Intensive Lifestyle Interventions Reduce Cardiovascular Risk Among People with Type 2 Diabetes

A couple cuts vegetables while preparing a healthy meal.The Community Preventive Services Task Force (CPSTF) recommends intensive lifestyle interventions for people with type 2 diabetes. Evidence shows these intensive lifestyle interventions improve patients’ glycemic control and reduce the risk of cardiovascular disease.

What are Intensive Lifestyle Interventions?

Over a period of six months or longer, program staff provide patients ongoing counseling, coaching, or individualized guidance on dietary modifications, regular exercise, or both. Intervention components may include tailored advice on dietary changes, supervised exercise training, and weight loss goals.

Why is this CPSTF Recommendation Important?

  • In the United States, approximately 23.1 million people were diagnosed with diabetes (CDC, 2017).
  • The estimated cost of diabetes was $245 billion in 2012, including direct and indirect costs (CDC, 2017).
  • Diabetes increases patients’ risk of heart attack, stroke nerve damage, eye damage and blindness, kidney disease and more. When properly managed, however, patients can reduce these risks (CDC, 2017).

What are CPSTF and The Community Guide?

  • The Community Preventive Services Task Force (CPSTF) is an independent, nonfederal panel of public health and prevention experts whose members are appointed by the Director of CDC. CPSTF provides information for a wide range of decision makers on programs, services, and other interventions aimed at improving population health. Although CDC provides administrative, scientific, and technical support for the Task Force, the recommendations developed are those of CPSTF and do not undergo review or approval by CDC.
  • The Guide to Community Preventive Services (The Community Guide) is a collection of all the evidence-based findings and recommendations of the Community Preventive Services Task Force and is available online at

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