Abstract

The increase in the prevalence of type 2 diabetes (T2D) in youth mirrors the rise in the prevalence of obesity in children. Overweight and obese children with T2D have a dual goal of achieving loss of at least 7% of body weight, as well as developing healthy eating patterns for the future. Both goals work together to improve glycemia by decreasing the overproduction of insulin and improving insulin sensitivity. Consequently, an intensive lifestyle intervention program is one of the cornerstones of treatment of children and adolescents with T2D. Specifically, programs that are family-based and foster parental and caregiver support are essential components of an effective pediatric lifestyle intervention. This chapter summarizes the components of the Yale Bright Bodies Lifestyle Intervention developed by one of our dietitians, Mary Savoy, RD, CDCES, which has been shown to be very effective in several clinical studies.

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