D019468:Disease Management; D005060:Europe / Q000453:epidemiology; D015444:Exercise; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use*; D044623:Nutrition Therapy; D040242:Risk Reduction Behavior; D016540:Smoking Cessation; D014481:United States / Q000453:epidemiology
D007004:Hypoglycemic Agents