Application of new modifying models and lifestyle changes and its role in providing better treatment for diabetes mellitus

Authors

  • Khaled M. Hassan Department of Medicine, Consultant Family Medicine
  • Moutaz A. Alghamdi Department of Medicine, AlFarabi College, Saudi Arabia
  • Wesam E. Althagafi Department of Medicine, King Saud Bin Abdulaziz University for Health Sciences, Saudi Arabia
  • Salem M. Alqarni Department of Medicine, King Khalid University, Saudi Arabia
  • Ammar K. Al Ramadhan Department of Medicine, Imam Abdulrahman Bin Faisal University, Saudi Arabia
  • Ruqiah M. Al Darwish Department of Medicine, Imam Abdulrahman Bin Faisal University, Saudi Arabia
  • Rakan R. Alanazi Department of Medicine, Imam Abdulrahman Bin Faisal University, Saudi Arabia
  • Basim H. Alshehri Department of Medicine, King Khalid University, Saudi Arabia
  • Abdulraheem A. Albalawi Department of Medicine, King Abdulaziz University, Saudi Arabia
  • Muqdad A. Alqaisoom Department of Medicine, Imam Abdulrahman Bin Faisal University, Saudi Arabia
  • Abdullah M. Hussain Department of Medicine, Umm Alqurra University, Saudi Arabia
  • Sumyyah U. Almezher Department of Medicine, King Khalid University, Saudi Arabia
  • Hadeer A. Rajab Department of Medicine, King Abdulaziz University, Saudi Arabia
  • Ramah H. Ghazi Department of Medicine, Umm Alqurra University, Saudi Arabia
  • Haneen A. Al Asiri Department of Medicine, King Khalid University, Saudi Arabia
  • Ali A. Aljallal Department of Medicine, Imam Muhammad Bin Saud University, Saudi Arabia

DOI:

https://doi.org/10.18203/2394-6040.ijcmph20204015

Keywords:

New modifying models, Life style change, Providing better treatment, Diabetes mellitus

Abstract

Diabetes is one of the main threats to human health in this century. The drastic increase in incidence of diabetes worldwide has been attributed to distinct changes in human behaviour and lifestyle during the last century. To prevent the personal and socio-economic burden of diabetes effort to prevent the disease needs to start before the onset of diabetes and address all susceptibility factors. Four recent studies have shown that prevention of type 2, diabetes is possible and that reinforced lifestyle interventions or modification can significantly reduce the onset of the disease. The studies repeatedly showed that for about 60% of the persons with increased diabetes risk, compared to a control group, the diabetes was prevented from developing. Early pharmacologic preventive strategies have yielded 25-30%. These studies have convincingly demonstrated that the primary aim in prevention of type 2 diabetes is the stabilization of glucose tolerance due to improvement of insulin resistance. Based on the studies intervention protocol focuses on achieving 5 core goals. With respect to the world wide burden of diabetes this studies offer a compelling evidence base for the important translation of the research findings into community-based prevention strategies a development of a National diabetes prevention program. The workgroup “diabetes prevention” at the German diabetes association together with the diabetes foundation developed a concept for a National program. To realize this, a large number of partners are necessary. For the population based implementation of such a program the intervention is primarily based on reinforced behaviour modification (lifestyle and physical activity). As add on the pharmaco prevention of type 2 diabetes will be from increasing importance.

Metrics

Metrics Loading ...

Author Biography

Khaled M. Hassan, Department of Medicine, Consultant Family Medicine

.

References

Grimaldi A. Treatise on diabetology, 2nd edition. Ed. Medicine Sciences, Flammarion, 2009.

Morel A, Lecoq G, Menninger J. Assessment of the management of diabetes. General Inspectorate Social Affairs. 2012;1:33.

Massi-Benedetti M, The Cost of Diabetes Type II in Europe: The CODE-2 Study. Diabetologia. 2002;45:10-5.

World Health Organization, diabetes;memory aid. Available at: http://www.who.int/ mediacentre/factsheets /fs312/fr/. Accessed on 02 May 2015.

Farouqil A, Harti M, Nejjari C. Management of diabetes in Morocco: results of the International Diabetes Management Practices Study (IDMPS)-Wave 2. Medicine for Metabolic Diseases. 2010;4(6):704-11.

Hassoune S, Badri S, Nani S, Belhadi L, Maaroufi A. Assessment of treatment of diabetics by the general practitioner in theKhouribga province (Morocco). EMHJ. 2013;19(1):5-9.

Haffner SM. Les sujets prédiabétiques insulino-résistants présentent plus de facteurs de risque athérogènes que les sujets prédiabétiques insulino-sensibles: implications pour la prévention des maladies coronariennes pendant l'état prédiabétique. Circulation. 2000;101(9): 975-80.

Fontbonne A. Répartition de la graisse corporelle et mortalité par maladie coronarienne chez les sujets présentant une tolérance au glucose altérée ou un diabète sucré: étude prospective de Paris, suivi de 15 ans. Diabetologia. 1992;35(5):464-8.

Pal DK. Caractéristiques phénotypiques des crises fébriles familiales: étude cas-témoins. Neurologie. 2003;60(3):410-4.

Knowler WC, Barrett-Connor E, Fowler SE, Hamman RF, Lachin JM, Walker EA, et al. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. New England J Med. 2002;346(6):393-403.

Tuomilehto J, Lindström J, Eriksson JG, Valle TT, Hämäläinen H, Ilanne-Parikka P, et al. Prevention of type 2 diabetes mellitus by changes in lifestyle among subjects with impaired glucose tolerance. N Engl J Med. 2001;344(18):1343-50.

Chiasson JL, Josse RG, Gomis R, Hanefeld M, Karasik A, Laakso M, et al. Acarbose for prevention of type 2 diabetes mellitus: the STOP-NIDDM randomized trial. Lancet, 2002;359:2072-7.

Pan XR, Li JW, Hu YH, Wang JX, Yang WY, An ZX, et al. Effects of diet and exercise in preventing NIDDM in people with impaired glucose tolerance. The Da Qing IGT and Diabetes Study. Diabetes Care.1997;20(4):537-44.

Lindstrom J, Tuomilehto J. The diabetes risk score: a practical tool to predict type 2 diabetes risk. Diabetes Care. 2003;26(3):725-31.

Engelgau MM, Venkat Narayan KM, Vinicor F. Identifying the target population for primary prevention: the trade-offs. Diabetes Care. 2002;25(11):2098-9.

Eriksson J, Lindstrom J, Valle T, Aunola S, Hamalainen H, Lakso M, et al. Prevention of Type II diabetes in subjects with impaired glucose tolerance: the Diabetes Prevention Study (DPS) in Finland. Study design and 1-year interim report on the feasibility of the lifestyle intervention program. Diabetologia. 1999;42(7):793-801.

Molitch ME, Fujimoto W, Hamman RF, Knowler WC, Diabetes prevention research group. The diabetes prevention program and its global implications. J Am Soc Nephrol. 2003;14:103-7.

Downloads

Published

2020-09-25

How to Cite

Hassan, K. M., Alghamdi, M. A., Althagafi, W. E., Alqarni, S. M., Ramadhan, A. K. A., Darwish, R. M. A., Alanazi, R. R., Alshehri, B. H., Albalawi, A. A., Alqaisoom, M. A., Hussain, A. M., Almezher, S. U., Rajab, H. A., Ghazi, R. H., Asiri, H. A. A., & Aljallal, A. A. (2020). Application of new modifying models and lifestyle changes and its role in providing better treatment for diabetes mellitus. International Journal Of Community Medicine And Public Health, 7(10), 4146–4149. https://doi.org/10.18203/2394-6040.ijcmph20204015

Issue

Section

Systematic Reviews