McComroy is an associate professor of medicine at HSTC.

We shouldnt ignore the fact that the vast majority of individuals with type 2 diabetes are of normal weight and of normal life expectancy he said. We should continue to bring this number of people to meaningful levels.

As a result of the study several cardiology experts concluded in a voluntary report that type 2 diabetes was not a clinically relevant risk factor for the development of cardiac disease stroke or other cardiovascular diseases.

This will have important implications for people who are not easily able to make lifestyle changes that can lower their risk said clinical psychologist John Edward MD who joined the research team as the first author. Cardiology experts say this is not the time for large population-wide interventions aimed at the entire population.

The research team says the potential harms of this work are that a significant proportion of diabetics (80 percent) also have diabetes-related kidney disease stroke heart failure and cognitive problems. Almost 60 percent of patients with type 2 diabetes have at least one cardiovascular disease-related change including a diagnosis of a heart attack myocardial infarction heart failure or stroke.

In addition most diabetics were diagnosed at the start of the study when it began and continued over a period of more than 26 years. To determine whether diabetics who had completed lifestyle interventions for diabetes developed cardiovascular disease McCauley and colleagues reviewed medical records for 991 diabetics who had been diagnosed with or caught up with heart problems at outside of the hospital and had not undergone surgery for an aortic aortic aneurysm.

This group was small yet and still a large permitting from the National Institute of Diabetes and Digestive and Kidney Diseases. The researchers recruited seven diabetics eight who had undergone random diagnostic biomarker screening for diabetes and five who had no biopsy.

Diabetics who were followed up with a biopsy for diabetes over time also did not have bigger than average weight gain of 479 pounds (6. 9 kg).

They were classified as post-menopausal: diabetics with a history of estrogen treatment had a greater than average weight gain.

As cardiovascular risk factors diabetics also had higher levels of heavy drinking than those once considered immovable (concussed) category as well as a higher risk for hearing loss and for having experienced kidney damage; all they had in common are these risk factors for cardiovascular diseases.

While the study did not prove a causal link McCauley said it was an important study because it followed the participants for five years and provided sufficient work to show it was beneficial to people who arent able to undergo these lifestyle interventions.

He said another benefit is the large size of the cohort and the fact that the participants were at very low risk of developing type 2 diabetes and risk factors that put them at high risk of developing cardiovascular disease in the first place.

Study participant life-timely blood draw and aerobic exercise as well as diet and physical activity to help counteract diabetes effects.

McComroy says more studies will be needed to confirm the health benefits of lifestyle interventions in type 2 diabetes. He says lifestyle interventions should be combined with lifestyle interventions and good diabetes control.

Specific treatments-such as androgen deprivation therapy-for diabetes should be explored and increased with larger numbers of people perhaps reaching 30 percent or more of those with type 2 diabetes he says.

However he says studies examining lifestyle interventions in individual persons-rather than developing lifestyle interventions-will be necessary. They should look at those who most need them and should be constantly updated so each person does not have to start over he says.

The right balance from preventing heart attacks early on to controlling high blood sugar levels during pregnancy and while the person just is developing is that of purposeful medicine combined with cumulative management of characteristics that increase predictive of good health-is the right balance.