There is substantial evidence that type 2 diabetes mellitus (T2DM) can be prevented in high-risk individuals by a
lifestyle program of regular exercise and weight reduction. Additionally, there is emerging evidence that new
onset T2DM (b1 year) can go into remission after weight loss and exercise in a majority of motivated individuals,
obviating a need for glucose lowering medications. Yet, lifestyle programs to support such behavior change are
not widely available. Moreover, health care insurance companies generally do not provide coverage for behavioral
weight loss programs to prevent or treat T2DM. Consequently, physicians caring for individuals with T2DM
may find it much easier to start a chronic glucose lowering medication rather than attempting to motivate and
support patients through long-term behavior change. The cardiac rehabilitation model of disease management,
with a network of over 2000 programs in the U.S., is well suited to deliver medically-supervised lifestyle
programs. National organizations such as the American Diabetes Association and the American Association of
Cardiovascular and Pulmonary Rehabilitation should support greater availability and use of lifestyle programs
for T2DM treatment and prevention.
There is substantial evidence that type 2 diabetes mellitus (T2DM) can be prevented in high-risk individuals by alifestyle program of regular exercise and weight reduction. Additionally, there is emerging evidence that newonset T2DM (b1 year) can go into remission after weight loss and exercise in a majority of motivated individuals,obviating a need for glucose lowering medications. Yet, lifestyle programs to support such behavior change arenot widely available. Moreover, health care insurance companies generally do not provide coverage for behavioralweight loss programs to prevent or treat T2DM. Consequently, physicians caring for individuals with T2DMmay find it much easier to start a chronic glucose lowering medication rather than attempting to motivate andsupport patients through long-term behavior change. The cardiac rehabilitation model of disease management,with a network of over 2000 programs in the U.S., is well suited to deliver medically-supervised lifestyleprograms. National organizations such as the American Diabetes Association and the American Association ofCardiovascular and Pulmonary Rehabilitation should support greater availability and use of lifestyle programsfor T2DM treatment and prevention.
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