Lifestyle interventions


A cultural approach to diabetes therapy in the Middle East

The Middle East comprises countries such as Egypt, Israel, Jordan, Lebanon, the Palestinian Autonomous Territories and Syria, and contains several ethnic and religious groups. Moslem Arabs, however, are, by far, the largest population group and they form the dominant culture. Certain values belonging to this culture serve to make acceptance of diabetes nutritional therapy difficult. Nevertheless, it cannot be ignored that people with diabetes in the Middle East have to survive and try to be an accepted part of the society in which they live.

Obesity: how to respond to a huge challenge

People with obesity have been illustrated by artists throughout our modern cultural history. Who would not recognize the clearly overweight Milon Venus or obese women in paintings by Rubens? These people, however, were rather rare exceptions during times when labour required physical work and food shortage was much more common than in the present. Although we lack specific data, it is likely that the industrial revolution together with improved food hygiene were associated with an increase in the prevalence of obesity at least among those whose labour was physically less demanding.

Parallel pandemics

President's editorial

Becoming experts

Increasing the knowledge of people with diabetes gives them motivation and promotes better diabetes control. This, in turn, enhances quality of life and delays, if not totally prevents, the onset of complications. The Danish Diabetes Education Centre, opened in Odense, 1993, does just that, by providing teaching and assistance to people with diabetes and their friends and families. The centre educates over 500 people in total each year.

Is type 2 diabetes preventable? What the evidence-based guidelines say

Diabetes is the commonest non-communicable disease worldwide. Researchers predict it will increase by around 160% by the year 2025. Sadly, most of this increase will occur in developing countries, which have the least resources to deal with the problem. Even in the most developed countries, health systems are struggling to meet demands for services. In recent years, this has led to a strong focus on prevention research.

The challenge to movers and shakers: broad strategies to prevent obesity and diabetes

We know that in both Western and Asian adults in the vulnerable overweight groups with impaired glucose tolerance, modest weight loss with specific changes in diet and physical activity can reduce the likelihood of developing Type 2 diabetes. Marked weight loss in severely obese people with diabetes can also ameliorate the risks from their diabetes perhaps for a decade or more. However, clinical interventions to achieve this require intensive personal supervision, which,

Japanese school programmes combat type 2 diabetes

So-called 'late onset diabetes' is now more widely termed Type 2 diabetes. And for very good reasons. It was previously the case that childhood and adolescent diabetes was nearly exclusively Type 1 diabetes and that Type 2 diabetes very rarely affected the young. Sadly, this is no longer true. As the spread of 'westernized' lifestyles gives rise to a steep increase in rates of obesity worldwide, Type 2 diabetes is rapidly emerging among children and adolescents.

Fighting fat: with TAF in Singapore

In 1992, the Singapore government noted that the obesity prevalence among schoolchildren was 14%. Singapore's population has a relatively high prevalence of diabetes, at 9.2%. Rates of obesity and overweight are high – 6% of the adult population has a body mass index (BMI) of more than 30 kg/m2, and around 25% have a BMI above 25 kg/m2. Recent years have also seen the increasing appearance of young onset Type 2 diabetes and impaired glucose

Going down: lipids and all that cholesterol

Diabetes prevention takes many forms. Other articles in this issue of Diabetes Voice describe primary prevention of Type 2 diabetes (the diabetes of obesity and Western lifestyles), while secondary prevention is the use of lifestyle

Successful multiple risk factor intervention in type 2 diabetes: the Steno-2 triumph

Type 2 diabetes increases the risk of cardiovascular disease (CVD) between two- and six-fold, and shortens life expectancy by 5 to 10 years. Once a person with diabetes has developed severe vascular complications, they will