Benefits of Lifestyle Intervention Only Brief in Some T2DM Patients
Key clinical point: A lifestyle intervention led to a pronounced reduction in hemoglobin A1c level after 6 months but not after 1 year for African Americans with type 2 diabetes.
Major finding: Compared with patients in the control group, those in the intensive intervention group had a significantly more sizable reduction in HbA1c level at 6 months (P = .026) but not at 12 months (P = .47).
Data source: A trial of 211 patients with type 2 diabetes who were randomized to either a year-long diabetes self-management training program or to two diabetes education classes.
Disclosures: LIFE was supported by grants from the National Institutes of Health. Dr. Lynch reported having no relevant financial disclosures.
AT THE ADA ANNUAL SCIENTIFIC SESSIONS
No changes were observed in blood pressure, weight, or physical activity over the course of 12 months in either group.
Although LIFE lacked a third study arm that received usual care, one possible implication of the current findings “may be that diabetes education of any type may be helpful in improving glycemic control, especially in a population that does not normally receive any education,” she said. “Medication adherence may be an easier and more effective strategy to improve glycemic control in this population.”
LIFE was supported by grants from the National Institutes of Health. Dr. Lynch reported having no relevant financial disclosures.
