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Type 2 Diabetics Can reduce Weight by WAIT Program
Dr KK Aggarwal | 14 Jul 2013

A short-term lifestyle modification program for overweight diabetic patients can lead to long-term benefits, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and National President Elect IMA.

A short-term lifestyle modification program for overweight diabetic patients can lead to long-term benefits, said Padma Shri and Dr B C Roy National Awardee Dr K K Aggarwal President Heart Care Foundation of India and National President Elect IMA. 

 

In a study conducted by Dr Osama Hamdy at the Joslin Clinic in Boston, patients who had a mean A1c of 7.6% at baseline were able to lower their A1c to 6.6% after 12 weeks of the intensive program and remained at 7% after three years.

 

 The name of the program is Why WAIT (Weight Achievement and Intensive Treatment) and it has been incorporated into regular practice at the clinic.

 

 The researchers enrolled 141 patients with diabetes in the study - 127 with type 2 diabetes and 14 patients with type 1 diabetes. Average patient age was 53 and mean time from diagnosis was about 9.5 years. The study included 91 women. The average baseline weight of the participants was 240 pounds. Six of the patients dropped out of the study before completing the study period. The rest had at least two years of follow up, including 105 followed for 2.5 years and 70 patients with three years of follow-up.

 

 The program included diet, exercise and weight-neutral or weight-negative medications. The diet was low in glycemic index, high in fiber, and low in saturated fat.

 

 Patients were put on a structured strength and cardiovascular exercise program that gradually increased activity.  For the first four sessions, patients were encouraged to exercise 20 to 40 minutes four days a week; during the next four the exercise prescription was increased to 40 to 45 minutes five days a week; and in the final four sessions patients were told to exercise 50 to 60 minutes six days a week. The patients also attended weekly teaching and behavioral support sessions. At the 12-week program's end, participants were instructed to follow the same plan on their own.

 

 Intensive lifestyle changes can be successful and sustainable.

 1.      Average weight loss after 12 week of the study was 24.1 pounds.

2.      Weight loss averaged 18.2 pounds at one year; 18.8 pounds at two years; and 17.2 pounds at both 2.5 years and at 3 years.

3.      HbA1c fell from 7.6% to 6.6% after 12 weeks and was 7% after one year, 6.9% at two years, 7% at 2.5 years, and 7% at three years.

4.      About 82% of patients achieved the goal of 7% after 12 weeks, but that declined to 47% at two years, 43% at 2.5 years, and 40% at three years.

 

About HCFI: The only National Not for profit NGO, on whose mega community health education events, Govt. of India has released two National commemorative stamps and one cancellation stamp, and who has conducted one to one training on” Hands only CPR” of 54572 people since 1st November 2012. 

The CPR 10 Mantra is – “within 10 minutes of death, earlier the better; at least for the next 10 minutes, longer the better; compress the centre of the chest of the dead person continuously and effectively with a speed of 10x10 i.e. 100 per minute.”

 

http://www.emedinews.org/press-release