Salvia Meg G
Meg Salvia Nutrition, Walden Behavioral Care, Cambridge, MA.
Diabetes Spectr. 2017 Aug;30(3):166-170. doi: 10.2337/ds17-0016.
Although the Look AHEAD (Action for Health in Diabetes) trial, which spanned more than 8 years, did not find significant differences in cardiovascular morbidity and mortality between study groups, it did demonstrate significant differences in weight loss and maintenance. Using lessons learned from the Look AHEAD protocol, clinicians can help people with type 2 diabetes lose weight, improve glucose management, increase physical activity, alter eating patterns, and support long-term positive health outcomes. It remains important, however, to avoid assigning a higher priority to weight loss goals than to improvements in glucose management, long-term health outcomes, and quality of life.
尽管为期8年多的“糖尿病健康行动”（Look AHEAD）试验并未发现研究组之间在心血管疾病发病率和死亡率方面存在显著差异，但确实显示出在体重减轻和维持方面存在显著差异。借鉴“糖尿病健康行动”方案中的经验教训，临床医生可以帮助2型糖尿病患者减轻体重、改善血糖管理、增加体育活动、改变饮食模式，并支持长期的积极健康成果。然而，避免将减重目标置于比改善血糖管理、长期健康成果和生活质量更高的优先级仍然很重要。
