Endocrinology & Diabetes ResearchISSN: 2470-7570

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Reducing Hba1c in Type 2 DMwith Lifestyle & Behavioural Interventions

Type - 2 Diabetes is a chronic progressive lifestyle condition that has emerged as one of the most rapidly growing health challenges of the 21st-century. But until quite recently it was believed that Diabetes is irreversible and a lifelong affliction. There have been several trials and studies published on the effectiveness of bariatric surgery, intensive glucose-lowering pharmacotherapy and aggressive insulin therapy in improving glycaemic control and achieving remission of type 2 diabetes. However, there aren't many studies about Type 2 diabetic individuals being able to sustain this remission in the long term without depending on medications. This manuscript reviews the use of multifaceted and holistic interventions personalized for each participant and delivered one-on-one by diabetes coaches and educators over 90 days of the study, and its effectiveness in reducing glycaemic levels, body weight and their overall quality of life. Methods: A total of 32 participants matching the ADA specified criteria for type 2 diabetes diagnosis (HbA1c of 6.5% or over) were enrolled into the 3-month Sugar. Fit programme through a self-sign-up process. The study aimed to retrospectively evaluate the Sugar. Fit approach; a selection of lifestyle interventions, education, and self-monitoring with or without the involvement of pharmacological therapy. The manuscript focuses on evaluating the combined impact of the approach on HbA1c, fasting glucose, body weight, and quality of life post 90 days from enrolment. 

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