[ad_1]
Experts at the press conference on the twelfth diabetes conference of the German Diabetes Society (DDG) and the 34th Annual Congress of the German Society of Obesity (DAG) will discuss measures most effective for patients Tuesday, November 6, 2018, in Berlin.
"People with type 2 diabetes suffer from insulin resistance, which means that if their pancreas produces insulin, it is released in too small amounts or does not work properly with the target cells." says Dr. Dr. med. med. Andreas Pfeiffer, Head of the Clinical Working Group of the German Center for Diabetes Research DZD at the German Institute for Research on Nutrition (DIfE) Potsdam-Rehbrücke. "In addition to a genetic predisposition, obesity, particularly obesity of organs and muscles, promotes insulin resistance," said Pfeiffer.
With a healthy and calorie restricted diet and proper exercise, patients with type 2 diabetes can often improve insulin resistance and treat their diabetes in the long run without medication. "A diet and low calorie exercises stimulate the burning of fats in the organs, such as the liver and muscles, and increase their sensitivity to insulin," says Professor of the Department of Endocrinology, Diabetes and of Nutritional Medicine of Charity – Universitätsmedizin Berlin. Therefore, in the treatment of type 2 diabetes, nutritional therapy as well as the increase in physical activity are prioritized. Drug treatment should be initiated according to guideline (2) only if these measures fail.
The DiRECT study published in the journal "The Lancet" confirms the effectiveness of such a lifestyle-oriented intervention: 298 obese patients diagnosed with type 2 diabetes there are six years maximum. The study participants participated in an intensive weight reduction program (mainly through a high-calorie diet with 500-800 kcal per day) in order to lose 15 kg or more. Half of the participants in the study were able to normalize their sugar metabolism, that is to say to obtain a remission of diabetes. The more effective the treatment, the more successful the treatment was: in patients who could reduce their weight by more than 15 kilograms, a remission of diabetes was about 85%. In patients with weight loss of about ten kilograms, the likelihood of an improvement in symptoms has dropped to around 50%. In patients who declined only about five kilograms, the success rate dropped to about 20 percent (3).
"The prospect of controlling type 2 diabetes without drugs or insulin syringes is an important motivation for patients, but many patients struggle to change their lifestyle in the long term," said Pfeiffer. "It's all the more important to offer these patients an early and early five-year post-diagnosis program for an intensive weight loss program." Improving beta cell function and achieving good insulin sensitivity both fasting and after meals, is a weight reduction of about 15 kilograms the most promising. "Our experience shows that such a low-calorie diet, which can easily be achieved with a formula to ensure the intake of all essential nutrients, can be achieved in more than eight to twelve weeks by more than 90% of concerned, "said the expert. "In order to maintain weight, an intensive follow-up program with a nutritional change for a healthy diet is necessary."
However, a remission is not synonymous with healing. "We are talking about a remission, when the symptoms of a disease are brought back to normalization – this may be the case both temporarily and permanently," says Prof. Dr. med. med. Jens Aberle, president of the German Diabetes Association. "It's possible that type 2 diabetes will reappear after a while," said the medical director of the Hamburg-Eppendorf University Hospital. Participants at the DDG fall conference and at the DAG annual conference explain how the prognosis for type 2 diabetes can be improved and what other therapeutic approaches are available. It will take place from 9 to 10 November 2018 at the RheinMain CongressCenter Wiesbaden. All conference information is available on the Internet at the address.
sources:
(1) International Diabetes Federation, IDF Diabetes Atlas, eighth edition. 2017th
(2) German Medical Association (BÄK), National Association of Physicians of the Mandatory Health Insurance Sector (KBV), Association of Medical Scientific Societies (AWMF), National Reference Therapy of Type 2 Diabetes Care – Version long, 1st edition. Version 3. 2013, last modification: April 2014.
(3) Lean, M.E., et al .: Primary care-based weight management for type 2 diabetes remission (DiRECT): open-label, randomized trial. Lancet, 2018. 391 (10120): p. 541-551.
Information Date:
Press conference in Berlin
12th Fall Conference of the German Diabetes Society (DDG)
34th Annual Meeting of the German Society of Obesity (DAG)
Date: Tuesday, November 6, 2018, from 11:30 to 12:30.
Location: Conference Center at the Federal Press Conference, Room 2
Address: Schiffbauerdamm 40 / corner Reinhardtstrbade 55, 10117 Berlin
Preliminary topics and speakers:
New therapies: intervention options against obesity
Professor med. Jens Aberle
Chair of the conference, 12th Fall Conference on Diabetes; III. Department of Internal Medicine at UKE – University Medical Center Hamburg-Eppendorf
Coverage Gaps in the Treatment of Obesity in Children and Adults: The Current Status Quo in Germany
Professor med. Matthias Blüher
Chairman of the German Obesity Society (DAG) e.V .; Head of the Adiposity Adult Outpatient Clinic of the Department of Endocrinology and Nephrology at the Leipzig University Hospital
increase the good blood sugar, blood pressure and blood lipids life expectancy in people with diabetes
Professor med. Baptiste Gallwitz
Spokesperson of the German Diabetes Society (DDG); Deputy Director of Medical Clinic IV, Tübingen University Hospital
Lifestyle intervention can lead to remission in patients with type 2 diabetes
Professor med. Andreas Pfeiffer
Department of Endocrinology, Diabetes and Nutrition, Charity – Benjamin Franklin Campus / Berlin University Charity, Head of the German Clinical Nutrition Center for Diabetes (DZD) of the German Institute for Nutrition Research (DIfE) in Potsdam- Rehbrücke
Congress press conference in Wiesbaden
12th Fall Conference of the German Diabetes Society (DDG)
34th Annual Meeting of the German Society of Obesity (DAG)
Date: Friday, November 9, 2018, from 12:30 to 13:30.
Location: RheinMain CongressCenter Wiesbaden, Studio 1.2 B + C, 1st floor
Address: Friedrich-Ebert-Allee 1, 65185 Wiesbaden
Preliminary topics and speakers:
Drugs in diabetes therapy: What's new?
Professor med. Jens Aberle
Chair of the conference, 12th Fall Conference on Diabetes; III. Department of Internal Medicine at UKE – University Medical Center Hamburg-Eppendorf
Obesity in children and adolescents: a shortage of considerable supplies in Germany – adolescents suffering from extreme obesity are the losers
Professor med. Martin Wabitsch
President of the Congress 34th Annual Meeting of the German Obesity Society (DAG); Head of the Department of Pediatric Endocrinology and Diabetology, Center for Research on Rare Endocrine Diseases of the University Department of Pediatric and Adolescent Medicine at the Ulm University Hospital
Prevention and treatment of obesity and type 2 diabetes: the importance of physical activity to reduce morbidity and mortality
Professor med. Dr. Sportwiss. Christine Graf
Institute of Movement and Neuroscience at the German University of Sport Cologne
Diabetes Digital: How can new technologies support diabetic patients?
Dr. med. Matthias Kaltheuner
Member of the Board of Directors of the German Diabetes Society, established diabetologist, Leverkusen
Obesity and social consequences: people affected suffer from stigma on a daily basis
Stefanie Wirtz
1. President ObesityHilfe Germany e.V.
12. Diabetes meeting of the German Diabetes Association (DDG)
34th Annual Meeting of the German Society of Obesity (DAG)
"Interdisciplinary care – the patient at the center"
Deadline: 9th to 10th November 2018
Location: RheinMain CongressCenter Wiesbaden
Address: Friedrich-Ebert-Allee 1, 65185 Wiesbaden
************************************************** ***********
About the German Diabetes Society (DDG):
The German Diabetes Association (DDG), which has over 9,000 members, is one of the largest medical scientific societies in Germany. It supports science and research, engages in education and training, certified treatment facilities and develop guidelines. The goal is more effective prevention and treatment of diabetes, a widespread disease that affects more than six million people in Germany. To this end, he also undertakes extensive health policy activities.
Your contact for questions / accreditation:
DDG Fall Conference / DAG Annual Conference
Press office
Stéphanie Balz
PO Box 30 11 20
70451 Stuttgart
Phone: 0711 8931-168
Fax: 0711 8931-167
E-mail:
idw 2018/10
Source link
