Lifestyle Intervention for Prevention of Type 2 Diabetes in Primary Health Care

• DOI: 10.2337/dc10-0410
• Publication Date: 2010-07-28T02:24:27Z
• Authors: Timo Saaristo; Leena Moilanen; Eeva Korpi-Hyövälti; Mauno Vanhala; Juha Saltevo; Leo Niskanen; Jari Jokelainen; Markku Peltonen; Heikki Oksa; Jaakko Tuomilehto; Matti Uusitupa; Sirkka Keinänen-K...
• Keywords: Impaired fasting glucose

OBJECTIVE To investigate 1-year outcomes of a national diabetes prevention program in Finland. RESEARCH DESIGN AND METHODS Altogether 10,149 individuals at high risk for were identified with the Finnish Diabetes Risk Score (FINDRISC; scoring ≥15 points), by history impaired fasting glucose (IFG) or tolerance (IGT), cardiovascular disease, gestational mellitus 400 primary health care centers. One-year follow-up data available 2,798 participants who nondiabetic baseline (919 men and 1,879 women, aged 56.0 ± 9.9 54.0 10.7 years [mean SD] BMI 30.9 4.6 31.6 5.4 kg/m2). RESULTS The incidence was 2.0 1.2% women normal baseline, 13.5 7.4% those IFG, 16.1 11.3% IGT, respectively. 17.5% subjects lost ≥5% weight no sex difference. relative 0.31 (95% CI 0.16–0.59) group weight, 0.72 (0.46–1.13) 2.5–4.9% 1.10 (0.77–1.58) gained ≥2.5% compared maintained weight. CONCLUSIONS FIN-D2D first effort to implement setting. Methods recruiting high-risk simple easy use. Moderate loss this very especially effective reducing among participating program.