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<blockquote data-quote="kokhongw" data-source="post: 1096874" data-attributes="member: 277199"><p>It is not surprising given that 98.5% still fail to achieve normal blood insulin/glucose levels after "intensive lifestyle intervention". But you will find a number of the 1.5% in this forum because we don't follow their intensive lifestyle intervention protocol.</p><p></p><p><strong>Intervention</strong></p><p>Details of the intervention have been described previously.<a href="http://jama.jamanetwork.com/article.aspx?articleid=1486829#ref-joc120125-10" target="_blank">10</a>- <a href="http://jama.jamanetwork.com/article.aspx?articleid=1486829#ref-joc120125-10" target="_blank">12</a> In short, the ILI included weekly group and individual counseling in the first 6 months, followed by 3 sessions per month for the second 6 months and twice-monthly contact and regular refresher group series and campaigns in years 2 to 4. The ILI aimed to reduce total caloric intake to 1200 to 1800 kcal/d through reductions in total and saturated fat intake and by increasing physical activity levels to a goal of 175 min/wk. Liquid meal replacements were provided to assist dietary goals. Participants in the DSE were offered 3 group sessions each year focusing on diet, physical activity, and social support. Medical care was provided by the participant's physician independent of the Look AHEAD study. During periods of weight loss, ILI participants who were taking insulin, sulfonylureas, repaglinide, or nateglinide were asked to provide blood glucose measurement records so that Look AHEAD medical staff could determine if reductions in diabetes medications were needed to reduce their risk of hypoglycemia.</p><p></p><p><strong>Complete remission </strong>was defined as transition from diabetes criteria to full normalization of glucose (fasting plasma glucose level <100 mg/dL and HbA1c <5.7%) with no antihyperglycemic medication.</p><p></p><p><a href="http://jama.jamanetwork.com/article.aspx?articleid=1486829#METHODS" target="_blank">http://jama.jamanetwork.com/article.aspx?articleid=1486829#METHODS</a></p></blockquote><p></p>
[QUOTE="kokhongw, post: 1096874, member: 277199"] It is not surprising given that 98.5% still fail to achieve normal blood insulin/glucose levels after "intensive lifestyle intervention". But you will find a number of the 1.5% in this forum because we don't follow their intensive lifestyle intervention protocol. [B]Intervention[/B] Details of the intervention have been described previously.[URL='http://jama.jamanetwork.com/article.aspx?articleid=1486829#ref-joc120125-10']10[/URL]- [URL='http://jama.jamanetwork.com/article.aspx?articleid=1486829#ref-joc120125-10']12[/URL] In short, the ILI included weekly group and individual counseling in the first 6 months, followed by 3 sessions per month for the second 6 months and twice-monthly contact and regular refresher group series and campaigns in years 2 to 4. The ILI aimed to reduce total caloric intake to 1200 to 1800 kcal/d through reductions in total and saturated fat intake and by increasing physical activity levels to a goal of 175 min/wk. Liquid meal replacements were provided to assist dietary goals. Participants in the DSE were offered 3 group sessions each year focusing on diet, physical activity, and social support. Medical care was provided by the participant's physician independent of the Look AHEAD study. During periods of weight loss, ILI participants who were taking insulin, sulfonylureas, repaglinide, or nateglinide were asked to provide blood glucose measurement records so that Look AHEAD medical staff could determine if reductions in diabetes medications were needed to reduce their risk of hypoglycemia. [B]Complete remission [/B]was defined as transition from diabetes criteria to full normalization of glucose (fasting plasma glucose level <100 mg/dL and HbA1c <5.7%) with no antihyperglycemic medication. [URL]http://jama.jamanetwork.com/article.aspx?articleid=1486829#METHODS[/URL] [/QUOTE]
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