AJLM CME/CE Article Quiz Volume 16, Issue 3
AJLM CME/CE Article Quiz Volume 16, Issue 3 is organized by American College of Lifestyle Medicine (ACLM) and will be held from Jun 01, 2022 - Jun 01, 2025.
Description
Using a modified Delphi process, panel members expressed levels of agreement with the statements, resulting in classification as consensus, near-consensus, or non-consensus. Results. After three iterations of the Delphi survey, 69 statements met the criteria for consensus, five for near consensus, and 60 for no consensus. The consensus was reached on several key issues: (a) Remission of T2D requires achieving, for a specified minimum time, normal glycemic measures, defined as HbA1c <6.5% and normal fasting blood glucose with no metabolic surgical interventions, endoscopic weight-loss devices, or active pharmacologic therapy for the specific purpose of lowering blood glucose; (b) Diet as a primary intervention for T2D can achieve remission in many adults with T2D and is related to the intensity of the intervention; and (c) Diet as a primary intervention for T2D is most effective in achieving remission when emphasizing whole, plant-based foods with minimal consumption of meat and other animal products.
Conclusion
Clinicians can use these statements to improve the quality of care, inform policy and protocols, and identify areas of uncertainty.
Learning Objectives
• Define the criteria for type 2 diabetes (T2D) remission
• Describe key dietary intervention features to induce T2D remission
• Identify weight loss targets to use in helping patients achieve T2D remission
• Identify appropriate labs to gauge the likelihood of T2D remission
