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Different metabolic responses to long-term weight loss after lifestyle intervention among type 2 diabetes risk clusters: Results from the TULIP Study.

Diabetes 75, 965-973 (2026)
Postprint DOI PMC
Open Access Green
There may be heterogeneity in the response to a lifestyle intervention to prevent type 2 diabetes. This study investigated whether participants of Tübingen Lifestyle Intervention Program (TULIP) type 2 diabetes risk clusters 3 and 5, who have a very high risk of diabetes, benefit from long-term weight loss following a 2-year lifestyle intervention. Diabetes risk cluster 5 participants had an impaired response regarding improvement of glycemia and insulin secretion and a high risk of developing type 2 diabetes, despite a long-term (9-year) mean weight loss of 8%. Alternative or intensified interventions should be considered for people in Tübingen type 2 diabetes risk cluster 5.
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Publication type Article: Journal article
Document type Scientific Article
Keywords Impaired Glucose-tolerance; Follow-up; Beta-cell; Fetuin-a; Prevention; Reduction
ISSN (print) / ISBN 0012-1797
e-ISSN 1939-327X
Journal Diabetes
Quellenangaben Volume: 75, Issue: 6, Pages: 965-973 Article Number: , Supplement: ,
Publisher American Diabetes Association
Publishing Place Alexandria, VA.
Reviewing status Peer reviewed
Grants German Centre for Diabetes Research (DZD)
German Federal Ministry of Education and Research (BMBF)