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Diabetes Systematic Review of Therapy  Article Critique

PEER issues depend on the severity of the symptoms for individual patients. Most likely scenario based on the data: 42-49 Method II: To calculate the NNT from any OR and PEER:

-2 risk ratio; very little risk in using diet and exercise to mitigate diabetes conditions. (see: http://www.cebm.net/index.aspx?o=1044)

Are your patient's values and preferences satisfied by the regimen and its consequences?

Do you and you patient have a clear assessment of their values and preferences?

Yes, it is clear that increasing moderate levels of aerobic exercise, parituclarly walking, jogging, swimming or biking; coupled with a healthier diet (more fresh vegetables, low glycemic fruits, low refined sugars and processed flours, etc.) will have a positive effect...

ect on type II diabetes measurement.
Are they met by this regimen and its consequences?

Yes, the only potentially negative consequences are ignoring the program or stopping it prematurely.

Should you believe apparent qualitative differences in the efficacy of therapy in some subgroups of patients? -- Only if you can say 'yes' to all of the following:

Do they really make biologic and clincal sense?

Yes, for two reasons: 1) allowing a more natural approach to mitigating Type II diabetes is less shocking to the system, allows for a more natural control, and 2) this approach allows the patient to take the necessary responsibility for their own health, to participate in healthcare with a mental attitude of erasing the disease before it becomes

Sources used in this document:
references?

Yes, it is clear that increasing moderate levels of aerobic exercise, parituclarly walking, jogging, swimming or biking; coupled with a healthier diet (more fresh vegetables, low glycemic fruits, low refined sugars and processed flours, etc.) will have a positive effect on type II diabetes measurement.

Are they met by this regimen and its consequences?

Yes, the only potentially negative consequences are ignoring the program or stopping it prematurely.

Should you believe apparent qualitative differences in the efficacy of therapy in some subgroups of patients? -- Only if you can say 'yes' to all of the following:
Cite this Document:
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