Type 2 & other diabetes

Differential effect of nonpharmacological interventions according to prediabetes phenotype: Systematic review and meta‐analysis of randomized clinical trials

Diabet MedPublished Systematic review and meta-analysis of randomised trials

Authors' conclusion

Diverse lifestyle modification interventions improved glucose levels in people with IFG, but not in those with IGT. Our findings imply that different non-pharmacological interventions are warranted for IGT and IFG.

Study context

Population
Individuals with IGT or impaired fasting glucose (IFG) enrolled in randomized controlled trials (RCTs) of nonpharmacological (lifestyle modification) interventions36 RCTs
Comparison
Effect of lifestyle modification by prediabetes phenotype: IGT vs IFG
Outcome
Effect of lifestyle modification on glucose level

Pooled result

As reported in the abstract

MD, mg/dL (95% CI)
IFGlifestyle modification effect in IFG; significant
−1.56(−2.71 to −0.40)
IGTlifestyle modification effect in IGT; not significant
1.47(−1.33 to 4.28)

Further pooled results

Progression from impaired glycaemia to T2D

Reversion to normoglycaemia

Original publication

Differential effect of nonpharmacological interventions according to prediabetes phenotype: Systematic review and meta‐analysis of randomized clinical trials. Diabet Med. Published 15 January 2025. doi:10.1111/dme.15511

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