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Acta Clin Belg. 2004 Jan-Feb;59(1):14-9.

Non-pharmacological management of type 2 diabetes.

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Service d'Endocrinologie et Nutrition Cliniques, Universitaires Saint-Luc, Université Catholique de Louvain, B- 1200 Bruxelles, Belgique.


Major studies have demonstrated an association between poor glycaemic control and the development of micro - and macrovascular complications in type 2 diabetes. Optimized metabolic control, including treatment of hyperglycaemia and other risk factors, reduces the risk of complications. Current strategies aiming at achieving the best possible control include a non-pharmacological approach consisting of lifestyle intervention using physical exercise and modification of nutrition intakes in the early stage of type 2 diabetes, or in later stages, combined with pharmacotherapy. Such an approach is also efficient in preventing type 2 diabetes in patients with impaired glucose tolerance. The purpose of this review is to analyse, in a clinical practice perspective, the current recommendations with respect to lifestyle modifications.

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