This remission dataset

documents - and provided the means of - my losing 100 pounds of fat and rendering myself, according to my doctor, "no longer diabetic" within a year of diagnosis of type 2 diabetes. Despite my doctor's use of the word at the time, I don't claim to have "cured" myself. By this expert consensus definition, I achieved remission, having reached and sustained normal levels of blood glucose (blood sugar).

Type 2 diabetics who can achieve remission, or normoglycemia (euglycemia), are as close to a cure as is possible for a disorder characterized as chronic (no cure) and progressive (only gets worse). Remission can vastly improve quality of life and can forestall T2D's usual progression through comorbidities toward premature death.

Day-to-day data are self-reported. Medical outcomes are documented by Kaiser-Permanente.
Showing posts with label research. Show all posts
Showing posts with label research. Show all posts

Unhealthiness of Sitting Not Offset by Exercise: Meta-Analysis | Medpage Today

Greater sedentary time was associated with increased risk of adverse health outcomes including early death, even in those who otherwise exercised regularly, a meta-analysis indicated.

With data pooled from 41 primary research studies, researchers found that long periods of sitting time were positively correlated with all-cause mortality and other outcomes, after adjustment for levels of physical activity, compared with study participants reporting relatively little sitting time....

The risk was generally greater at lower levels of physical activity, according to David A. Alter, MD, PhD, at University Health Network in Toronto, and colleagues, writing in the Jan. 20 issue of Annals of Internal Medicine....

[In an accompanying editorial, commenters Brigid M. Lynch, PhD, and Neville Owen, PhD, of the Baker IDI Heart and Diabetes Institute in Melbourne, note that] it's not clear how much sedentary behavior puts a person at risk for chronic disease...

[Commenter Barry Franklin, PhD, director of the Cardiac Rehabilitation Program at William Beaumont Hospital in Royal Oak, MI,] said he thinks that the dangers of sitting should still be part of public health messaging[:] "When we talk about healthier diets, when we talk about no smoking, when we talk about a regular exercise program, we should also be including avoiding prolonged sedentary behaviors, sitting in front of a computer for hour after hour after hour."

Beyond Nagging: How Do Mobile Phone Diabetes Programs Drive Behavior Change?

Methods This was a mixed methods observational cohort study. Study participants were members of the University of Chicago Health Plan (UCHP) who largely reside in a working-class, urban African American community. Surveys were conducted at baseline, 3 months (mid-intervention), and 6 months (postintervention) to test the hypothesis that the intervention would be associated with improvements in self-efficacy, social support, health beliefs, and self-care. In addition, in-depth individual interviews were conducted with 14 participants and then analyzed using the constant comparative method to identify new behavioral constructs affected by the intervention.

Results The intervention was associated with improvements in 5 of 6 domains of self-care (medication taking, glucose monitoring, foot care, exercise, and healthy eating) and improvements in 1 or more measures of self-efficacy, social support, and health beliefs (perceived control). Qualitatively, participants reported that knowledge, attitudes, and ownership were also affected by the program. Together these findings were used to construct a new behavioral model.

Conclusions This study’s findings challenge the prevailing assumption that mobile phones largely affect behavior change through reminders and support the idea that behaviorally driven mobile health interventions can address multiple behavioral pathways associated with sustained behavior change.

The Diabetes Educator November/December 2014 vol. 40 no. 6 806-819 doi: 10.1177/0145721714551992 via @edifyHEALTH