Comparison of weight loss outcomes between obese patients with and without Type 2 diabetes attending a weight management focused structured educational group

G. Abernethy, V. Mann, R. John, J. Shakher, S. Bellary, A.A. Tahrani, A.C. Brown, A. Wright, R. Davies

Research output: Contribution to journalMeeting abstract

Abstract

Aims: Specialist lifestyle management (SLiM) is a medically supported dietetically led structured group education and self-management programme focusing on weight management. Obese patients with Type 2 diabetes are perceived to find it more difficult to lose weight compared with those without diabetes. We aimed to compare the weight loss achieved by obese patients with or without Type 2 diabetes completing the SLiM programme.
Methods: A prospective analysis of patients attending SLiM between 2009 and 2013 was conducted.
Results: There were 454 obese patients (mean age 49.1 ± 11.6years, women 72.5%, body mass index 49.8 ± 9.3kg/m2, weight137.3 ± 28kg). 152/454 patients (33%) had Type 2 diabetes of which 31 (20.4%) were insulin treated. Patients with Type 2diabetes were older (52.4 ± 11.3 vs 47.5 ± 11.4 years, p < 0.001). SLiM resulted in significant weight loss in patients with (136.5 ± 27 vs 130.2 ± 25.3, p < 0.001) or without (137.6 ± 29 vs 132.6 ± 28.4, p < 0.001) Type 2 diabetes. Weight loss was comparable between patients with and without Type 2 diabetes (6.1 ± 7.9 vs5.1 ± 7kg, p = 0.2). The proportion of patients achieving ≥ 10%weight loss was similar between patients with and without Type 2diabetes (10.5% vs 9.9%, p = 0.4). Insulin-treated patients lost similar weight to those not treated with insulin (6.3 ± 9.4 vs 6.1 ± 7.6kg, p = 0.9). After adjustment for age, sex, referral weight and medications, Type 2 diabetes did not predict weight change during the SLiM programme (b = 0.3, p = 0.5).
Conclusions: Attending the SLiM groups produces a significant weight loss in patients with Type 2 diabetes which is comparable to those without Type 2 diabetes. Insulin-treated patients lost similar weight to those not on insulin. Weight gain with Type 2 diabetes and insulin treatment is not ‘unavoidable’ if patients receive the appropriate support and education.
Original languageEnglish
Article numberA17 (P234)
Pages (from-to)7
Number of pages1
JournalDiabetic Medicine
Volume31
Issue numbers1
DOIs
Publication statusPublished - 31 Mar 2014
EventDiabetes UK Professional Conference 2014 - Arena and Convention Centre, Liverpool, United Kingdom
Duration: 5 Mar 20147 Mar 2014

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Type 2 Diabetes Mellitus
Weight Loss
Weights and Measures
Life Style
Insulin
Education
Self Care
Weight Gain
Body Mass Index
Referral and Consultation

Bibliographical note

Special Issue: Abstacts of the Diabetes UK Professional Conference 2014, Arena and Convention Centre, Liverpool, UK, 5–7 March 2014.

Cite this

Abernethy, G. ; Mann, V. ; John, R. ; Shakher, J. ; Bellary, S. ; Tahrani, A.A. ; Brown, A.C. ; Wright, A. ; Davies, R. / Comparison of weight loss outcomes between obese patients with and without Type 2 diabetes attending a weight management focused structured educational group. In: Diabetic Medicine. 2014 ; Vol. 31, No. s1. pp. 7.
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title = "Comparison of weight loss outcomes between obese patients with and without Type 2 diabetes attending a weight management focused structured educational group",
abstract = "Aims: Specialist lifestyle management (SLiM) is a medically supported dietetically led structured group education and self-management programme focusing on weight management. Obese patients with Type 2 diabetes are perceived to find it more difficult to lose weight compared with those without diabetes. We aimed to compare the weight loss achieved by obese patients with or without Type 2 diabetes completing the SLiM programme.Methods: A prospective analysis of patients attending SLiM between 2009 and 2013 was conducted.Results: There were 454 obese patients (mean age 49.1 ± 11.6years, women 72.5{\%}, body mass index 49.8 ± 9.3kg/m2, weight137.3 ± 28kg). 152/454 patients (33{\%}) had Type 2 diabetes of which 31 (20.4{\%}) were insulin treated. Patients with Type 2diabetes were older (52.4 ± 11.3 vs 47.5 ± 11.4 years, p < 0.001). SLiM resulted in significant weight loss in patients with (136.5 ± 27 vs 130.2 ± 25.3, p < 0.001) or without (137.6 ± 29 vs 132.6 ± 28.4, p < 0.001) Type 2 diabetes. Weight loss was comparable between patients with and without Type 2 diabetes (6.1 ± 7.9 vs5.1 ± 7kg, p = 0.2). The proportion of patients achieving ≥ 10{\%}weight loss was similar between patients with and without Type 2diabetes (10.5{\%} vs 9.9{\%}, p = 0.4). Insulin-treated patients lost similar weight to those not treated with insulin (6.3 ± 9.4 vs 6.1 ± 7.6kg, p = 0.9). After adjustment for age, sex, referral weight and medications, Type 2 diabetes did not predict weight change during the SLiM programme (b = 0.3, p = 0.5).Conclusions: Attending the SLiM groups produces a significant weight loss in patients with Type 2 diabetes which is comparable to those without Type 2 diabetes. Insulin-treated patients lost similar weight to those not on insulin. Weight gain with Type 2 diabetes and insulin treatment is not ‘unavoidable’ if patients receive the appropriate support and education.",
author = "G. Abernethy and V. Mann and R. John and J. Shakher and S. Bellary and A.A. Tahrani and A.C. Brown and A. Wright and R. Davies",
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Comparison of weight loss outcomes between obese patients with and without Type 2 diabetes attending a weight management focused structured educational group. / Abernethy, G.; Mann, V.; John, R.; Shakher, J.; Bellary, S.; Tahrani, A.A.; Brown, A.C.; Wright, A.; Davies, R.

In: Diabetic Medicine, Vol. 31, No. s1, A17 (P234), 31.03.2014, p. 7.

Research output: Contribution to journalMeeting abstract

TY - JOUR

T1 - Comparison of weight loss outcomes between obese patients with and without Type 2 diabetes attending a weight management focused structured educational group

AU - Abernethy, G.

AU - Mann, V.

AU - John, R.

AU - Shakher, J.

AU - Bellary, S.

AU - Tahrani, A.A.

AU - Brown, A.C.

AU - Wright, A.

AU - Davies, R.

N1 - Special Issue: Abstacts of the Diabetes UK Professional Conference 2014, Arena and Convention Centre, Liverpool, UK, 5–7 March 2014.

PY - 2014/3/31

Y1 - 2014/3/31

N2 - Aims: Specialist lifestyle management (SLiM) is a medically supported dietetically led structured group education and self-management programme focusing on weight management. Obese patients with Type 2 diabetes are perceived to find it more difficult to lose weight compared with those without diabetes. We aimed to compare the weight loss achieved by obese patients with or without Type 2 diabetes completing the SLiM programme.Methods: A prospective analysis of patients attending SLiM between 2009 and 2013 was conducted.Results: There were 454 obese patients (mean age 49.1 ± 11.6years, women 72.5%, body mass index 49.8 ± 9.3kg/m2, weight137.3 ± 28kg). 152/454 patients (33%) had Type 2 diabetes of which 31 (20.4%) were insulin treated. Patients with Type 2diabetes were older (52.4 ± 11.3 vs 47.5 ± 11.4 years, p < 0.001). SLiM resulted in significant weight loss in patients with (136.5 ± 27 vs 130.2 ± 25.3, p < 0.001) or without (137.6 ± 29 vs 132.6 ± 28.4, p < 0.001) Type 2 diabetes. Weight loss was comparable between patients with and without Type 2 diabetes (6.1 ± 7.9 vs5.1 ± 7kg, p = 0.2). The proportion of patients achieving ≥ 10%weight loss was similar between patients with and without Type 2diabetes (10.5% vs 9.9%, p = 0.4). Insulin-treated patients lost similar weight to those not treated with insulin (6.3 ± 9.4 vs 6.1 ± 7.6kg, p = 0.9). After adjustment for age, sex, referral weight and medications, Type 2 diabetes did not predict weight change during the SLiM programme (b = 0.3, p = 0.5).Conclusions: Attending the SLiM groups produces a significant weight loss in patients with Type 2 diabetes which is comparable to those without Type 2 diabetes. Insulin-treated patients lost similar weight to those not on insulin. Weight gain with Type 2 diabetes and insulin treatment is not ‘unavoidable’ if patients receive the appropriate support and education.

AB - Aims: Specialist lifestyle management (SLiM) is a medically supported dietetically led structured group education and self-management programme focusing on weight management. Obese patients with Type 2 diabetes are perceived to find it more difficult to lose weight compared with those without diabetes. We aimed to compare the weight loss achieved by obese patients with or without Type 2 diabetes completing the SLiM programme.Methods: A prospective analysis of patients attending SLiM between 2009 and 2013 was conducted.Results: There were 454 obese patients (mean age 49.1 ± 11.6years, women 72.5%, body mass index 49.8 ± 9.3kg/m2, weight137.3 ± 28kg). 152/454 patients (33%) had Type 2 diabetes of which 31 (20.4%) were insulin treated. Patients with Type 2diabetes were older (52.4 ± 11.3 vs 47.5 ± 11.4 years, p < 0.001). SLiM resulted in significant weight loss in patients with (136.5 ± 27 vs 130.2 ± 25.3, p < 0.001) or without (137.6 ± 29 vs 132.6 ± 28.4, p < 0.001) Type 2 diabetes. Weight loss was comparable between patients with and without Type 2 diabetes (6.1 ± 7.9 vs5.1 ± 7kg, p = 0.2). The proportion of patients achieving ≥ 10%weight loss was similar between patients with and without Type 2diabetes (10.5% vs 9.9%, p = 0.4). Insulin-treated patients lost similar weight to those not treated with insulin (6.3 ± 9.4 vs 6.1 ± 7.6kg, p = 0.9). After adjustment for age, sex, referral weight and medications, Type 2 diabetes did not predict weight change during the SLiM programme (b = 0.3, p = 0.5).Conclusions: Attending the SLiM groups produces a significant weight loss in patients with Type 2 diabetes which is comparable to those without Type 2 diabetes. Insulin-treated patients lost similar weight to those not on insulin. Weight gain with Type 2 diabetes and insulin treatment is not ‘unavoidable’ if patients receive the appropriate support and education.

UR - http://onlinelibrary.wiley.com/doi/10.1111/dme.12377_4/abstract

U2 - 10.1111/dme.12377_4

DO - 10.1111/dme.12377_4

M3 - Meeting abstract

VL - 31

SP - 7

JO - Diabetic Medicine

JF - Diabetic Medicine

SN - 0742-3071

IS - s1

M1 - A17 (P234)

ER -