ArticleDiabetes care2012
Lifestyle counseling in routine care and long-term glucose, blood pressure, and cholesterol control in patients with diabetes.
Article in Diabetes care, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02561377 (Effect of Resistance Training on Metabolic Control and Outcome in Prediabetes), which is not on this map. Cited by 29 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Effect of Resistance Training on Metabolic Control and Outcome in Prediabetes (NMR-based Metabonomics)
Who cites it
29 citing papers in PubMed, 2 syntheses or guidelines pooled it, 56 citations in OpenAlex.
- Effective Education Methods to Improve Glycemic Control in Type 2 Diabetes Mellitus Patients: A Systematic Review.Journal of preventive medicine and public health = Yebang Uihakhoe chi · 2025Pooled it
- Using Natural Language Processing to Measure and Improve Quality of Diabetes Care: A Systematic Review.Journal of diabetes science and technology · 2021Pooled it
- Effectiveness of lifestyle change plus dental care (LCDC) program on improving glycemic and periodontal status in the elderly with type 2 diabetes.BMC oral health · 2014Trial
- Article
- Diabetologists' Knowledge and Prescription of Physical Activity in Southeast Europe.Medicina (Kaunas, Lithuania) · 2025Article
- Provider Lifestyle Counseling Among Adults With Cardiometabolic Disease Diagnosis Differs by Sociodemographic Characteristics and Lifestyle Modification: NHANES 2017-2020.American journal of lifestyle medicine · 2025Article
- Article
- What quantifies good primary care in the United States? A review of algorithms and metrics using real-world data.BMC primary care · 2023Review
- Substitution of telemedicine for clinic visit during the COVID-19 pandemic of 2020: Comparison of telemedicine and clinic visit.Journal of diabetes investigation · 2022Observational
- Review
- Self-management Education Program: The Case of Glycemic Control of Type 2 Diabetes.Oman medical journal · 2021Review
- Lifestyle Counseling for Medication Adherence in Glaucoma.Clinical ophthalmology (Auckland, N.Z.) · 2021Article
- Influence of the Model of Care on the Outcomes of Diabetes Self-Management Education Program: A Scoping Review.Journal of diabetes research · 2021Article
- Evaluation of Counseling Practices and Patient's Satisfaction Offered by Pharmacists for Diabetics Attending Outpatient Pharmacies in Al Ahsa.Journal of patient experience · 2020Article
- Trends in Lifestyle Counseling for Adults With and Without Diabetes in the U.S., 2005-2015.American journal of preventive medicine · 2019Article
- Barriers and Facilitators to Weight and Lifestyle Management in Women with Polycystic Ovary Syndrome: General Practitioners' Perspectives.Nutrients · 2019Article
- Which self-management strategies do health care professionals recommend to their cancer patients? An experimental investigation of patient age and treatment phase.Journal of behavioral medicine · 2019Article
- Personalized Hypertension Management Using Patient-Generated Health Data Integrated With Electronic Health Records (EMPOWER-H): Six-Month Pre-Post Study.Journal of medical Internet research · 2017Article
- A Gap in the United States Healthcare System: Physician Nutrition Education Knowledge and Application.MedEdPublish (2016) · 2017Article
- Relationship between social network, social support and health behaviour in people with type 1 and type 2 diabetes: cross-sectional studies.BMC public health · 2016Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors at 2 institutions in 1 country.
Funding
Abstract
objectiveIn clinical trials, diet, exercise, and weight counseling led to short-term improvements in blood glucose, blood pressure, and cholesterol levels in patients with diabetes. However, little is known about the long-term effects of lifestyle counseling on patients with diabetes in routine clinical settings. RESEARCH DESIGN AND
methodsThis retrospective cohort study of 30,897 patients with diabetes aimed to determine whether lifestyle counseling is associated with time to A1C, blood pressure, and LDL cholesterol control in patients with diabetes. Patients were included if they had at least 2 years of follow-up with primary care practices affiliated with two teaching hospitals in eastern Massachusetts between 1 January 2000 and 1 January 2010.
resultsComparing patients with face-to-face counseling rates of once or more per month versus less than once per 6 months, median time to A1C <7.0% was 3.5 versus 22.7 months, time to blood pressure <130/85 mmHg was 3.7 weeks versus 5.6 months, and time to LDL cholesterol <100 mg/dL was 3.5 versus 24.7 months, respectively (P < 0.0001 for all). In multivariable analysis, one additional monthly face-to-face lifestyle counseling episode was associated with hazard ratios of 1.7 for A1C control (P < 0.0001), 1.3 for blood pressure control (P < 0.0001), and 1.4 for LDL cholesterol control (P = 0.0013).
conclusionsLifestyle counseling in the primary care setting is strongly associated with faster achievement of A1C, blood pressure, and LDL cholesterol control. These results confirm that the findings of controlled clinical trials are applicable to the routine care setting and provide evidence to support current treatment guidelines.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.