Effects of lifestyle education on Type 2 diabetes with an emphasis on a traditional Japanese diet

Soji Okada

Aims: Lifestyle measures are central to disease management strategies aimed at combating the increased prevalence of Type 2 diabetes. The aim of this study was to evaluate the effects of lifestyle education, with an emphasis on a traditional Japanese diet, in patients with Type 2 diabetes.

Methods: An educational program for previously untreated outpatients with Type 2 diabetes mellitus was initiated, reinforcing the benefits of a healthy lifestyle and particularly a traditional Japanese diet. Following a Basic Diabetes Education protocol, nutrient intake, exercise and cardiovascular risk factors were measured at 0, 3 and 6 months.

Results: 92 patients received educational training (43 obese [BMI ≥25 kg/m2] and 49 non-obese patients [BMI <25 kg/m2]), completed assessment at all time-points, and demonstrated that the Basic Diabetes Education protocol produced positive behavioral changes and an improvement in total energy consumption, BMI, glycemic control (significantly lower HbA1c and postprandial plasma glucose) and cardiovascular risk factors (lipid profile).

Conclusion: Our results provide support for formal educational training regarding lifestyle improvement, including a traditional Japanese diet, in patients with Type 2 diabetes mellitus.