Evaluation of the effectiveness of comprehensive non-pharmacological treatment on metabolic disorders in type 2 diabetic patients

Patients in the intervention group will participate in a comprehensive non-pharmacological treatment of type 2 diabetes, the main components are:

• changing the meal plan (individual and group counseling, assistance in developing menus and determining the calorie intake, keeping a food diary)
• individually dosed physical exercises using specific exercise program;
• comprehensive training (course of interactive lessons, self-control training). The program included group sessions with a team of specialists: nutritionist, endocrinologist, physical therapy doctor and included 3 sessions per week for 24 weeks. Each visit included teaching patients in a group format and in an interactive form (classes with specialists alternated), performing physical exercises using the specific exercise program under the supervision of a physiotherapy physician, evaluating medical indicators, and a self-control diary.

Patients in the control group will not participate in group sessions, but they had the opportunity to receive non-pharmacological care provided in the framework of free outpatient care. Their indicators will be recorded during a routine visit to the doctor at the baseline, after 12 and 24 weeks.

Inclusion Criteria:

• medically diagnosed with type 2 diabetes mellitus
• HbA1c result of ≤7.0% within the past 2 months
• body mass index (BMI) of ≥26 kg/m^2
• hypoglycemic therapy: metformin only

Exclusion Criteria:

• pregnancy
• the use of other hypoglycemic drugs
• the use of medication for weight loss
• cardiovascular diseases (heart attack or cardiac procedure within the past 3 months)
• had stroke or history of treatment for transient ischemic attacks in the past 3 months
• had chronic renal failure or were on dialysis
• any conditions that do not allow the patient to perform the complex of the proposed physical exercises