--- title: "Education-impact-wt-diabetes | Sutter Health" description: "Even relatively small \"doses\" of health education may help in promoting weight loss and may potentially reduce cardiometabolic risk." url: "https://www.sutterhealth.org/research/publications/education-impact-wt-diabetes-1055312810" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Education-impact-wt-diabetes # Impact of education on weight in newly diagnosed type 2 diabetes: every little bit helps. Azar KM, Chung S, Wang EJ, Zhao B, Linde RB, Lederer J, & Palaniappan LP. _PLoS One. 10(6):e0129348. doi: 10.1371/journal.pone.0129348. eCollection 2015._ 2015-06-08 ## Abstract AIMS: Highly structured, intensive behavioral lifestyle interventions have been shown to be efficacious in research settings for type 2 diabetes management and weight loss. We sought to evaluate the benefit of participation in more limited counseling and/or education among individuals with newly diagnosed type 2 diabetes in more modest real-world clinical settings. METHODS: Electronic Health Records of newly diagnosed type 2 diabetes patients age 35-74 from a large ambulatory group practice were analyzed (n = 1,314). We examined participation in clinic-based lifestyle counseling/education and subsequent weight loss. RESULTS: Of the total cohort, 599 (45.6%) patients received counseling/education with (26.2%) and without (19.4%) medication, 298(22.7%) patients received a prescription for medication alone, and 417(31.7%) patients were only monitored. On average, those who participated in counseling/education attended 2.5 sessions (approximately 2-3 hours). The average weight loss of patients who received counseling/education alone during the follow-up period (up to three years post-exposure to participation) was 6.3 lbs. (3.3% of body weight), and, if received with medication prescription, 8.1lbs. (4.0% of body weight) (all at P<0.001). The weight loss associated with medication was only 3.5 lbs. (P<0.001). No significant weight change was observed in the monitoring only group. CONCLUSIONS: While efforts to improve both the short-term and long-term effectiveness of behavioral lifestyle interventions in real-world settings are ongoing, it is important for clinicians to continue to utilize less intensive, existing resources. Even relatively small "doses" of health education may help in promoting weight loss and may potentially reduce cardiometabolic risk. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/26052698) ![Kristen M J Azar, RN, MSN, MPH](https://dyn.mktgcdn.com/p/rFmyR1kiX8JzE5-XNwup0gVC1GRaVTlH7oSDlG0Tr5A/fit=crop,gravity=auto,dpr=2,width=188,height=250,quality=100) Kristen M J Azar, RN, MSN, MPH Principal investigator [View profile](https://www.sutterhealth.org/research/investigators/kristen-m-j-azar-rn-msn-mph-1049680985) ## Research topics - [Diabetes, Insulin Resistance and Metabolic Syndrome](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Diabetes%2C+Insulin+Resistance+and+Metabolic+Syndrome%5C%22%22) - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Medical Informatics](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Medical+Informatics%5C%22%22) - [Obesity](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Obesity%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Comparative effectiveness of early versus delayed metformin in the treatment of type 2 diabetes.](https://www.sutterhealth.org/research/publications/early-vs-delayed-metformin-type-2-diabetes-1055312946) Romanelli RJ, Chung S, Pu J, Nimbal V, Zhao B, Palaniappan L. Diabetes Res Clin Pract. pii: S0168-8227(15)00046-7. doi: 10.1016/j.diabres.2014.12.019. \[Epub ahead of print\] 2015 Jan 21 - Publication ### [Short-term weight trajectories and long-term weight outcomes from a lifestyle intervention in real-world clinical practice.](https://www.sutterhealth.org/research/publications/short-term-weight-trajectories-and-long-term-weight-outcomes-1055312769) Romanelli RJ, Sudat S, Huang Q, Ma J, Venditti EM, Greenwood DA, Pressman AR, Azar KMJ. Transl Behav Med. pii: ibz118. doi: 10.1093/tbm/ibz118. \[Epub ahead of print\] 2019 Aug 01 - Publication ### [Nudging physicians and patients with autopend clinical decision support to improve diabetes management.](https://www.sutterhealth.org/research/publications/autopend-decision-spt-to-improve-dm-mgmt-1055312391) Panattoni L, Chan A, Yang Y, Olson C, Tai-Seale M. Am J Manag Care. 24(10):479-483. 2018 Oct 01 - Publication ### [Initiation of treatment for incident diabetes: evidence from the electronic health records in an ambulatory care setting.](https://www.sutterhealth.org/research/publications/initiation-tx-incident-diabetes-ehrs-primary-care-1055312897) Chung S, Zhao B, Lauderdale D, Linde R, Stafford R, Palaniappan L. Prim Care Diabetes. 9(1):23-30. doi: 10.1016/j.pcd.2014.04.005. Epub 2014 May 5. 2015 Feb 01 - Publication ### [Baseline obesity status modifies effectiveness of adapted diabetes prevention program lifestyle interventions for weight management in primary care.](https://www.sutterhealth.org/research/publications/obesity-status-modifies-dpp-program-for-wt-mgmt-1055312603) Azar KM, Xiao L, Ma J. Biomed Res Int. 2013:191209. doi: 10.1155/2013/191209. Epub 2013 Dec 4. 2013 Dec 04 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/education-impact-wt-diabetes-1055312810#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Education-impact-wt-diabetes"}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/education-impact-wt-diabetes-1055312810#medicalscholarlyarticle","name":"Impact of education on weight in newly diagnosed type 2 diabetes: every little bit helps.","headline":"Education-impact-wt-diabetes","abstract":"AIMS: Highly structured, intensive behavioral lifestyle interventions have been shown to be efficacious in research settings for type 2 diabetes management and weight loss. We sought to evaluate the benefit of participation in more limited counseling and/or education among individuals with newly diagnosed type 2 diabetes in more modest real-world clinical settings. METHODS: Electronic Health Records of newly diagnosed type 2 diabetes patients age 35-74 from a large ambulatory group practice were analyzed (n = 1,314). We examined participation in clinic-based lifestyle counseling/education and subsequent weight loss. RESULTS: Of the total cohort, 599 (45.6%) patients received counseling/education with (26.2%) and without (19.4%) medication, 298(22.7%) patients received a prescription for medication alone, and 417(31.7%) patients were only monitored. On average, those who participated in counseling/education attended 2.5 sessions (approximately 2-3 hours). The average weight loss of patients who received counseling/education alone during the follow-up period (up to three years post-exposure to participation) was 6.3 lbs. (3.3% of body weight), and, if received with medication prescription, 8.1lbs. (4.0% of body weight) (all at P\u003c0.001). The weight loss associated with medication was only 3.5 lbs. (P\u003c0.001). No significant weight change was observed in the monitoring only group. CONCLUSIONS: While efforts to improve both the short-term and long-term effectiveness of behavioral lifestyle interventions in real-world settings are ongoing, it is important for clinicians to continue to utilize less intensive, existing resources. 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