Evidence based review of type 2 diabetes prevention and management in low and middle income countries

Objective: To identify the latest prevention and management method of type 2 diabetes (T2DM) in developing countries

METHODS: A systematic review of published studies on the World Bank's prevention and control program for diabetes in low-income countries and middle-income countries. We search PubMed using medical terms. (1) must be experimental, (2) to include T2DM patients or to focus on T2DM prevention, (3) to have elements of lifestyle habit intervention, (4) to write in English, (5) There are measurable results related to diabetes

RESULTS: A total of 66 studies from 20 developing countries were collected and the deadline is September 2014. India has the largest number of tests (11/66). Among the 66 studies reviewed, all studies except one reported evidence of beneficial results in the prevention and management of type 2 diabetes. The majority of studies report management of diabetes (56/66), more than half of which are structured lifestyle education programs. Evidence suggests that lifestyle education led by full-time medical staff (nurses, pharmacists) is as effective as lifestyle education led by doctors and clinician teams. Other diabetes management interventions focus on diet therapy and exercise, but there is little evidence to recommend one method over the other.

CONCLUSION: Lack of diet and exercise intervention in numerous experimental diabetes prevention / management studies, especially quality consideration studies over carbohydrates and alternative sports

Key words: prevention and management of diabetes, low income countries, middle income countries, intervention studies, systematic review

2) Diabetes The fact that PBN can provide benefits for the prevention and treatment of diabetes is outlined. In this statement, "low-fat vegetable diet with little or no meat that may be useful for the prevention and treatment of diabetes," and "a person who is low-fat vegan diet can reduce medication Can "is included. References are from respected researchers. 4) Heart Disease The strongest data on the health benefits of PBN is a heart problem. Researchers reviewed the data of Dr. Dean Ornish, MD, which included a surprising discovery that "there was a severe retrograde coronary atherosclerosis in just one year." In other research groups, "the proportion of vegetarian ischemic heart disease has decreased by 24% compared to non-vegetarian." Very persuasive statement

METHODS: A systematic review of published studies on the World Bank's prevention and control program for diabetes in low-income countries and middle-income countries. We search PubMed using medical terms. (1) must be experimental, (2) to include T2DM patients or to focus on T2DM prevention, (3) to have elements of lifestyle habit intervention, (4) to write in English, (5) There are measurable results related to diabetes

Evidence-based review on prevention and management of type 2 diabetes in middle-low income countries