A Retrospective Analysis to Assess the Effect of an Integrated Intensive Lifestyle Intervention among Individuals with Prediabetes /Type 2 Diabetes/Obesity in India

The Freedom from Diabetes Clinic has been running a lifestyle intervention program for managing diabetes and its complications since its inception in 2013. As such, this comprehensive retrospective analysis aims to explore the effect of the integrated lifestyle management approach that combines diet, exercise, stress, and medical management in patients enrolled in the FFD intensive lifestyle intervention program for diabetes management. Additionally, this study aims to understand population-specific disease and metabolic characteristics along with mental health and stress-related issues, the prevalence of comorbidities, and their impact on glycemic control, and to explore the associations between these parameters in this cohort. Based on retrospective data extracted, the specific objectives of the study are: A) To assess the impact of the ILI (post-intervention effects) on remission (defined as maintaining HbA1c less than 6.5% without the use of glucose-lowering medications), glycemic control, weight loss, reduction in medication use, improvement in comorbidities (hypertension, dyslipidemia, nephropathy,  anxiety, depression, diabetes-related stress), and complications (nephropathy). B) To analyze the baseline characteristics of patients diagnosed with T2D and prediabetes who attended an ILI-based diabetes management program. C) To investigate the associations between clinical, anthropometric, biochemical, and mental health outcomes.