Impact of Education on Weight in Newly Diagnosed Type 2 XXXX : Every Little Bit Helps.

@entity1 @entity353 @entity164 @entity6
AIMS: Highly structured, intensive behavioral lifestyle interventions have been shown to be efficacious in research settings for @entity164 2 @entity6 management and @entity353 . We sought to evaluate the benefit of participation in more limited counseling and/or education among individuals with newly diagnosed @entity164 2 @entity6 in more modest real-world clinical settings. METHODS: Electronic Health Records of newly diagnosed @entity164 2 @entity6 @entity1 age 35-74 from a large ambulatory group practice were analyzed (n = 1,314). We examined participation in clinic-based lifestyle counseling/education and subsequent @entity353 . RESULTS: Of the total cohort, 599 (45.6%) @entity1 received counseling/education with (26.2%) and without (19.4%) medication, 298(22.7%) @entity1 received a prescription for medication alone, and 417(31.7%) @entity1 were only monitored. On average, those who participated in counseling/education attended 2.5 sessions (approximately 2-3 hours). The average @entity353 of @entity1 who received counseling/education alone during the follow-up period (up to three years post-exposure to participation) was 6.3 lbs. (3.3% of body weight), and, if received with medication prescription, 8.1lbs. (4.0% of body weight) (all at P<0.001). The @entity353 associated with medication was only 3.5 lbs. (P<0.001). No significant weight change was observed in the monitoring only group. CONCLUSIONS: While efforts to improve both the short-term and long-term effectiveness of behavioral lifestyle interventions in real-world settings are ongoing, it is important for clinicians to continue to utilize less intensive, existing resources. Even relatively small "doses" of health education may help in promoting @entity353 and may potentially reduce cardiometabolic risk.
