Division of Endocrinology and Metabolism and Diabetes Centre, First Department of Internal Medicine, Medical School, Aristotle University of Thessaloniki, AHEPA University Hospital, 54636 Thessaloniki, Greece.
Diabetes Centre, Second Department of Internal Medicine, Democritus University of Thrace, 68100 Alexandroupolis, Greece.
J Integr Med. 2022 Jul;20(4):288-291. doi: 10.1016/j.joim.2022.04.001. Epub 2022 Apr 8.
Theoretically, a new diagnosis of type 2 diabetes mellitus (T2DM) requires a dramatic change in an individual's way of life. Weight loss and physical activity can lead to remission of diabetes, which has been associated with a lower risk of developing complications. Today, the importance of a healthy lifestyle is further highlighted by data showing that obesity and diabetes increase the risk of severe complications from coronavirus disease 2019. However, remission rarely occurs in reality, probably due to the inability of people with T2DM to adhere to the intensive lifestyle interventions that are necessary. The complexity of contributing factors may explain why making these changes is so challenging and underscore the fact that there is no magical solution for T2DM. Instead, hard work from both patients and health care providers is needed for the conversion to be achieved. This article calls for more research on the underlying reasons why adhering to a healthy way of life is so difficult for people with diabetes and obesity. Clearly defining these barriers would facilitate the planning of effective policies to promote the adoption of appropriate lifestyle changes early in the course of the disease.
从理论上讲，2 型糖尿病（T2DM）的新诊断需要个体生活方式的重大改变。减肥和体育活动可以导致糖尿病缓解，这与降低并发症风险有关。如今，肥胖和糖尿病会增加 2019 冠状病毒病严重并发症的风险，这一数据进一步强调了健康生活方式的重要性。然而，实际上缓解很少发生，可能是由于 T2DM 患者无法坚持必要的强化生活方式干预。促成因素的复杂性可能解释了为什么做出这些改变如此具有挑战性，并强调了 T2DM 没有神奇的解决方案。相反，需要患者和医疗保健提供者共同努力才能实现转变。本文呼吁对为什么糖尿病和肥胖患者坚持健康生活方式如此困难的根本原因进行更多研究。明确界定这些障碍将有助于制定有效的政策，以便在疾病早期促进采用适当的生活方式改变。
