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Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Perspective

Lifestyle Intervention for Diabetes Remission: A Paradigm Shift in Diabetes Care and Management

Author(s): Pramod Tripathi and Thejas R. Kathrikolly*

Volume 20, Issue 9, 2024

Published on: 13 December, 2023

Article ID: e291123224009 Pages: 5

DOI: 10.2174/0115733998272795231109034141

Price: $65

Abstract

Remission is often considered the ultimate goal in T2D management and care. Although metabolic surgery is the conventional choice to achieve remission, substantial evidence suggests the possibility of T2D remission through lifestyle interventions. In this context, the current perspective explores recent scientific advancements in lifestyle intervention for diabetes remission and also emphasises its clinical applicability as a pragmatic approach to diabetes management. The perspective further provides additional evidence on remission from the authors' own research findings in the Indian population. We propose that a holistic lifestyle intervention approach - individualised diet plan, exercise protocol, and psychological intervention – may be a benchmark protocol to achieve T2D remission.

[1]
Facts & figures International Diabetes Federation Available from: https://idf.org/about-diabetes/facts-figures/ [cited 2023 Jul 14].
[2]
Riddle MC, Cefalu WT, Evans PH, et al. Consensus report: Definition and interpretation of remission in T2D. Diabetes Care 2021; 44(10): 2438-44.
[http://dx.doi.org/10.2337/dci21-0034] [PMID: 34462270]
[3]
Kelly J, Karlsen M, Steinke G. Type 2 Diabetes (T2D) remission and lifestyle medicine: A position statement from the american college of lifestyle medicine. Am J Lifestyle Med 2020; 14(4): 406-19. Available from: https://journals.sagepub.com/doi/10.1177/1559827620930962 [cited July 14th 2023]
[http://dx.doi.org/10.1177/1559827620930962] [PMID: 33281521]
[4]
Taylor R. Banting memorial lecture 2012 reversing the twin cycles of T2D. Diabet Med 2013; 30(3): 267-75.
[http://dx.doi.org/10.1111/dme.12039] [PMID: 23075228]
[5]
Rosenfeld RM, Kelly JH, Agarwal M, et al. Dietary interventions to treat T2D in adults with a goal of remission: an expert consensus statement from the american college of lifestyle medicine. Am J Lifestyle Med 2022; 16(3): 342-62. Available from: https://journals.sagepub.com/doi/10.1177/15598276221087624 [cited Oct 10th 2023]
[http://dx.doi.org/10.1177/15598276221087624] [PMID: 35706589]
[6]
Panigrahi G, Goodwin SM, Staffier KL, Karlsen M. Remission of T2D after treatment with a high-fiber, low-fat, plant-predominant diet intervention: A case series. Am J Lifestyle Med 2023; 0(0): 15598276231181574.https://journals.sagepub.com/doi/10.1177/15598276231181574
[http://dx.doi.org/10.1177/15598276231181574]
[7]
de Hoogh IM, Oosterman JE, Otten W, et al. The effect of a lifestyle intervention on T2D pathophysiology and remission: The stevenshof pilot study. Nutrients 2021; 13(7) Available from: https://pmc/articles/PMC8308398/ [cited 2023 Oct 11th]
[8]
Gregg EW, Chen H, Wagenknecht LE, et al. Association of an intensive lifestyle intervention with remission of T2D. JAMA 2012; 308(23): 2489-96. Available from: https://jamanetwork.com/journals/jama/fullarticle/1486829 [cited Jun 10th 2023]
[http://dx.doi.org/10.1001/jama.2012.67929] [PMID: 23288372]
[9]
Tripathi P, Kadam NS, Sharma B, et al. 1790-PUB: Effectiveness of an intensive lifestyle modification program on T2D remission in indian population. Diabetes 2023; 72(Suppl. 1): 1790-PUB.
[http://dx.doi.org/10.2337/db23-1790-PUB]
[10]
Iglesies-Grau J, Dionne V, Bherer L, et al. Metabolic improvements and remission of prediabetes and T2D: Results from a multidomain lifestyle intervention clinic. Can J Diabetes 2023; 47(2): 185-9.
[http://dx.doi.org/10.1016/j.jcjd.2022.10.010] [PMID: 36402709]
[11]
Brady EM, Gulsin GS, Mirkes EM, et al. Fibro‐inflammatory recovery and T2D remission following a low calorie diet but not exercise training: A secondary analysis of the DIASTOLIC randomised controlled trial. Diabet Med 2022; 39(8): e14884. Available from: https://pubmed.ncbi.nlm.nih.gov/35587779/ [cited Jun 10th 2023]
[http://dx.doi.org/10.1111/dme.14884] [PMID: 35587779]
[12]
Umphonsathien M, Rattanasian P, Lokattachariya S, Suansawang W, Boonyasuppayakorn K, Khovidhunkit W. Effects of intermittent very‐low calorie diet on glycemic control and cardiovascular risk factors in obese patients with T2D mellitus: A randomized controlled trial. J Diabetes Investig 2022; 13(1): 156-66. Available from: https://pubmed.ncbi.nlm.nih.gov/34176234/ [cited Jun 10th 2023]
[http://dx.doi.org/10.1111/jdi.13619] [PMID: 34176234]
[13]
Taheri S, Zaghloul H, Chagoury O, et al. Effect of intensive lifestyle intervention on bodyweight and glycaemia in early T2D (DIADEM-I): an open-label, parallel-group, randomised controlled trial. Lancet Diabetes Endocrinol 2020; 8(6): 477-89. Available from: https://pubmed.ncbi.nlm.nih.gov/32445735/ [cited Jun 10th 2023]
[http://dx.doi.org/10.1016/S2213-8587(20)30117-0] [PMID: 32445735]
[14]
Lean MEJ, Leslie WS, Barnes AC, et al. Primary care-led weight management for remission of T2D (DiRECT): an open-label, cluster-randomised trial. Lancet 2018; 391(10120): 541-51. Available from: https://pubmed.ncbi.nlm.nih.gov/29221645// [cited Jun 14th 2023]
[http://dx.doi.org/10.1016/S0140-6736(17)33102-1] [PMID: 29221645]
[15]
Esposito K, Maiorino MI, Petrizzo M, Bellastella G, Giugliano D. The effects of a Mediterranean diet on the need for diabetes drugs and remission of newly diagnosed T2D: follow-up of a randomized trial. Diabetes Care 2014; 37(7): 1824-30. Available from: https://dx.doi.org/10.2337/dc13-2899 [cited Jun 14th 2023]
[http://dx.doi.org/10.2337/dc13-2899] [PMID: 24722497]
[16]
Esposito K, Maiorino MI, Bellastella G, Chiodini P, Panagiotakos D, Giugliano D. A journey into a mediterranean diet and T2D: A systematic review with meta-analyses. BMJ Open 2015; 5(8): e008222. Available from: https://pubmed.ncbi.nlm.nih.gov/26260349/ [cited Jun 10th 2023]
[http://dx.doi.org/10.1136/bmjopen-2015-008222] [PMID: 26260349]
[17]
Uchendu C, Blake H. Effectiveness of cognitive–behavioural therapy on glycaemic control and psychological outcomes in adults with diabetes mellitus: A systematic review and meta‐analysis of randomized controlled trials. Diabet Med 2017; 34(3): 328-39. Available from: https://pubmed.ncbi.nlm.nih.gov/27472405/ [cited June 10th 2023]
[http://dx.doi.org/10.1111/dme.13195] [PMID: 27472405]
[18]
Upsher R, Onabajo D, Stahl D, Ismail K, Winkley K. The effectiveness of behavior change techniques underpinning psychological interventions to improve glycemic levels for adults with T2D: A meta-analysis. Front clin diabetes healthc 2021; 2699038
[http://dx.doi.org/10.3389/fcdhc.2021.699038] [PMID: 36994330]
[19]
Salama M, Biggs BK, Creo A, Prissel R, Al Nofal A, Kumar S. Adolescents with T2D: Overcoming barriers to effective weight management Diabetes Metab Syndr Obes 2023; 16: 693. Available from: /pmc/articles/PMC10010139/ [cited Oct 11th 2023]
[20]
Zvolensky MJ, Garey L, Rogers AH, et al. Psychological, addictive, and health behavior implications of the COVID-19 pandemic. Behaviour Research and Therapy 2020; 134: 103715. Available from: /pmc/articles/PMC7451060/ [cited Oct 11th 2023]
[21]
Brown AF, Gregg EW, Stevens MR, et al. Race, ethnicity, socioeconomic position, and quality of care for adults with diabetes enrolled in managed care: the Translating Research Into Action for Diabetes (TRIAD) study. Diabetes Care 2005; 28(12): 2864-70. Available from: https://pubmed.ncbi.nlm.nih.gov/16306546/ [cited Oct 11th 2023]
[http://dx.doi.org/10.2337/diacare.28.12.2864] [PMID: 16306546]
[22]
Tripathi P, Kadam N, Vyawahare A, Kuppusamy M, Vijayakumar V. Long-term remission of T2D through intense lifestyle modification program – A case series. J Family Med Prim Care 2023; 12(9): 2168-71. Available from: https://journals.lww.com/jfmpc/fulltext/2023/12090/long_term_remission_of_type_2_diabetes_through.68.aspx [cited 2023 Oct 11th]
[http://dx.doi.org/10.4103/jfmpc.jfmpc_2282_22]
[23]
Tripathi P, Kadam NS, Sharma B, et al. 680-P: Improvement in anxiety and depression in patients with T2D through customized lifestyle intervention. Diabetes 2023; 72(Suppl. 1): 680-P.
[http://dx.doi.org/10.2337/db23-680-P]
[24]
Tripathi P, Kadam NS, Vyawahare AR, et al. 685-P: Possibility of oral glucose tolerance test clearance in patients with T2D who underwent complete diabetes remission. Diabetes 2023; 72(Suppl. 1): 685-P.
[http://dx.doi.org/10.2337/db23-685-P]
[25]
Dave R, Davis R, Davies JS. The impact of multiple lifestyle interventions on remission of T2D mellitus within a clinical setting. Obes Med 2019; 13: 59-64. Available from: https://www.sciencedirect.com/science/article/abs/pii/S2451847617300428 [cited Oct 11th 2023]
[http://dx.doi.org/10.1016/j.obmed.2019.01.005]

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