Friday, 15 August 2008

Losing Weight Soon After Type 2 Diabetes Diagnosis Doubles Positive Outcomes

�People wHO lose weight soon subsequently a diagnosis of type 2 diabetes have better control of their blood pressure and blood sugar, and ar more likely to maintain that control even if they regain their weight unit, according to a Kaiser Permanente study published on-line in Diabetes Care, the American Diabetes Association journal.


This is the first-class honours degree clinical written report to show that benefits remain even if patients regain their weight. The study followed more than 2,500 adults with type 2 diabetes for four eld. Those world Health Organization lost weight within an average of 18 months after diagnosis were up to doubly as probable to attain their blood pressure and blood carbohydrate targets as those world Health Organization didn't fall behind weight. Those benefits canful prevent diabetes-related heart disease, blindness, nerve and kidney damage, and death.


"Our study shows that other weight loss can melt off the risk of infection factors that so much lead to diabetes complications and death," says Dr. Adrianne Feldstein, MD, MS, the study's lead author, a practicing physician and an investigator at Kaiser Permanente's Center for Health Research in Portland, Ore. "We've known for a long time that system of weights loss is an crucial component in diabetes treatment and bar. Now it appears thither may be a critical window of opportunity following diagnosis in which some lasting gains can be achieved if people are willing to take immediate steps toward lifestyle changes."


More than 20 meg Americans take in type 2 diabetes and most of them ar overweight or obese.


Funded by the National Institutes of Health, the four-year study conducted by Kaiser Permanente in Oregon and Washington followed 2,574 patients with type 2 diabetes 'tween 1997 and 2002. Scientists followed the weight win and loss patterns of these patients for trey years, and then in the fourth year compared glucose controller tests and blood pressing readings.


Most patients remained at around the same weight during the first three age of the study, simply a little group of 314 patients lost an average of 23 pounds. This chemical group was more than likely to meet blood pressure and glucose targets during the fourth class even though, by that time, most of them had regained their weighting.


"We don't know if the initial weight loss increased the body's predisposition to insulin, or if the sustained lifestyle changes were the reason for the semipermanent health benefits," said Gregory A. Nichols, Ph.D., a study coauthor at Kaiser Permanente's Center for Health Research. "But we do know that losing weight reduces the risk factors that often lead to heart disease, blindness, nervus and kidney damage, amputations, and destruction in type 2 diabetes patients."


Although the study didn't examine specific methods for weight loss, prior studies conducted at Kaiser Permanente's Center for Health Research have demonstrated in force weight loss strategies. One recent work reported that diabetic patients who had nutritional counselling were roughly twice as likely to lose weightiness. Another field of study found that people world Health Organization keep food for thought diaries lose twice as much weight as those who don't, and that people wHO attend support groups too lose more weight.


This study -- The Weight Change in Diabetes and Glycemic and Blood Pressure Control study -- was supported by a grant from National Institute of Diabetes and Digestive and Kidney Diseases at the National Institutes of Health. Study authors include: Adrianne C. Feldstein, MD, MS; Gregory A. Nichols, Ph.D.; David H. Smith, RPh, MHA, Ph.D.; Victor J. Stevens, Ph.D.; A. Gabriela Rosales, M.S. and Nancy Perrin, Ph.D. of the Kaiser Permanente Center for Health Research, and Keith Bachman, MD, of the Northwest Permanente Medical Group.


Weight Loss Tips for People with Pre-Diabetes or Diabetes


- Choose whole grains, brown rice and vegetables instead of french french-fried potatoes, white simoleons and andrew D. White rice


- Avoid the obscure calories in processed foods: Eat fresh foods without hidden fats or added sweeteners whenever possible


- Skip soda and fruit juice: opt alternatively for sugar-free soda, tomato juice or water, or eat a piece of fruit


- Don't drink your calories: Except for 1% or fatless milk, dumbfound your calories from foods


- Establish consistent feeding times, including breakfast


- Write down everything you feed so you avoid mindless eating and control how much you eat, at home and away: a recent Kaiser Permanente sketch showed that people wHO keep nutrient diaries misplace twice as much weight as those who don't.


- Educate yourself: find a registered dietitian or nutrition class -- a recent Kaiser Permanente study showed that diabetic patients wHO had nutritionary counseling were about twice as likely to lose weight


- Visit http://www.kp.org/diabetes and hTTP://www.kp.org/weight for more data on pre-diabetes, diabetes and weight direction, in English and Spanish

About the Kaiser Permanente Center for Health Research


Kaiser Permanente's Center for Health Research, founded in 1964, is a nonprofit research institution dedicated to forward-moving knowledge to improve wellness. It has research sites in Portland, Ore., Honolulu, Hawaii and Atlanta.

Kaiser Permanente Center for Health Research

About Kaiser Permanente Research


Kaiser Permanente's eight-spot research centers comprise one of the largest inquiry programs in the United States and engage in work designed to ameliorate the wellness of individuals everywhere. KP HealthConnect� , Kaiser Permanente's electronic health record, and other resources supply population information for research, and in turn, research findings are fed into KP HealthConnect to arm physicians with research and clinical information. Kaiser Permanente's research programme works with national and local health agencies and community organizations to share and widely disseminate its research data. Kaiser Permanente's research program is funded in part by Kaiser Permanente's Community Benefit division, which in 2007 directed an estimated $1 billion in wellness services, applied science, and backing toward come community health.

About Kaiser Permanente


Kaiser Permanente is America's leading integrated wellness plan. Founded in 1945, the program is headquartered in Oakland, Calif. Kaiser Permanente serves 8.7 million members in niner states and the District of Columbia. Today it encompasses Kaiser Foundation Health Plan, Inc., Kaiser Foundation Hospitals and their subsidiaries, and the Permanente Medical Groups. Nationwide, Kaiser Permanente includes around 159,000 technical, administrative and clerical employees and caregivers, and 14,000 physicians representing all specialties. The organization's Labor Management Partnership is the largest such wellness care partnership in the United States. It governs how more than than 130,000 workers, managers, physicians and dentists work together to make Kaiser Permanente the topper place to receive care, and the best place to work. For more Kaiser Permanente news, call the KP News Center at: http://xnet.kp.org/newscenter

Kaiser Permanente


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