American Association of Clinical Endocrinologists (AACE): Medical Guidelines for Clinical Practice for the Management of Diabetes Mellitus
AACE recommendations providers initiate interventions that include lifestyle modification by referring their diabetic patients to a credible weight loss program for counseling in energy intake reduction and nutritional strategies. Lifestyle modification interventions should include weight reduction and nutrition goals in conjunction with prescribed regular physical activity.
Diabetes Prevention Program Study
In the Diabetes Prevention Program (DPP) study, 3234 subjects with impaired glucose tolerance were randomly assigned to 1 of 3 groups: (a) lifestyle group—intensive nutritional and exercise counseling; (b) metformin treatment group—medication and standard diet and exercise; or (c) control group—placebo and standard diet and exercise. Results showed, compared with the control group, after an average follow-up of 2.8 years:
58% relative reduction in the progression to diabetes mellitus was observed in the lifestyle group
compared to 31% reduction observed in the metformin group
Approximately 50% of subjects in the lifestyle group achieved a 7% or greater weight reduction in the first year and sustained a 5% total weight loss for the study’s duration.
Moderately intense activity of 150 minutes per week was maintained in 74% of subjects in the lifestyle group.
Lifestyle modifications were most effective in subjects 60 years and older, and the development of diabetes mellitus was reduced by 71% in these participants.
Insurance coverage and recognition for our care
All major PPO insurance plans provide coverage for our medical weight loss program, especially if there are other weight-related medical conditions. We have received Top Tier Provider designation for exceeding quality and cost efficiency criteria from United HealthCare. Also, Blue Cross and Blue Shield of Illinois awarded us the coveted Blue Tier ranking in recognition of consistently delivering cost efficient quality care.
Personalized medical care plans
A personalized plan for each patient is developed after conducting a thorough physical examination and a study of the patient’s medical history, biochemistry analysis, and bio-impedance-analysis. Medical problems like diabetes, cardiovascular disease, thyroid issues, arthritis, insomnia, digestion issues and food allergies or intolerances, and side effects of many medications are managed by our medical team, led by a board certified bariatric physician.
Why choose Heal n Cure for your patient’s weight loss?
Heal n Cure is a medical practice focused on weight loss and long-term weight management. Our expertise is supervised weight loss and management of obesity-related medical problems. We are members of the Obesity Management Association (OMA) and AMA, with Board Certifications from American Board of Obesity Medicine (ABOM), and from American Board of Internal Medicine (ABIM).
Heal n Cure’s weight management program:
- Multicomponent team: bariatric & internal medicine physician, physicians assistants, registered dietitian, and exercise physiologist
- Personalized weight loss and wellness program with one on one counseling regarding appropriate diabetes treatment plan
- Diabetes reversal: reduction in A1C, elimination of diabetes medications including insulin for type 2 diabetics
- Primary care offered
- Covered by major PPO insurance plans
“Lifestyle changes were nearly twice as effective as metformin therapy in preventing type 2 diabetes”
Reduction in the incidence of type 2 diabetes with lifestyle intervention or metformin. N Engl J Med 346:393–403, 2002
How we can help your patients
Moderate weight loss can enhance insulin action, decrease fasting blood glucose concentrations, and reduce the need for diabetes medications. Moreover, improvement in fasting blood glucose is directly related to the relative amount of weight lost. Weight loss has additional health benefits in patients with diabetes because it improves other risk factors for cardiovascular disease: decreasing blood pressure, improving serum lipid concentrations, and reducing serum markers of inflammation. Heal n Cure can provide your diabetic patients with an effective weight management and wellness program that can help reverse their diabetes and reduce future complications.
Our care is covered as Primary Care by PPO insurance plans, no pre-approvals or referrals are required. Patients can call us to set up a free consultation.