According to new recommendations, lifestyle changes such as physical activity, nutrition, and combating sedentary behavior should be prioritized before considering medication for high blood sugar levels, as stated by the HAS in a recent press release. This shift in approach applies specifically to type 2 diabetes, which affects mostly older patients who are less responsive to insulin.
Type 1 diabetes, on the other hand, caused by insulin deficiency, requires insulin therapy. The HAS’s new guidelines come at a time when public health policies are increasingly emphasizing the benefits of physical activity. Physical activity has numerous therapeutic benefits, including improved insulin sensitivity, reduced risk of diabetes progression, and lower cardiovascular complications.
The HAS recommends the implementation of a personalized physical activity program and dietary modifications based on the individual patient. If lifestyle changes are insufficient, then medical treatment is suggested. This new approach prioritizes lifestyle management over medication, reflecting the evolving understanding of diabetes management.
While this strategy is generally accepted among specialists, some caution about the challenges of implementation. Cardiologist Florian Zores highlighted the difficulty of starting physical activity or changing one’s diet, noting the lack of therapeutic options to support and encourage these changes.
Overall, the new recommendations signal a shift towards a more holistic approach to diabetes management, recognizing the importance of lifestyle factors in addition to medical interventions. It is crucial for healthcare providers to support patients in adopting and maintaining healthy habits to effectively manage diabetes and improve overall well-being.