The primary purpose of this study is to develop a behavioral lifestyle intervention and evaluate its effectiveness in improving the glycemic control in patients with type 2 diabetes in real life setting. This is because ambiguity still exists on the effectiveness of behavioral lifestyle interventions in routine clinical practice despite of the efficacy of large randomized controlled trials, suggesting the need for more research in this area.
Inclusion Criteria:
Females or males. Type 2 diabetes. BMI (kg/ m²) ≥ 25. Age 18-60 years old. HbA1c > 7%.
Exclusion Criteria:
major physical activity disability that restricts participation in moderate physical activity.
serious heart condition like heart failure, heart attack, stroke within the last 3 months.
participating in a weight management or lifestyle program. presence of proliferative retinopathy or kidney failure.