OBJECTIVE To examine whether diabetes genetic risk testing and counseling can improve diabetes prevention behaviors. RESEARCH DESIGN AND METHODS We conducted a randomized trial of diabetes genetic risk counseling among overweight patients at increased phenotypic risk for type 2 diabetes. Participants were randomly allocated to genetic testing versus no testing. Genetic risk was calculated by ...

background: although gestational diabetes is a well-known cause of pregnancy complications, its epidemiology in iran has not been studied systematically. the aim of this review of published data was to describe epidemiology of gestational diabetes in iran. methods: we searched medline, www.sid.ir, www.magiran.com, www.iranmedex.com, and www.irandoc.ac.ir sites through march 2009, and examined t...

incidence of diabetes is increasing in developing countries as well as iran. half of the patients are not aware of their disease so screening of diabetes is necessary. lifestyle changes in society, high-saturated fat diet and decreased physical activity are the factors that influence the growing rate of diabetes in iran.1 the need for addressing type 2 diabetes has been clarified for family phy...

MAIN RESULTS: An algorithm-based guideline for screening and treatment of the complications of diabetes was developed. The emphasis is on prevention of atherosclerotic disease, and prevention, screening, and early treatment of microvascular disease. Implementation of these practices has the potential to significantly improve quality of life and increase life expectancy in patients with type II ...

Type 2 diabetes mellitus (diabetes) is more prevalent among African Americans (AAs) compared to nonHispanic whites (NHWs). Recent trends indicate that diabetes incidence has plateaued among NHWs, but continues to rise among AAs. Thus, examining potential diabetes prevention strategies in AA populations is of paramount importance. The two strategies that will be explored are modifiable lifestyle...

n engl j med 357;8 www.nejm.org august 23, 2007 820 Christou NV, Sampalis JS, Liberman M, et al. Surgery decreases long-term mortality, morbidity, and health care use in morbidly obese patients. Ann Surg 2004;240:416-23. Diabetes Prevention Program Research Group. Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 2002;346:393-403. Ryan DH, Espe...

Type 2 Diabetes Mellitus is a heterogeneous condition characterized by the presence of both impaired insulin secretion and insulin resistance [1]. Diabetes care is complex and requires that many issues, beyond glycaemic control, be addressed [2]. They are prone to certain complications and evidence emerged in the 1990s supporting the benefits of glycaemic control as well as control of blood pre...

The aim of the Finnish Diabetes Prevention Study is to assess the efficacy of an intensive diet-exercise programme in preventing or delaying type 2 diabetes in individuals with impaired glucose tolerance (IGT) and to evaluate the effect of the programme on the risk factors of atherosclerotic vascular diseases and the incidence of cardiovascular events. In this ongoing study, a total of 523 over...

Diabetes is a common and costly chronic health condition. Afflicting slightly more than 3% of Kaiser Permanente North Carolina (KPNC) members, this condition is responsible for increased rates of myocardial infarction, stroke, kidney disease, and limb amputation. The medical management of these patients leads to dramatically higher health care costs than for nondiabetic patients. In 1995, the e...