Abstract
A clinical decision report using: Diabetes Prevention Program Research Group. Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: The Diabetes Prevention Program Outcomes Study. Lancet Diabetes Endocrinol. 2015;3(11):866-875. https://doi.org/10.1016/S2213-8587(15)00291-0 for a patient with pre-diabetes who is concerned about the prevention of microvascular complications through lifestyle intervention while managing her busy schedule as a traveling house cleaner.
Highlights
Follow this and additional works at: https://digitalcommons.wayne.edu/crp Part of the Dietetics and Clinical Nutrition Commons, Endocrinology, Diabetes, and Metabolism
Lifestyle intervention is superior to metformin in prevention of microvascular complications of diabetes in women, but socioeconomic barriers may lead to use of combination
She currently has difficulty exercising and eats mostly fast food or frozen dinners because of her busy schedule. She is motivated to change her lifestyle and would like to avoid medications as much as possible. Her primary care team wondered about the comparative efficacy in lifestyle intervention or metformin to help Ms Berry prevent the long-term diabetic complications that concern her while taking into consideration the socioeconomic barriers that she faces in this endeavor
Summary
Long-term effects of lifestyle intervention or metformin on diabetes development and microvascular complications over 15-year follow-up: The Diabetes Prevention Program Outcomes Study.
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