Abstract
Can A Community-Based Weight Management Programme, that is Scalable, Provide Effective Diabetes Management Support for Adults with T1D or T2D: A Mixed Methods Evaluation
Highlights
Diabetes is associated with overweight or obesity in 90% of cases with type 2 diabetes, (T2D), and a growing proportion of those with type 1 diabetes (T1D)
This did differ by diabetes type with 91.3% of those with T1D being diagnosed 6 or more years ago compared with 63.5% of those with T2D
The present study suggests that referral from a primary care practitioner is associated with an additional benefit in terms of glycaemic control compared with people with diabetes who self-referred
Summary
Diabetes is associated with overweight or obesity in 90% of cases with type 2 diabetes, (T2D), and a growing proportion of those with type 1 diabetes (T1D). Weight management has been shown to prevent, help manage and reverse T2D, and improve glycaemic control and metabolic risk, without the need to increase insulin doses, in those with T1D affected by overweight or obesity. A systematic review suggested that a number of dietary approaches can be effective in decreasing body weight, achieving better glycaemic control and reducing cardiovascular risk in T2D, including Mediterranean, low carbohydrate, low glycaemic index and high protein diets [2]. A further systematic review found that a variety of commercial weight loss programmes produce a positive effect on glycaemic control in people with or at risk of T2D [4]. Weight loss has been proposed to be the primary driver of T2D remission and that it does not matter what dietary approach is used providing the person is able to follow the diet in order to achieve long-term weight loss [5]
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