The American College of Lifestyle Medicine (ACLM) has published a clinical practice guideline which, for the first time, place the modification of the lifestyle at the Care Center for Adults with Type 2 diabetes (T2D) and prediased.1,2
Appearing in the American Journal of Lifestyle Medicine¹ The directive offers clinicians a structured framework and based on evidence to integrate Treatments based on lifestylet in diabetes routine management. Unlike previous guidelines that recognize the importance of lifestyle but often lack practical management, this document offers usable strategies for the implementation and maintenance of behavior change, said ACLM.1,2
The public of the directive is “any clinician or health professional in a community or an ambulatory health care involved in the management of non -pregnant adults with T2D, prediabetes or a history of gestational diabetes (GDM)”, wrote the authors.2
The 14 recommendations, called “key action”, support clinicians in promoting lifestyle interventions as first -line management for prediabetes and type 2 diabetes, emphasizing the 6 main pillars of lifestyle medicine.
The slideshow of the line line of the above guidelines presents primary care clinicians at the first approach codified for the change in lifestyle applied in diabetes care with a sliding summary of the 14 recommendations.
A significant number of evidence supports the greatest efficiency of lifestyle interventions on metformin to prevent the progression of prediabetic to T2D.3 A meta-analysis in 2022 reported that the effects of interventions on the risk of altered glucose tolerance or prediabetes which progresses towards T2D was “significantly correlated with changes in multiple lifestyles”, the participants in the study reaching the greatest number of targets reaching more pronounced effects.4
“Although there are nearly 1,000 guiding documents for diabetes in medical literature and more than 350 pages of American Diabetes Association standards, they may not offer details and practice advice on lifestyle change”, Richard M. Rosenfeld, MD, MPH, MBA, MBA, Senior Guidage Author and Director of ACLM Director of Directives and Quality.5 This directive fills this gap.