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Cardiometabolic Conditions

Lifestyle interventions for Cardiometabolic conditions

An alternative to traditional medication-led treatment.

Lifestyle interventions for Cardiometabolic conditions

Many patients with cardiometabolic syndrome or diabetes want to know what they can do to preserve their vision, preserve renal function, and reduce foot problems and dental disease. The current standard of care often highlights glycemic control, but recent research indicates that this metric may not be delivering the health outcomes patients want. Going beyond a singular focus on glycemic control may be necessary to help patients attain the health outcomes they desire.

A functional medicine approach can help control glycemic indices, and it may also help reduce many related health issues. In particular, using dietary change as a first-line treatment has shown success in reversing diabetes.

At least for some patients, exercise and nutrition interventions may outperform medications.

In a 2020 study published in The Lancet, researchers found that intensive lifestyle intervention led to significant weight loss at 12 months, and was associated with diabetes remission in over 60% of participants and normoglycaemia in over 30% of participants.

Study participants were aged 18-50 years, had a short diabetes duration (~3 years), and had a BMI of 27.0 kg/m2 or more. The intensive lifestyle intervention comprised a total diet replacement phase, in which participants were given formula low-energy diet meal replacement products followed by gradual food reintroduction combined with physical activity support, and a weight-loss maintenance phase, involving structured lifestyle support.

The authors say that the provision of this lifestyle intervention could allow a large proportion of young individuals with early diabetes to achieve improvements in key cardiometabolic outcomes, with potential long-term benefits for health and well-being.

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