Type 2 Diabetes Prevention in the Real World

• DOI: 10.2337/dc09-0039
• Publication Date: 2009-04-29T01:33:37Z
• Authors: Pilvikki Absetz; Brian Oldenburg; Nelli Hankonen; Raisa Valve; Heikki Heinonen; Aulikki Nissinen; Mikael Fogelholm; Martti Talja; Antti Uutela
• Keywords: Blood Glucose; 610; Middle Aged; 16. Peace & justice; Risk Assessment; Body Mass Index; 3. Good health; Cholesterol; Diabetes Mellitus, Type 2; Glucose Intolerance; Weight Loss; Humans; Life Style; Risk Reduction Behavior; Original Research; Aged; Follow-Up Studies

OBJECTIVE We study the effectiveness of the GOAL Lifestyle Implementation Trial at the 36-month follow-up.

RESEARCH DESIGN AND METHODS Participants (n = 352, type 2 diabetes risk score FINDRISC = 16.2 ± 3.3, BMI 32.6 ± 5.0 kg/m2) received six lifestyle counseling sessions over 8 months. Measurements were at baseline, 12 months (88.6%), and 36 months (77.0%).

RESULTS Statistically significant risk reduction at 12 months was maintained at 36 months in weight (−1.0 ± 5.6 kg), BMI (−0.5 ± 2.1 kg/m2), and serum total cholesterol (−0.4 ± 1.1 mmol/l).

CONCLUSIONS Maintenance of risk reduction in this “real world” trial proves the intervention's potential for significant public health impact.