Marina Trento|P. Passera|M. Bajardi|M. Tomalino|Giorgio Grassi|E Borgo|C. Donnola|Franco Cavallo|Piervincenzo Bondonio|Massimo Porta
Lifestyle intervention by group care prevents deterioration of Type II diabetes: a 4-year randomized controlled clinical trial
University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin|University of Turin
metabolic control worsens progressively type ii noninsulindependent diabetes mellitus despite intensified pharmacological treatment lifestyle intervention implemented onetoone basis compared traditional individual diabetes care model routine followup managed interactive group visits individual consultations reserved emerging medical problems yearly checks complicationsa randomized controlled clinical trial 56 patients noninsulintreated type ii diabetes managed systemic group education 56 control patients managed individual consultations educationobservation times 51221 months group care 51218 control subjects glycated haemoglobin increased control group group patients p0001 bmi decreased p0001 hdlcholesterol increased p0001 quality life knowledge diabetes health behaviours improved group care p0001 worsened among control patients p0004 p0001 dosage hypoglycaemic agents decreased p0001 retinopathy progressed less p0009 among group care patients control subjects diastolic blood pressure p0001 relative cardiovascular risk p005 decreased baseline group patients control patients alike study period group care required 196 min 75654 us dollars per patient compared 150 min 66577 us dollars control patients resulting additional 212 us dollars spent per point gained quality life scoregroup care systemic education feasible ordinary diabetes clinic costeffective preventing deterioration metabolic control quality life type ii diabetes without increasing pharmacological treatment