Diabetics Must Make Diet And Lifestyle Choices To Lower The Risk Of Cardiovascular Disease

Main Category: Heart Disease
Also Included In: Cardiovascular / Cardiology;??Diabetes;??Preventive Medicine
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Diabetics can face a five times increase in the risk of developing cardiovascular disease (CVD) than non-diabetics. This leads to a seven to ten year reduction in life expectancy and a higher probability of suffering a fatal heart attack. These sad statistics have prompted the European Society of Cardiology (ESC) to mark World Diabetes Day(1) on 14 November 2010 by emphasising the simple measures that diabetes patients should adopt to slow-down the progression of CVD and greatly improve their quality of life.

The urgency of addressing this issue is highlighted by forecasts of 330 million diabetes cases worldwide by 2050. This figure represents a staggering 3% of the predicted global population. The mechanisms that link the onset of diabetes with subsequent development of CVD include above-average lipid levels, inflammation of vascular walls, high blood pressure, and an excess of 'bad' cholesterol produced by the liver. Additionally, the effects of continuing to smoke are particularly potent for diabetics, with a dramatic increase in mortality rates being an inevitable outcome. Despite this, most diabetics can greatly alleviate the symptoms of CVD by making sensible diet and lifestyle choices.

Speaking for the ESC, Professor Joep Perk of the School of Health and Caring Sciences at Linneaus University in Sweden, and Board Member of the European Association of Cardiovascular Prevention and Rehabilitation (EACPR) says, "The impact of growing obesity levels is pushing Type 2 diabetes into an epidemic. It is a very serious problem for healthcare providers due to the cost of treatment, but also for cardiologists who now see diabetes prevention as one of the main health challenges. Around 60% of cardiovascular patients nowadays are pre-diabetic or diabetic, a significant increase from our experience of 20 years ago."

Diabetics with CVD are urged to follow the ESC recommendations for patients which, quite simply, are summarised as:

-- Eat a healthy diet

-- Exercise more

-- Stop smoking

-- Limit alcohol intake

"Following this common sense advice will have a very positive impact on the progression of CVD. Although it would be good advice for non-diabetics, for diabetics it is literally a matter of life or death," says Professor Perk. "The complications of CVD when added to the underlying effects of diabetes are a dangerous combination that should be avoided at all costs. This is why we stress the importance of diet and lifestyle changes to manage the progression of CVD."

There are encouraging signs that prevention strategy in a wider sense is climbing higher up the healthcare agenda. The pioneering work of the Chronic Disease Alliance(2) has recently been recognised by the prestigious European Health Award 2010. The Alliance was formed by the European Society of Cardiology and nine other not-for-profit healthcare organisations including the International Diabetes Federation. Its role is to give scientific guidance to the EU and other regulators in order to promote policies that will lead to long-term health improvements in the population. One example, for instance, is to limit the salt content in prepared foods. The objective of these policies is to encourage better diet and lifestyles which are key to the prevention of so many chronic diseases a very timely message to mark World Diabetes Day 2010.

Sources: European Society of Cardiology (ESC), AlphaGalileo Foundation.

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Press Release - Weight Watchers and Merck Collaborate to Help Physicians Fight Obesity Through Lifestyle Management Approach

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Merck will provide physicians and other health care providers with educational information about the Weight Watchers® program

Weight Watchers and Merck Collaborate to Help Physicians Fight Obesity Through Lifestyle Management ApproachOct 21, 2010 This press release is an announcement submitted by Weight Watchers, and was not written by Diabetes Health.

Weight Watchers International, Inc., the world's leading provider of weight management services, and Merck, a global healthcare leader, announced today an innovative collaboration focused on fighting obesity.? The two companies will launch an initiative in which Merck will provide physicians and other health care providers with educational information about the Weight Watchers® program and its underlying clinical evidence to assist doctors in addressing the ongoing weight management needs of their patients.?

"Recently published research at the 2010 International Congress on Obesity demonstrated that the combination of the proven Weight Watchers behavior modification approach with physician's encouragement provides a significant increase in patient adherence to weight-loss solutions and greater weight loss success than just standard physician care alone. Weight loss is an important component of preventing and addressing many health conditions, including diabetes and cardiovascular diseases such as hypertension.? Because our weight management approach helps educate people on how to live a healthy lifestyle while allowing flexibility, the Weight Watchers program delivers real weight loss results.? Collaborating with Merck will enable us to arm physicians with a comprehensive, sustainable, scalable and non-pharmaceutical solution for weight loss designed to help improve the overall health of their patients," said David Kirchhoff, CEO of Weight Watchers International.

Beginning in January 2011, physicians and other health care providers in the North Central United States, where the initiative will be piloted, will receive educational materials to help them initiate more effective and efficient conversations about weight loss with their patients, increase awareness of obesity-related health risks and demonstrate how the Weight Watchers program may align with their goals to help patients attain and maintain a healthy weight.

"Our commitment to improving global health care goes beyond medicines and vaccines," said Jay Galeota, senior vice president, Global Human Health, Strategy and Business Development, for Merck.? "We hope this collaboration with Weight Watchers will enable us to provide physicians with a comprehensive solution they can offer their patients to help better manage weight."

"Losing weight is a tremendous challenge for patients, yet it is so important for both preventing and controlling chronic conditions like diabetes and heart disease.? Mere advice from a doctor to lose weight without intensive assistance and resources is not effective. As a result many doctors feel powerless to help their patients because they have little to concretely offer," said Alex Krist, MD, MPH, faculty member for the Virginia Commonwealth University Family Medicine Residency program at Fairfax Family Medicine Center.?? "We need to search for new ways that healthcare providers, as well as weight management resources, such as Weight Watchers, can effectively work together and help patients."

With a track record of success that spans nearly 50 years, Weight Watchers is one of the most clinically-studied commercial weight loss programs, with more than 61 published trials and counting.? It is among the most recognized and trusted commercial weight loss programs.

- - - - -

About Weight Watchers International, Inc.

Weight Watchers International, Inc. is the world's leading provider of weight management services, operating globally through a network of Company-owned and franchise operations. Weight Watchers holds almost 50,000 meetings each week where members receive group support and learn about healthy eating patterns, behavior modification and physical activity. WeightWatchers.com provides innovative, subscription weight management products over the Internet and is the leading Internet-based weight management provider in the world. In addition, Weight Watchers offers a wide range of products, publications and programs for those interested in weight loss and weight control.? For more information, visit http://www.weightwatchers.com.

About Merck

Today's Merck is a global healthcare leader working to help the world be well. Merck is known as MSD outside the United States and Canada. Through our prescription medicines, vaccines, biologic therapies, and consumer care and animal health products, we work with customers and operate in more than 140 countries to deliver innovative health solutions. We also demonstrate our commitment to increasing access to healthcare through far-reaching policies, programs and partnerships that donate and deliver our products to the people who need them. For more information, visit http://www.merck.com.

* * *

Source:

http://media.prnewswire.com/en/jsp/latest.jsp?resourceid=4408430&access=EH

Categories: Food, Health, Low Carb, Nutrition Advice, Pre-Diabetes, Type 2 Issues, Weight Loss

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Look AHEAD Study Examines Effect of Intensive Lifestyle Intervention on Type 2 Diabetes and Weight Loss

Look AHEAD Study Examines Effect of Intensive Lifestyle Intervention on Type 2 Diabetes and Weight Loss - Diabetes Health My Account ??|??Subscribe??|??Contact Us??|??Donate Search Home Charts Recipes Digital Edition TV Apps Community Kids & Teens Type 2 Issues Type 1 Issues Professional Issues Pre-Diabetes Beginners International Health Events History Camps for Kids Online Resources Dating Pets Type 1.5 Issues All Sections Products Product Directory Charts Syringes Insulin Pumps Meters Pens Software CGMs Books Medical ID Jewelry Lancing Devices Infusion Sets Carrying Cases Pen Needles All Sections Complications & Care Heart Care & Heart Disease Low Blood Sugar Foot Care Kidney Care (Nephropathy) Nerve Care (Neuropathy) Eye Care (Retinopathy) Hypoglycemia Unawareness Sexual Issues Geriatrics Depression Insulin Resistance Skin Care Lipid Problems Wound Care Reversing Complications All Sections Food Recipes Diets Vitamins Food News Nutrition Advice Low Carb Supplements Glycemic Index & Carb Counting Beverages Low Calorie & Low Fat Sugar & Sweeteners Desserts Herbs Dinner Lunch All Sections Columns Cartoons & eCards Personal Stories Letters to the Editor Inspiration My Own Injection Book Reviews Motivation Heroes Making a Difference CDE of the Month Doctors & Nurses Love and Diabetes After All These Years All Sections Medications Insulin Type 2 Medications Metformin Pharmacy Lantus Byetta Actos Animal Insulin Januvia Victoza Symlin Apidra Onglyza Voglibose All Sections Research Nutrition Research Islet & Pancreas Transplant Medications Research Health Research The Cure Beta Cells Other Lab Tests Artificial Pancreas New Cure Research Case Studies All Sections Fitness Exercise Weight Loss Bariatric Surgery Success Stories Amphetamines All Sections Psychology Adolescent Boys Adolescent Girls Living with Diabetes Support Groups Women's Issues Men's Issues Teenagers Insulin Omission All Sections Monitoring Blood Sugar A1c Test Noninvasive Monitors Urine Test Laboratory Tests All Sections Health Care Health Insurance Hospital Care Endocrinology Complementary Therapies Smoking CDE Physical Therapy All Sections Legal Government & Policy Discrimination Drivers License & Pilot License Politics Driving 504 Plan in School Lobbying All Sections Pregnancy Childbirth Breastfeeding Gestational Diabetes All Sections Celebrities Nick Jonas Jay Hewitt Scott Dunton Elliott Yamin All Sections About UsAbout UsPublisher's LetterAdvertisingContact UsPress RoomSubmission GuidelinesPrivacy Policy Help function fbs_click() {u=location.href;t=document.title;window.open('http://www.facebook.com/sharer.php?u='+encodeURIComponent(u)+'&t='+encodeURIComponent(t),'sharer','toolbar=0,status=0,width=626,height=436');return false;}

See What's Inside… Living His Dream of Law Enforcement: Lt. Jose Lopez Diabetes & Alcohol Diabetes and Autoimmunity Insulindependence Precious Pooch

View Diabetes Health Magazine For Free Online

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To ViewFree Subscription to Diabetes Health Professional

If you are a physician, educator and medical professional who focus on the treatment of diabetes, then this is the must have resource for you.

Finally! A fresh take on the “professional” journal. Each bi-monthly issue cuts through the jargon and presents the most important information you need to enhance your practice and assist your patients.

Each bi-monthly issue of Diabetes Health Professional is a self-contained handbook covering products, educational resources and the latest diabetes research, complimented by balanced editorial focused on medical news, drug prescription information, clinical practice recommendations and changing treatment options.

Each quarter we send you the latest, most updated research guides, product guides and educational resource guides available for you and your patients.

Each week the Diabetes Health E-Newsletter delivers links to the very latest in news, reviews, blogs and videos from Diabetes Health direct to your inbox.

As a subscriber you'll get access to the amazing Diabetes Health Digital Advantage™ so you can read the current issue of Diabetes Health magazine online wherever you are!

Email Address: Area of Interest: Consumer Professional How To Change Your Newsletter Email…

You can cancel your newsletter subscription at anytime by clicking "Unsubscribe" on the bottom of any newsletter you receive

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The lifestyle intervention group had greater improvements in fitness, blood glucose control, blood pressure, and levels of "good" HDL cholesterol.

Look AHEAD Study Examines Effect of Intensive Lifestyle Intervention on Type 2 Diabetes and Weight LossJen Blackstock
Oct 25, 2010

An intensive lifestyle intervention program designed with weight loss in mind improves diabetes control and cardiovascular disease risk factors in overweight and obese individuals with type 2 diabetes. These are the findings of the four-year Look AHEAD study, funded by the National Institutes of Health and the Centers for Disease Control and Prevention. Look AHEAD (Action for Health in Diabetes) is a multi-center, randomized clinical trial evaluating the effect of reduced caloric intake and increased physical activity on the incidence of major cardiovascular events such as heart attack, stroke, and cardiovascular-related death.

According to the National Institutes of Health, at study entry there were 5,145 participants at 16 centers across the United States, randomly assigned to one of two interventions. Those in the intensive lifestyle intervention group? met regularly with a lifestyle counselor, as well as attending group and individual sessions. They were given specific caloric consumption and exercise goals, were encouraged to maintain a diet and exercise diary, and were taught behavioral skills such as problem solving and goal setting. After the first year, participants were seen individually at least once monthly, had at least one additional phone or email contact each month, and were invited to attend additional group classes. The second group were invited to group sessions each year focused on diet, physical activity, or social support. They were not weighed at these sessions or counseled on behavioral strategies.

At the time of enrollment, participants were between 45 and 76 years of age and most were obese, with a mean body mass index (BMI) of 36. Thirty-seven percent of participants were from ethnic minority groups, and approximately 60 percent were women. Over 94 percent of participants remain involved after four years and will continue to be followed for up to 13.5 years. The study will continue to examine whether improvements in risk factors, including blood pressure, lipids and glucose control, can be sustained - independently and as a consequence of continued weight loss - and whether the intensive lifestyle intervention is effective in reducing the incidence of illness and death due to cardiovascular disease. These results will not be available for several years.

Four years into the study, participants in both groups showed positive changes in their health. But the results don't stop there. In the four years, the participants in the lifestyle intervention group lost an average of 6.2 percent of their body weight, compared with 0.9 percent for the diabetes support group. The lifestyle intervention group also had greater improvements in fitness, blood glucose control, blood pressure, and levels of "good" HDL cholesterol.

"Although the differences between the two groups were greatest initially and decreased over time for several measures, the differences between the two groups averaged across the four years were substantial. [The results] indicate that the intensive lifestyle intervention group spent a considerable time at lower cardiovascular disease risk," the researchers wrote.

According to Griffin P. Rodgers, M.D., director of the National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK), the primary sponsor of the study, "This important study shows that lifestyle changes have long-term favorable effects on diabetes control and cardiovascular disease risk factors in overweight or obese individuals with type 2 diabetes."

The results are published in the Sept. 27, 2010, issue of the Archives of Internal Medicine.

* * *

Sources:

http://www.nlm.nih.gov/medlineplus/news/fullstory_103802.html

http://www.nih.gov/news/health/sep2010/niddk-30.htm

https://www.lookaheadtrial.org/public/home.cfm

Categories: Blood Sugar, Complications & Care, Exercise, Heart Care & Heart Disease, Psychology

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