In conclusion, T2DM patients who took lifestyle modifications were more likely to reach the target
HbA1c level than those who took OHA alone. But, this study could not be concluded that lifestyle
modifications were the more effective than pharmacological treatments because of limitation of data and
also because of the study design. Most of the studies found out the effects of pharmacological treatment
on glycemic control and effect of lifestyle modifications on glycemic control separately, but still not
conduct for the effects of lifestyle modifications compare with pharmacological treatments on glycemic
control. However, based on the results from this study, recommend to clinicians and other health care
providers to support more health educations about diabetes, glycemic control and its complications. To
the public, encourage to take intensive lifestyle modifications. For further study, suggest conducting
randomized control trail to compare the effectiveness of lifestyle modifications and OHA for T2DM
patients and also recommend finding out the role of intensive lifestyle modifications in patients who took
OHA alone group and insulin alone group.
Limitation of the study
This study could not assess the severity of diabetes .Moreover, as this study was the part of cross section
study, only the association between oral hypoglycemic gents, insulin and lifestyle modifications on
glycemic control of T2DM patients was known by magnitude of effect. This study did not explore the
data about the combinations between pharmacological and non-pharmacological treatments. The type of
oral glycemic agents and ways of life style modifications were not mentioned in this study. So this study
could not determine the effects of pharmacological treatments and lifestyle modifications on glycemic
control. Insufficient and missing data may also be finding according to the collected data.
In conclusion, T2DM patients who took lifestyle modifications were more likely to reach the targetHbA1c level than those who took OHA alone. But, this study could not be concluded that lifestylemodifications were the more effective than pharmacological treatments because of limitation of data andalso because of the study design. Most of the studies found out the effects of pharmacological treatmenton glycemic control and effect of lifestyle modifications on glycemic control separately, but still notconduct for the effects of lifestyle modifications compare with pharmacological treatments on glycemiccontrol. However, based on the results from this study, recommend to clinicians and other health careproviders to support more health educations about diabetes, glycemic control and its complications. Tothe public, encourage to take intensive lifestyle modifications. For further study, suggest conductingrandomized control trail to compare the effectiveness of lifestyle modifications and OHA for T2DMpatients and also recommend finding out the role of intensive lifestyle modifications in patients who tookOHA alone group and insulin alone group.Limitation of the studyThis study could not assess the severity of diabetes .Moreover, as this study was the part of cross sectionstudy, only the association between oral hypoglycemic gents, insulin and lifestyle modifications onglycemic control of T2DM patients was known by magnitude of effect. This study did not explore thedata about the combinations between pharmacological and non-pharmacological treatments. The type oforal glycemic agents and ways of life style modifications were not mentioned in this study. So this studycould not determine the effects of pharmacological treatments and lifestyle modifications on glycemiccontrol. Insufficient and missing data may also be finding according to the collected data.
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