It is estimated that approximately 80% of all persons with DM2 are obese, and the prevalence of diabetes increases With increasing age and body weight. Intensive control resulting in near-normal glycemia in obese DM2 holds great potential for reducing morbidity and mortality, but is associated with weight gain. In turn, modest weight loss improves glycemia considerably. Current weight loss programs, with decreasing frequency of interventions over time, result in a weight loss pattern of a U-shaped curve indicating an inability in maintaining the lower weight. We hypothesized that increasing vs decreasing frequency of treatment visits over time would result in better weight loss and metabolic control. Forty-eight DM2 subjects (28 F, 20 M; wt = 98 +/- 3 kg; BMI = 35 +/- 2 kg/m2; DM duration = 11 +/- 8 yrs) were stratified according to weight and level of glycated hemoglobin (HbA1c), and randomized to one of two protocols: decreasing frequency (DF) of visits, seen weekly (for 2 mos), bimonthly (for 3 mos) and monthly (for 3 mos) and increasing frequency (IF) of visits seen in the reverse order. Visits included 18 lifestyle, behaviour modification, group sessions and 5 individual evaluations at 0, 2, 4, 8 and 12 months. (Abstract shortened by UMI.)
| Identifer | oai:union.ndltd.org:LACETR/oai:collectionscanada.gc.ca:QMM.29927 |
| Date | January 1999 |
| Creators | Venuta, Tina. |
| Contributors | Gougeon, Rejeanne (advisor), Yale, Jean-Fracois (advisor) |
| Publisher | McGill University |
| Source Sets | Library and Archives Canada ETDs Repository / Centre d'archives des thèses électroniques de Bibliothèque et Archives Canada |
| Language | English |
| Detected Language | English |
| Type | Electronic Thesis or Dissertation |
| Format | application/pdf |
| Coverage | Master of Science (School of Dietetics and Human Nutrition.) |
| Rights | All items in eScholarship@McGill are protected by copyright with all rights reserved unless otherwise indicated. |
| Relation | alephsysno: 001686568, proquestno: MQ55094, Theses scanned by UMI/ProQuest. |
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