The studies reviewed here use a variety of criteria to define type 2 diabetes. This is inevitable, given the long time period included. It was not possible to identify consistent criteria for all studies. However, the 1985 WHO criteria24 were used as a reference when possible since the majority of modern studies used them. In prevention trials, the development of any clinical diagnosis of diabetes or measured hyperglycemia meeting defined criteria was usually the outcome of the trial.
No studies published to date have tested for autoimmune markers that would identify subjects developing type 1 diabetes. Since over 90% of people developing diabetes over the age of 50 years will have type 2 diabetes30, this is a minor limitation. However, proper diagnosis of the etiological type of diabetes as an outcome will become increasingly important in trials in the future, since specific interventions aimed at defined metabolic and immunological pathways will increasingly be tested.
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.