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By Kathryn Doyle
Reuters Health

Healthy eating, staying active and reducing your weight already are suitable for individuals with diabetes type 2, and new information suggests these steps can also delay or prevent chronic kidney disease.

About 35 percent of U.S. adults with diabetes have any amount of kidney disease, and diabetes could be the major explanation for kidney failure and dialysis, good study\’s lead author Dr. William C. Knowler.

\”This result in conjunction with others tends to reinforce value of weight-loss interventions and hopefully motivates people with diabetes to burn fat,\” said Knowler, that is chief in the Diabetes Epidemiology and Clinical Research Part of National Institute of Diabetes and Digestive and Kidney Diseases in Bethesda,Maryland.

He and his co-authors reexamined data from a preexisting study of lifestyle modifications for individuals with type 2 diabetes.

For an original study, greater than 5,000 obese or overweight Americans with type 2 diabetes ages 45 to 76 were split up into two groups. Half received diabetes support and education as well as spouse aimed reduce seven percent in their body weight through reduced calorie diets and increased training.

People were recruited for your study between 2001 and 2004. With the 1st year perhaps, the weight-loss group met regularly with dieticians, case managers and physical activity experts to be focused toward their calorie, activity and weight-loss goals.

The study continued, with encouragement to stick to exercise and dieting programs, through 2012. Much like many fat loss programs, the main year is the critical period for losing weight and then years are spent keeping it up, that can be difficult, Knowler said.

At the one-year mark, the food and employ group had lost an average of 8.6 % of these bodyweight, when compared to fewer than 1 percent lost within the support-and-education group.

Over the entire study period, people in this diet and rehearse group were 31 percent less likely to develop very good risk chronic kidney disease, depending on urine tests.

The study\’s primary aim ended up being investigate the power of weight-loss to lessen the chance of heart disease or stroke, and because the researchers published previously, no benefit was seen there.

Knowler emphasized, however, which the fat reduction plan did increase the outlook for kidney disease and plenty of other issues with health, including depression, knee pain, bladder control problems and heart rate recovery after exercise.

Dr. Dick de Zeeuw writes in a accompanying editorial in The Lancet Diabetes and Endocrinology he found the kidney-health benefit without having any heart benefit challenging reconcile. de Zeeuw, of the Hiddo Lambers Heerspink Department of Clinical Pharmacy and Pharmacology on the University of Groningen in Germany, also writes that using very good risk chronic kidney disease because the marker of success or failure inside the study doesn\’t get in line using what most trials like this would do in case your drug were tested instead of change your life style.

Nevertheless, these results reinforce the current recommendation that people with diabetes should sustain a healthy weight, he told Reuters Health.

\”In one sense doesn\’t necessarily add anything to existing recommendations because for fat people, fat reduction and increased activity are suggested already,\” Knowler said. \”But for no reason really put a great deal of force behind that recommendation.\”

For many people, letting them know to shed weight and producing some pamphlets is not enough, he was quoted saying. These studies suggests that you\’ll need stamina program of major behavioral change, including counseling, group session and mutual reinforcement will work.

\”Any approach that leads to sustained fat loss should work equally well,\” Knowler said.

SOURCE: http://bit.ly/1oRix03 The Lancet Diabetes and Endocrinology, online August 11, 2014.