About two thirds of people with T1D in the US have overweight or obesity, nearly the same proportion as Americans without diabetes, new nationwide survey data suggest.
Consequently,"the lack of evidence for safe, effective methods of diet- and exercise-based weight control in people with type 1 diabetes may be keeping doctors from recommending such methods," Fang said in a statement.
She also observed,"In years of going to diabetes meetings, I've noticed occasional sessions on managing 'elite athletes' with type 1 diabetes, but rarely are there sessions on how to counsel people about everyday healthy living."Fang and colleagues analyzed NHIS data for the years 2016, 2017, 2019, 2020, and 2021, when diabetes subtype data were available, for 128,571 adults. Diabetes type and height/weight data were self-reported.
After adjustment for age, sex, and race/ethnicity, the adjusted prevalence of receiving a provider recommendation to increase physical activity was 60% for those with type 2 diabetes, 54% for type 1 diabetes, and 44% for those without diabetes. Proportions for receiving recommendations for reducing fat/caloric intake were similar, at 60%, 51%, and 41%, respectively.
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