What really upsets me is the poor science that has been done surrounding the DPP and attempts to treat type 2 with diabetes. As I mentioned in a post a little more than a week ago the results of the DPP are particularly underwhelming in the long-term. The majority of the patients progressed to diabetes anyway and the “lifestyle” arm was no better than just taking metformin. The DPP at best could be said to delay the diagnosis of diabetes in 1 in fourteen people, but to leap to saying that “reverses” or “prevents” diabetes is just unsupported by the evidence.
Make no mistake, I strongly believe there is evidence that “lifestyle” can help all of us manage our diabetes. But managing our diabetes is very different than reversing or preventing diabetes. Words make a huge difference.