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