LIFESTYLE MODIFICATION
Primary Prevention
DPP
DIABETES PREVENTION PROGRAM
In patients at high risk of developing type 2 diabetes, intensive lifestyle changes and metformin treatment both reduced the incidence of diabetes.
lifestyle intervention was more effective than metformin.
FINISH DIABETES PREVENTION STUDY
Intensive Lifestyle modification produced long term beneficial changes & development of DM
Da Qing study
Diet &/or exercises reduces risk of developing DM by 31-46%.
DASH trial
Lowers BP
Low Sodium DASH
Further lowers BP
Combination diet lower BP 11/5.5 in Ht pts, 3.5/2 non HT pts
[DASH diet
High in - fruits, vegetables, legumes, low fat dairy.
low - snacks, sweets, saturated and total fat]
[Mediterranean Diet
Eat lot of - vegetable, fruits, nuts, seeds, legumes, whole grains, fish and OLIVE OIL