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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
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pubmed:dateCreated |
1998-8-27
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pubmed:abstractText |
Weight change and glycaemic control in 132 diabetic patients previously treated for 1 year by four different methods aimed at weight loss were reanalysed 4 years after the outset. The four treatment groups comprised clinic visits, home visits, behavioural group therapy, and dexfenfluramine given for the initial 3 months followed by clinic visits. When analysed on an intention to treat basis only the dexfenfluramine group maintained a significant weight loss at year 4 (mean -2.46 kg) with 43% of patients losing 3 kg or more; HBA1c was not decreased. The other treatment groups showed overall weight regain from year 1 to year 4. Within the home visit group however, the number of patients losing at least 3 kg doubled between years 1 (21%) and 4 (38%). When analysed on a completion basis, weight loss in the dexfenfluramine group was significant in females but not in males at year 4. During the 4 years of observation a cohort of 54 patients reflecting our routine clinic practice gained on average 0.35 kg. Although now withdrawn, the use of an appetite suppressant dexfenfluramine for just 3 months would appear to have a long-term advantage on weight loss in this diabetic population, although the weight lost was not associated with improvement in glycaemic control.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jun
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pubmed:issn |
0742-3071
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
15
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
497-502
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:9632125-Ambulatory Care,
pubmed-meshheading:9632125-Appetite Depressants,
pubmed-meshheading:9632125-Diabetes Mellitus,
pubmed-meshheading:9632125-Dietetics,
pubmed-meshheading:9632125-Female,
pubmed-meshheading:9632125-Fenfluramine,
pubmed-meshheading:9632125-Follow-Up Studies,
pubmed-meshheading:9632125-Hemoglobin A, Glycosylated,
pubmed-meshheading:9632125-Home Care Services,
pubmed-meshheading:9632125-Humans,
pubmed-meshheading:9632125-Male,
pubmed-meshheading:9632125-Middle Aged,
pubmed-meshheading:9632125-Obesity,
pubmed-meshheading:9632125-Psychotherapy, Group,
pubmed-meshheading:9632125-Weight Loss
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pubmed:year |
1998
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pubmed:articleTitle |
The comparison of four weight reduction strategies aimed at overweight patients with diabetes mellitus: four-year follow-up.
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pubmed:affiliation |
The Diabetes Centre, Ninewells Hospital and Medical School, Dundee, Scotland.
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pubmed:publicationType |
Journal Article,
Clinical Trial,
Comparative Study,
Randomized Controlled Trial,
Research Support, Non-U.S. Gov't
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