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Lifestyle therapy of lipid disorders in diabetes

Dietary choices that promote heart health and lifestyle therapy are the primary treatment for lipid disorders. If treatment goals are not met with these measures, medication therapy will be initiated.

Dietary and lifestyle treatment and medication therapy complement each other in the management of lipid metabolism disorders. Even those using medication therapy benefit from lifestyle management. Effective lifestyle management reduces the need for medication therapy. The general principles for promoting heart health through lifestyle management are:

  • Eating a varied diet

  • Moderation in alcohol consumption

  • An energy intake and expenditure ratio suitable for weight loss goals and weight management

  • Limited use of saturated (hard) fat

  • Moderate use of unsaturated (soft) fat

  • High fiber intake

  • Limited use of added sugar, sugary beverages, and low-fiber grain products

  • Limited salt use

  • Non-smoking

Endurance exercise training reduces plasma triglyceride concentrations and increases HDL cholesterol concentration. Strength training slightly reduces total cholesterol, LDL cholesterol, and triglycerides. Combining endurance and strength training is more effective.

Updated 30.9.2023