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Additional Resources:

Blog Article Title and Link

Connect Library of Patient Handouts

AJLM CME/CE Article Quiz

Pricing:

ACLM Members: Free   |     Non-members: $40

Learning Objectives:

  1. Discuss the methodology and components of this clinical practice guideline.  
  2. Discuss the benefits of appropriate methods of assessing lifestyle habits relevant to type 2 diabetes.    
  3. Apply lifestyle prescriptions appropriate to prevention, treatment, and remission of type 2 diabetes.    
  4. Implement person-centered, behavior change strategies such as coaching, motivational interviewing, and cognitive behavioral therapy.   
  5. Evaluate individual patients’ needs for pharmacologic therapy following lifestyle intervention.    
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This guideline has been endorsed by the American Association of Clinical Endocrinology, American Academy of Physician Associates, American Association of Nurse Practitioners, American College of Clinical Pharmacology, Obesity Medicine Association, American Academy of Sleep Medicine, Association of Diabetes care and Education Specialists, and the National Board of Health and Wellness Coaches. It has been designated with an “Affirmation of Value” from the American Academy of Family Physicians and is supported by the Academy of Nutrition and Dietetics.

“It is time for us to come together and widely adopt systematic evidence based solutions which are truly addressing the root cause of this problem. I’m thrilled that this document is now available for clinicians, especially endocrinologists, and I’m also thrilled that hopefully many of these interventions will now be covered by pairs widely across all regions.”

 – Mahima Gulati, MD, FACE, FACLM, MSc

First Clinical Practice Guideline to:

  • Address all six pillars of lifestyle medicine
  • Tailor nutrition to diabetes remission, prevention & medication reduction
  • Offer clear, evidence-based steps for lasting behavior change

Diabetes is a defining disease of the 21st century because of its rising prevalence, association with obesity, and enormous health impact.  Abundant evidence shows that lifestyle interventions can delay or prevent type 2 diabetes (T2D) in adults, offer relief, and sometimes achieve complete remission.  Despite this empowering message, there are no clinical practice guidelines that focus primarily on lifestyle interventions as first-line management of prediabetes and T2D.  Our objective, therefore, is to offer pragmatic, trustworthy, and evidence-based guidance for clinicians in using the 6 pillars of lifestyle medicine – nutrition, physical activity, stress management, sleep, social connectedness, avoidance of risky substances – for managing adults with T2D and in preventing T2D in adults with prediabetes or a history of gestational diabetes mellitus. 

  • Richard M. Rosenfeld, MD, MPH, MBA, DipABLM
  • Meagan L. Grega, MD, FALCM, DipABLM
  • Micaela C. Karsen, PhD, MSPH
  • Adb Moain Abu Dabrh, MBBCh, MS, NBC-HWC
  • R. Nisha Aurora, MD, MHS
  • Jonathan P. Bonnet, MD, MPH, FAAFP, FACLM, CAQSM, DipABOM, DipABLM
  • Lori Donnell, MBA
  • Stephani L. Fitzpatrick, PhD
  • Beth Frates, MD, FACLM, DipABLM
  • Elizabeth A. Joy, MD, MPH, FACSM, FAMSSM, DipABLM
  • Jane F. Kapustin, PhD, CRNP, BC-ADM, FAANP, FAAN
  • Dawn R. Noe, RDN, CDCES
  • Gunadhar Panigrahi MD, FACC, DipABLM, FACLM
  • Arun Ram, MD, MBA, FCP
  • Lianna S. Levine Reisner, MSCD
  • Willy Marcos Valencia, MD, MSc
  • Lorraine J. Weatherspoon, PhD, RDN
  • Jonathan M. Weber, MA, PA-C
  • Kara L. Staffier, MPH
  • Mahima Gulati, MD, FACE, FACLM, MSc