Improvement of Glycemic Control after Re-Emphasis of Lifestyle Modification in Type 2 Diabetic Patients Reluctant to Additional Medication |
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Authors: | Hee Jin Kim Tae Sik Jung Jung Hwa Jung Soo Kyoung Kim Sang Min Lee Kyong Young Kim Deok Ryong Kim Yeong Mi Seo Jong Ryeal Hahm |
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Institution: | 1Department of Internal Medicine, Gyeongsang National University School of Medicine, Jinju, Korea.;2Department of Biochemistry, Gyeongsang National University School of Medicine, Jinju, Korea.;3Institute of Health Science, Gyeongsang National University School of Medicine, Jinju, Korea.;4Nursing Department of Dongseo University, Busan, Korea. |
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Abstract: | PurposeThe aim of this study is to observe glycemic changes after emphasizing the importance of lifestyle modification in patients with mild or moderately uncontrolled type 2 diabetes.Materials and MethodsWe examined 51 type 2 diabetic patients with 7.0-9.0% hemoglobin A1c (HbA1c) who preferred to change their lifestyle rather than followed the recommendation of medication change. At the enrollment, the study subjects completed questionnaires about diet and exercise. After 3 months, HbA1c levels were determined and questionnaires on the change of lifestyle were accomplished. We divided the study subjects into 3 groups: improved (more than 0.3% decrease of HbA1c), aggravated (more than 0.3% increase of HbA1c) and not changed (-0.3% ResultsAmong the total 51 subjects, 18 patients (35.3%) showed the decreased levels of HbA1c after 3 months with mean change of -0.74±0.27%, and HbA1c values of 11 patients (21.5%) were less than 7%. In addition, the HbA1c level was significantly reduced in patients who reportedly followed the lifestyle modification such as diet and exercise for 3 months, compared with the one obtained from patients who refused this lifestyle change (p=0.002).ConclusionIn this study, 35.3% of the patients with mild or moderately uncontrolled type 2 diabetes showed the significant improvement of HbA1c levels after 3 months by simply regulating their daily diet and exercise without change of medication. This suggests that the lifestyle modification is significantly associated with the improvement of glucose control. |
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Keywords: | Diabetes mellitus glycemic control lifestyle modification |
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