Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Current Diabetes Reports
Published in: Current Diabetes Reports 2/2012

Open Access 01-04-2012 | Issues in the Nutritional Treatment of Type 2 Diabetes and Obesity (O Hamdy, Section Editor)

Transcultural Diabetes Nutrition Therapy Algorithm: The Asian Indian Application

Authors: Shashank R. Joshi, V. Mohan, S. S. Joshi, Jeffrey I. Mechanick, Albert Marchetti

Published in: Current Diabetes Reports | Issue 2/2012

Login to get access

Abstract

India and other countries in Asia are experiencing rapidly escalating epidemics of type 2 diabetes (T2D) and cardiovascular disease. The dramatic rise in the prevalence of these illnesses has been attributed to rapid changes in demographic, socioeconomic, and nutritional factors. The rapid transition in dietary patterns in India—coupled with a sedentary lifestyle and specific socioeconomic pressures—has led to an increase in obesity and other diet-related noncommunicable diseases. Studies have shown that nutritional interventions significantly enhance metabolic control and weight loss. Current clinical practice guidelines (CPGs) are not portable to diverse cultures, constraining the applicability of this type of practical educational instrument. Therefore, a transcultural Diabetes Nutrition Algorithm (tDNA) was developed and then customized per regional variations in India. The resultant India-specific tDNA reflects differences in epidemiologic, physiologic, and nutritional aspects of disease, anthropometric cutoff points, and lifestyle interventions unique to this region of the world. Specific features of this transculturalization process for India include characteristics of a transitional economy with a persistently high poverty rate in a majority of people; higher percentage of body fat and lower muscle mass for a given body mass index; higher rate of sedentary lifestyle; elements of the thrifty phenotype; impact of festivals and holidays on adherence with clinic appointments; and the role of a systems or holistic approach to the problem that must involve politics, policy, and government. This Asian Indian tDNA promises to help guide physicians in the management of prediabetes and T2D in India in a more structured, systematic, and effective way compared with previous methods and currently available CPGs.
Literature
1.
Mechanick JI, Camacho PM, Cobin RH, Garber AJ, Garber JR, Gharib H, et al. American Association of Clinical Endocrinologists Protocol for Standardized Production of Clinical Practice Guidelines–2010 update. Endocr Pract.16:270–83.
2.
3.
Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. Prevalence of diabetes and prediabetes (impaired fasting glucose and/or impaired glucose tolerance) in urban and rural India: phase I results of the Indian Council of Medical Research-INdia DIABetes (ICMR-INDIAB) study. Diabetologia. 2011;54:3022–7.PubMedCrossRef
4.
Anjana RM, Pradeepa R, Deepa M, Datta M, Sudha V, Unnikrishnan R, et al. The Indian Council of Medical Research-India Diabetes (ICMR-INDIAB) study: methodological details. J Diabetes Sci Technol. 2011;5:906–14.PubMed
5.
Omran AR. The epidemiologic transition. A theory of the epidemiology of population change. Milbank Mem Fund Q. 1971;49:509–38.PubMedCrossRef
6.
Shetty PS. Nutrition transition in India. Publ Health Nutr. 2002;5:175–82.
7.
8.
Yudkin JS, Yajnik CS, Mohamed-Ali V, Bulmer K. High levels of circulating proinflammatory cytokines and leptin in urban, but not rural, Indians. A potential explanation for increased risk of diabetes and coronary heart disease. Diabetes Care. 1999;22:363–4.PubMedCrossRef
9.
McKeigue PM. Cardiovascular disease and diabetes in migrants - interactions between nutritional changes and genetic background. In: Shetty PS, McPherson K, editors. Diet, nutrition & chronic disease: lessons from contrasting worlds. London: Wiley; 1997. p. 59–70.
10.
Misra A, Sharma R, Gulati S, Joshi SR, Sharma V. Ghafoorunissa, et al. Consensus dietary guidelines for healthy living and prevention of obesity, the metabolic syndrome, diabetes, and related disorders in Asian Indians. Diabetes Technol Ther. 2011;13:683–94.PubMedCrossRef
11.
Neel JV. Diabetes mellitus: a “thrifty” genotype rendered detrimental by “progress”? Am J Hum Genet. 1962;14:353–62.PubMed
12.
13.
Hales CN, Barker DJ. Type 2 (non-insulin-dependent) diabetes mellitus: the thrifty phenotype hypothesis. Diabetologia. 1992;35:595–601.PubMedCrossRef
14.
Yajnik CS. Early life origins of insulin resistance and type 2 diabetes in India and other Asian countries. J Nutr. 2004;134:205–10.PubMed
15.
Yajnik CS. The insulin resistance epidemic in India: fetal origins, later lifestyle, or both? Nutr Rev. 2001;59:1–9.PubMedCrossRef
16.
Banerji MA, Faridi N, Atluri R, Chaiken RL, Lebovitz HE. Body composition, visceral fat, leptin, and insulin resistance in Asian Indian men. J Clin Endocrinol Metab. 1999;84:137–44.PubMedCrossRef
17.
Deurenberg P, Deurenberg-Yap M, Guricci S. Asians are different from Caucasians and from each other in their body mass index/body fat per cent relationship. Obes Rev. 2002;3:141–6.PubMedCrossRef
18.
McKeigue PM, Shah B, Marmot MG. Relation of central obesity and insulin resistance with high diabetes prevalence and cardiovascular risk in South Asians. Lancet. 1991;337:382–6.PubMedCrossRef
19.
Fall C. Maternal nutrition: effects on health in the next generation. Indian J Med Res. 2009;130:593–9.PubMed
20.
Joshi NP, Kulkarni SR, Yajnik CS, Joglekar CV, Rao S, Coyaji KJ, et al. Increasing maternal parity predicts neonatal adiposity: Pune Maternal Nutrition Study. Am J Obstet Gynecol. 2005;193:783–9.PubMedCrossRef
21.
National Nutrition Monitoring Bureau. Report of Second Repeat Surveys in Rural Area in NNMB States. NNMB Technical Report Number 18. Hyderabad, India. 1999.
22.
National Institute of Nutrition. Dietary Guidelines for Indians: A Manual. National Institute of Nutrition, Indian Council of Medical Research. Hyderabad, India. 1998.
23.
Livingstone MB, Black AE. Markers of the validity of reported energy intake. J Nutr. 2003;133 Suppl 3:895S–920S.PubMed
24.
Stubbs CO, Lee AJ. The obesity epidemic: both energy intake and physical activity contribute. Med J Aust. 2004;181:489–91.PubMed
25.
Verma NP, Mehta SP, Madhu S, Mather HM, Keen H. Prevalence of known diabetes in an urban Indian environment: the Darya Ganj diabetes survey. Br Med J (Clin Res Ed). 1986;293:423–4.CrossRef
26.
Mohan V, Deepa M, Deepa R, Shanthirani CS, Farooq S, Ganesan A, et al. Secular trends in the prevalence of diabetes and impaired glucose tolerance in urban South India–the Chennai Urban Rural Epidemiology Study (CURES-17). Diabetologia. 2006;49:1175–8.PubMedCrossRef
27.
Mohan V, Mathur P, Deepa R, Deepa M, Shukla DK, Menon GR, et al. Urban rural differences in prevalence of self-reported diabetes in India–the WHO-ICMR Indian NCD risk factor surveillance. Diabetes Res Clin Pract. 2008;80:159–68.PubMedCrossRef
28.
Mohan V, Shanthirani S, Deepa R, Premalatha G, Sastry NG, Saroja R. Intra-urban differences in the prevalence of the metabolic syndrome in southern India – the Chennai Urban Population Study (CUPS No. 4). Diabet Med. 2001;18:280–7.PubMedCrossRef
29.
Joseph A, Kutty VR, Soman CR. High risk for coronary heart disease in Thiruvananthapuram city: a study of serum lipids and other risk factors. Indian Heart J. 2000;52:29–35.PubMed
30.
Kutty VR, Soman CR, Joseph A, Pisharody R, Vijayakumar K. Type 2 diabetes in southern Kerala: variation in prevalence among geographic divisions within a region. Natl Med J India. 2000;13:287–92.PubMed
31.
Iyer SR, Iyer RR, Upasani SV, Baitule MN. Diabetes mellitus in Dombivli–an urban population study. J Assoc Phys India. 2001;49:713–6.
32.
Misra A, Pandey RM, Devi JR, Sharma R, Vikram NK, Khanna N. High prevalence of diabetes, obesity and dyslipidaemia in urban slum population in northern India. Int J Obes Relat Metab Disord. 2001;25:1722–9.PubMedCrossRef
33.
Prabhakaran D, Shah P, Chaturvedi V, Ramakrishnan L, Manhapra A, Reddy KS. Cardiovascular risk factor prevalence among men in a large industry of northern India. Natl Med J India. 2005;18:59–65.PubMed
34.
Gupta A, Gupta R, Sarna M, Rastogi S, Gupta VP, Kothari K. Prevalence of diabetes, impaired fasting glucose and insulin resistance syndrome in an urban Indian population. Diabetes Res Clin Pract. 2003;61:69–76.PubMedCrossRef
35.
Shah SK, Saikia M, Burman NN, Snehalatha C, Ramachandran A. High prevalence of type 2 diabetes in urban population in north-eastern India. Int J Diab Dev Countries. 1999;18:97–101.
36.
Ramachandran A, Snehalatha C, Kapur A, Vijay V, Mohan V, Das AK, et al. High prevalence of diabetes and impaired glucose tolerance in India: National Urban Diabetes Survey. Diabetologia. 2001;44:1094–101.PubMedCrossRef
37.
Reddy KS, Prabhakaran D, Chaturvedi V, Jeemon P, Thankappan KR, Ramakrishnan L, et al. Methods for establishing a surveillance system for cardiovascular diseases in Indian industrial populations. Bull World Health Organ. 2006;84:461–9.PubMedCrossRef
38.
Ramachandran A, Jali MV, Mohan V, Snehalatha C, Viswanathan M. High prevalence of diabetes in an urban population in south India. BMJ. 1988;297:587–90.PubMedCrossRef
39.
Singh TP, Singh AD, Singh TB. Prevalence of diabetes mellitus in Manipur. In: Shah SK, editor. Diabetes update. Guwahati: North Eastern Diabetes Society; 2001. p. 13–9.
40.
Patandin S, Bots ML, Abel R, Valkenburg HA. Impaired glucose tolerance and diabetes mellitus in a rural population in south India. Diabetes Res Clin Pract. 1994;24:47–53.PubMedCrossRef
41.
Wander GS, Khurana SB, Gulati R, Sachar RK, Gupta RK, Khurana S, et al. Epidemiology of coronary heart disease in a rural Punjab population–prevalence and correlation with various risk factors. Indian Heart J. 1994;46:319–23.PubMed
42.
Deo SS, Zantye A, Mokal R, Mithbawkar S, Rane S, Thakur K. To identify the risk factors for high prevalence of diabetes and impaired glucose tolerance in Indian rural population. Int J Diab Dev Countries. 2006;26:19–23.CrossRef
43.
Chow CK, Raju PK, Raju R, Reddy KS, Cardona M, Celermajer DS, et al. The prevalence and management of diabetes in rural India. Diabetes Care. 2006;29:1717–8.PubMedCrossRef
44.
Luepkar RV, Evans A, McKeigue P, Reddy KS. Cardiovascular survey methods. 3rd ed. Geneva: World Health Organization; 2004.
45.
Mohan V, Radhika G, Sathya RM, Tamil SR, Ganesan A, Sudha V. Dietary carbohydrates, glycaemic load, food groups and newly detected type 2 diabetes among urban Asian Indian population in Chennai, India (Chennai Urban Rural Epidemiology Study 59). Br J Nutr. 2009;102:1498–506.PubMedCrossRef
46.
Mohan V, Radhika G, Vijayalakshmi P, Sudha V. Can the diabetes/cardiovascular disease epidemic in India be explained, at least in part, by excess refined grain (rice) intake? Indian J Med Res. 2010;131:369–72.PubMed
47.
Radhika G, Van Dam RM, Sudha V, Ganesan A, Mohan V. Refined grain consumption and the metabolic syndrome in urban Asian Indians (Chennai Urban Rural Epidemiology Study 57). Metabolism. 2009;58:675–81.PubMedCrossRef
48.
Bhargava SK, Sachdev HS, Fall CH, Osmond C, Lakshmy R, Barker DJ, et al. Relation of serial changes in childhood body-mass index to impaired glucose tolerance in young adulthood. N Engl J Med. 2004;350:865–75.PubMedCrossRef
49.
Misra A, Vikram NK, Gupta R, Pandey RM, Wasir JS, Gupta VP. Waist circumference cutoff points and action levels for Asian Indians for identification of abdominal obesity. Int J Obes (Lond). 2006;30:106–11.CrossRef
50.
Alberti KG, Zimmet P, Shaw J. The metabolic syndrome–a new worldwide definition. Lancet. 2005;366:1059–62.PubMedCrossRef
51.
Rose G. The strategy of preventive medicine. New York: Oxford University Press; 1992.
52.
Srinath Reddy K, Shah B, Varghese C, Ramadoss A. Responding to the threat of chronic diseases in India. Lancet. 2005;366:1744–9.PubMedCrossRef
53.
Kuczmarski RJ, Flegal KM, Campbell SM, Johnson CL. Increasing prevalence of overweight among US adults. The National Health and Nutrition Examination Surveys, 1960 to 1991. JAMA. 1994;272:205–11.PubMedCrossRef
54.
Life Sciences Research Office, Federation of American Societies for Experimental Biology, Interagency Board for Nutrition Monitoring and Related Research. Third Report on Nutrition Monitoring in the United States: Executive Summary. Centers for Disease Control and Prevention. 1995. http://​www.​cdc.​gov/​nchs/​data/​misc/​tronm.​pdf. Accessed December 28 2011.
55.
Shah M, Hannan PJ, Jeffery RW. Secular trend in body mass index in the adult population of three communities from the upper mid-western part of the USA: the Minnesota Heart Health Program. Int J Obes. 1991;15:499–503.PubMed
56.
Colditz GA, Willett WC, Stampfer MJ, Manson JE, Hennekens CH, Arky RA, et al. Weight as a risk factor for clinical diabetes in women. Am J Epidemiol. 1990;132:501–13.PubMed
57.
Bouchard C, Tremblay A, Despres JP, Nadeau A, Lupien PJ, Theriault G, et al. The response to long-term overfeeding in identical twins. N Engl J Med. 1990;322:1477–82.PubMedCrossRef
58.
Schoeller DA. The importance of clinical research: the role of thermogenesis in human obesity. Am J Clin Nutr. 2001;73:511–6.PubMed
59.
60.
Flatt JP. Importance of nutrient balance in body weight regulation. Diabetes Metab Rev. 1988;4:571–81.PubMedCrossRef
61.
Grundy SM. Multifactorial causation of obesity: implications for prevention. Am J Clin Nutr. 1998;67:563S–72S.PubMed
62.
National Heart L, and Blood Institute. The lipid research clinics population studies data book: the prevalence study. Bethesda: National Institutes of Health; 1979.
63.
64.
Shah M, Garg A. High-fat and high-carbohydrate diets and energy balance. Diabetes Care. 1996;19:1142–52.PubMedCrossRef
65.
Boyko EJ, Fujimoto WY, Leonetti DL, Newell-Morris L. Visceral adiposity and risk of type 2 diabetes: a prospective study among Japanese Americans. Diabetes Care. 2000;23:465–71.PubMedCrossRef
66.
Chan JM, Rimm EB, Colditz GA, Stampfer MJ, Willett WC. Obesity, fat distribution, and weight gain as risk factors for clinical diabetes in men. Diabetes Care. 1994;17:961–9.PubMedCrossRef
67.
68.
Misra A, Khurana L. Obesity-related non-communicable diseases: South Asians vs White Caucasians. Int J Obes (Lond). 2011;35:167–87.CrossRef
69.
Deepa R, Sandeep S, Mohan V. Abdominal obesity, visceral fat and Type 2 diabetes - “Asian Indian Phenotype”. In: Mohan V, Gundu HRR, editors. Type 2 diabetes in South Asians: epidemiology, risk factors and prevention. New Delhi: Jaypee Brothers Medical; 2006. p. 138–52.
70.
Joshi SR. Metabolic syndrome–emerging clusters of the Indian phenotype. J Assoc Phys India. 2003;51:445–6.
71.
Srikanthan P, Karlamangla AS. Relative muscle mass is inversely associated with insulin resistance and prediabetes. Findings from the third National Health and Nutrition Examination Survey. J Clin Endocrinol Metab.96:2898–903.
72.
Vikram NK, Pandey RM, Misra A, Sharma R, Devi JR, Khanna N. Non-obese (body mass index <25 kg/m2) Asian Indians with normal waist circumference have high cardiovascular risk. Nutrition. 2003;19:503–9.PubMedCrossRef
73.
Gupta R, Sarna M, Thanvi J, Rastogi P, Kaul V, Gupta VP. High prevalence of multiple coronary risk factors in Punjabi Bhatia community: Jaipur Heart Watch-3. Indian Heart J. 2004;56:646–52.PubMed
74.
Deepa M, Farooq S, Deepa R, Manjula D, Mohan V. Prevalence and significance of generalized and central body obesity in an urban Asian Indian population in Chennai, India (CURES: 47). Eur J Clin Nutr. 2009;63:259–67.PubMedCrossRef
75.
Wasir JS, Misra A, Vikram NK, Pandey RM, Luthra K. C-reactive protein, obesity, and insulin resistance in postmenopausal women in urban slums of North India. Diab Met Syndr Clin Res Rev. 2007;1:83–9.CrossRef
76.
Chadha SL, Gopinath N, Shekhawat S. Urban–rural differences in the prevalence of coronary heart disease and its risk factors in Delhi. Bull World Health Organ. 1997;75:31–8.PubMed
77.
Chow C, Cardona M, Raju PK, Iyengar S, Sukumar A, Raju R, et al. Cardiovascular disease and risk factors among 345 adults in rural India–the Andhra Pradesh Rural Health Initiative. Int J Cardiol. 2007;116:180–5.PubMedCrossRef
78.
Bhardwaj S, Misra A, Khurana L, Gulati S, Shah P, Vikram NK. Childhood obesity in Asian Indians: a burgeoning cause of insulin resistance, diabetes and sub-clinical inflammation. Asia Pac J Clin Nutr. 2008;17 Suppl 1:172–5.PubMed
79.
Raj M, Sundaram KR, Paul M, Deepa AS, Kumar RK. Obesity in Indian children: time trends and relationship with hypertension. Natl Med J India. 2007;20:288–93.PubMed
80.
Manson JE, Nathan DM, Krolewski AS, Stampfer MJ, Willett WC, Hennekens CH. A prospective study of exercise and incidence of diabetes among US male physicians. JAMA. 1992;268:63–7.PubMedCrossRef
81.
Manson JE, Rimm EB, Stampfer MJ, Colditz GA, Willett WC, Krolewski AS, et al. Physical activity and incidence of non-insulin-dependent diabetes mellitus in women. Lancet. 1991;338:774–8.PubMedCrossRef
82.
Helmrich SP, Ragland DR, Leung RW, Paffenbarger Jr RS. Physical activity and reduced occurrence of non-insulin-dependent diabetes mellitus. N Engl J Med. 1991;325:147–52.PubMedCrossRef
83.
Kamath SK, Hussain EA, Amin D, Mortillaro E, West B, Peterson CT, et al. Cardiovascular disease risk factors in 2 distinct ethnic groups: Indian and Pakistani compared with American premenopausal women. Am J Clin Nutr. 1999;69:621–31.PubMed
84.
Hayes L, White M, Unwin N, Bhopal R, Fischbacher C, Harland J, et al. Patterns of physical activity and relationship with risk markers for cardiovascular disease and diabetes in Indian, Pakistani, Bangladeshi and European adults in a UK population. J Publ Health Med. 2002;24:170–8.CrossRef
85.
Mohan V, Gokulakrishnan K, Deepa R, Shanthirani CS, Datta M. Association of physical inactivity with components of metabolic syndrome and coronary artery disease–the Chennai Urban Population Study (CUPS no. 15). Diabet Med. 2005;22:1206–11.PubMedCrossRef
86.
Knowler WC, Fowler SE, Hamman RF, Christophi CA, Hoffman HJ, Brenneman AT, et al. 10-year follow-up of diabetes incidence and weight loss in the Diabetes Prevention Program Outcomes Study. Lancet. 2009;374:1677–86.PubMedCrossRef
87.
88.
Misra A, Nigam P, Hills AP, Chadha DS, Sharma V, Deepak KK, et al. Consensus physical activity guidelines for Asian Indians. Diabetes Technol Ther. 2011.
89.
Brown BD, Harris KJ, Harris JL, Parker M, Ricci C, Noonan C. Translating the diabetes prevention program for Northern Plains Indian youth through community-based participatory research methods. Diabetes Educ. 2010;36:924–35.PubMedCrossRef
90.
Chowdhury AM, Helman C, Greenhalgh T. Food beliefs and practices among British Bangladeshis with diabetes: implications for health education. Anthropol Med. 2000;7:219–26.
91.
Macaden L, Clarke CL. Risk perception among older South Asian people in the UK with type 2 diabetes. Int J Older People Nurs. 2006;1:177–81.PubMedCrossRef
92.
Samanta A, Campbell JE, Spaulding DL, Neogi SK, Panja KK, Burden AC. Eating habits in Asian diabetics. Diabet Med. 1986;3:283–4.PubMed
93.
Aslam M, Healy MA. Compliance and drug therapy in fasting Moslem patients. J Clin Hosp Pharm. 1986;11:321–5.PubMed
94.
Hawthorne K, Mello M, Tomlinson S. Cultural and religious influences in diabetes care in Great Britain. Diabet Med. 1993;10:8–12.PubMedCrossRef
95.
Mather HM. Diabetes in elderly Asians. J R Soc Med. 1994;87:615–6.PubMed
96.
Hawthorne K. Asian diabetics attending a British hospital clinic: a pilot study to evaluate their care. Br J Gen Pract. 1990;40:243–7.PubMed
97.
Venkataraman K, Kannan AT, Kalra OP, Gambhir JK, Sharma AK, Sundaram KR, et al. Diabetes self-efficacy strongly influences actual control of diabetes in patients attending a tertiary hospital in India. J Community Health. 2011.
98.
Steyn NP, Mann J, Bennett PH, Temple N, Zimmet P, Tuomilehto J, et al. Diet, nutrition and the prevention of type 2 diabetes. Public Health Nutr. 2004;7:147–65.PubMedCrossRef
Metadata
Title
Transcultural Diabetes Nutrition Therapy Algorithm: The Asian Indian Application
Authors
Shashank R. Joshi
V. Mohan
S. S. Joshi
Jeffrey I. Mechanick
Albert Marchetti
Publication date
01-04-2012
Publisher
Current Science Inc.
Published in
Current Diabetes Reports / Issue 2/2012
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-012-0260-0

Other articles of this Issue 2/2012

Current Diabetes Reports 2/2012 Go to the issue

Translational Strategies for Diabetes Prevention (D Marrero, Section Editor)

Who Should We Target for Diabetes Prevention and Diabetes Risk Reduction?

Translational Strategies for Diabetes Prevention (D Marrero, Section Editor)

Translation of the Diabetes Prevention Program’s Lifestyle Intervention: Role of Community Health Workers

Pathogenesis of Type 2 Diabetes and Insulin Resistance (R Watanabe, Section Editor)

A Synergy between Incretin Effect and Intestinal Gluconeogenesis Accounting for the Rapid Metabolic Benefits of Gastric Bypass Surgery

Issues in the Nutritional Treatment of Type 2 Diabetes and Obesity (O Hamdy, Section Editor)

Transculturalization of a Diabetes-Specific Nutrition Algorithm: Asian Application

Erratum

Erratum to: Necessary Components for Lifestyle Modification Interventions to Reduce Diabetes Risk

Translational Strategies for Diabetes Prevention (D Marrero, Section Editor)

Can Lifestyle Interventions Do More Than Reduce Diabetes Risk? Treating Depression in Adults With Type 2 Diabetes With Exercise and Cognitive Behavioral Therapy

ACC 2024 Congress Coverage

Heart Failure Video

Year in Review: Heart failure and cardiomyopathies

Watch now

Watch this official video from ACC.24. Dr. Biykem Bozkurt discuss last year's major advances in heart failure and cardiomyopathies.

Semaglutide benefits people with type 2 diabetes and obesity-related heart failure

16-04-2024 Type 2 Diabetes News

Incentivised to exercise

11-04-2024 Lifestyle Modifications News

New intervention for STEMI-related cardiogenic shock

10-04-2024 Myocardial Infarction News

» View more highlights on the ACC 2024 congress hub page

Image Credits