Impact of behavioral interventions in the management of adults with type 2 diabetes mellitus.
Research on the role of behavior change as an efficacious intervention for adults with type 2 diabetes is evolving. Searching PubMed and Ovid Medline, we identified and reviewed primarily randomized controlled trials from 2010 to 2013 of adults managing type 2 diabetes without insulin. All studies are evaluated in terms of the rigor of their design and their impact on glycosylated hemoglobin. The most efficacious interventions appear to be low-carbohydrate/glycemic load diets, combined aerobic and resistance training, and self-monitoring of blood glucose, which educates patients about the impact of their food selections and physical activity on their blood glucose.
Behavioral Medicine Center, University of Virginia School of Medicine, 1300 JPA, UVA Hospital West, Barringer IV, Charlottesville, VA, 22908, USA, djc4f@virginia.edu.
Daniel J
DJ
Cox
Ann
A
Gill Taylor
Elizabeth S
ES
Dunning
Mary C
MC
Winston
Ingrid L
IL
Luk Van
Anthony
A
McCall
Harsimran
H
Singh
William S
WS
Yancy
D000328:Adult; D001786:Blood Glucose; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy* / Q000378:metabolism / Q000628:therapy*; D005247:Feeding Behavior; D006442:Glycated Hemoglobin / Q000378:metabolism; D006801:Humans; D008019:Life Style
D001786:Blood Glucose; D006442:Glycated Hemoglobin