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Type 2 Diabetes Inexpensively Preventable


Type 2 Diabetes Inexpensively Preventable

(epharmanews)- A new study, conducted by researchers at the University of California, San Francisco (UCSF) and the City of Berkeley Department of Public Health, has proved that calling people to educate them on lifestyle changes they could make to avoid developing type 2 diabetes is effective.

For this study, 230 people in poor, urban neighborhoods in the San Francisco Bay Area cities of Richmond, Oakland and Berkeley were contacted by phone one time a month. Of those people, a 115 received specific dietary guidance and other lifestyle counseling and they had lost more weight, were consuming less fat, were eating more fruits and vegetables and showed more improvements in lowering in their blood triglycerides, a key risk measure for type 2 diabetes after six months.

This new intervention is specifically designed for urban, poor, and predominantly minority communities. It addresses the need for diabetes prevention interventions in these communities and highlights a simple fact that doctors at UCSF and elsewhere have been repeating for years — that type 2 diabetes is preventable in the first place.

“Diabetes is not something you are necessarily going to get just because it runs in your family,” said Alka Kanaya, MD, an associate professor of medicine at UCSF and one of two senior authors on the study. “It is very preventable, and lifestyle changes can really impact the onset of diabetes.”

Previous studies have shown that counseling and other lifestyle interventions are effective at preventing type 2 diabetes, but those interventions have generally been designed for clinical settings and include separate sessions with numerous health professionals. This makes them expensive and difficult to scale to large urban populations where diabetes interventions are needed the most.

Many of the urban poor face thin health insurance coverage, low literacy, and low income, and a higher risk of developing type 2 diabetes. These disparities were apparent in the UCSF study. About half of the study population was composed of immigrants, and nearly a quarter had no health insurance. Almost a third said they faced financial hardship, and 22 percent had less than a high-school education.

By focusing on a phone-based solution delivered by the Public Health department staff, the UCSF researchers designed their new intervention specifically as a low-cost community-based approach that would be relevant to poor, minority and low-literacy populations. Similar telephone interventions have been used to reach out broadly to populations in San Francisco and in other cities to spread lifestyle messages related to hypertension, smoking, high cholesterol and other issues.


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Prepared by: Hasan Zaytoon


Source :

ePharmaNews






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