Research Summary
Analyzed using Evidence Intelligence™

Lifestyle Changes Improve Blood Sugar Levels in Prediabetes

Last updated August 29, 2026

Key finding

Significant reductions in HbA1c levels were observed (p < 0.05).

Three-month lifestyle modification including nutritional counseling, physical activity counseling, and exercise training in prediabetic individuals.

Quick read

Study at a glance

The essential study design details in one scan.

EvidenceScore™

Moderate

Study type

Non-randomized CT

Follow-up

Extended (5–20+ y)

Risk of bias

High Risk

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Plain-language summary

What this paper says

A plain-language read of the study’s main message and where it applies.

Study focus

Three-month lifestyle modification including nutritional counseling, physical activity counseling, and exercise training in prediabetic individuals.

Clinical relevance

This study evaluated Three-month lifestyle modification including nutritional counseling, physical activity counseling, and exercise training in prediabetic individuals.

Keep in mind

Limitations were not clearly described in the extracted text.

Published in

Journal Reference

Publication details and source links for this paper.

Alexander M, John RA, Dileep K, et al. Lifestyle Modification Improves Glycemic Control in Prediabetic Individuals. Cureus. 2025;17(1):e78062. doi:10.7759/cureus.78062

Evidence network

How this study fits

Understand where this research contributes within the broader evidence network.

Evidence Context

This study contributes evidence to Lifestyle intervention for prediabetes and HbA1c, Normoglycemia status, Participant retention at 6 months, and 1 more.

Primary intervention

Lifestyle intervention for prediabetes

Primary outcomes

  • HbA1c
  • Normoglycemia status
  • Participant retention at 6 months

Evidence relationships

Intervention and outcome relationships this study adds to the evidence network.

4
Evidence pairs
4
Relationships
3
Evidence topics
contributes_evidence

Editorial context

Why this study matters

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Evidence network role

This section describes how the study fits into the current evidence network. It does not determine whether an intervention works on its own.

Moderate contributionModerate confidenceNetwork score: 72

3

Related topics

4

Evidence pairs

1167

Related studies

High relevance in at least one topic

Why it is useful

  • Contributes to 4 evidence relationships
  • Includes primary outcome data
  • Linked to 3 direct semantic evidence topics

Topic contributions

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

Evidence topic

Contributes evidence

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Primary evidence

Evidence topic

Diabetes Prevention

matched_outcome

Related evidence

Evidence topic

Glycemic Control

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Core evidence

Study findings

The primary outcomes reported in this study.

HbA1c

Lifestyle intervention for prediabetes → HbA1c

Lifestyle intervention for prediabetes → HbA1c

Evidence Intelligence™
EvidenceScore™
87
Strong
ImpactScore™
85
Very Positive
ConsistencyScore™
82
consistent
Supporting studies: Based on 17 studies
Add to Evidence Tracker

Normoglycemia status

Lifestyle intervention for prediabetes → Normoglycemia status

Lifestyle intervention for prediabetes → Normoglycemia status

Evidence Intelligence™
EvidenceScore™
54
Emerging
ImpactScore™
100
Very Positive
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

Participant retention at 6 months

Lifestyle intervention for prediabetes → Participant retention at 6 months

Lifestyle intervention for prediabetes → Participant retention at 6 months

Evidence Intelligence™
EvidenceScore™
74
Moderate
ImpactScore™
100
Very Positive
ConsistencyScore™
100
consistent
Supporting studies: Based on 3 studies
Add to Evidence Tracker

Progression to overt diabetes

Lifestyle intervention for prediabetes → Progression to overt diabetes

Lifestyle intervention for prediabetes → Progression to overt diabetes

Evidence Intelligence™
EvidenceScore™
54
Emerging
ImpactScore™
50
Neutral
ConsistencyScore™
unclear
Not enough independent studies
Supporting studies: Based on 1 study
Add to Evidence Tracker

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Connected Evidence

Explore related studies, evidence collections, and research questions.

Relationships organized using the Dediabetes Evidence Intelligence™ framework.

This study contributes to evidence on Lifestyle intervention for prediabetes and HbA1c, Lifestyle intervention for prediabetes and Participant retention at 6 months.

Related evidence relationships

Explore in Evidence Explorer

This study contributes to the evidence on the following intervention-outcome relationships.

Questions answered by this study

Generated from the study's connected evidence using Evidence Intelligence™.

Does Lifestyle intervention for prediabetes lower HbA1c?

Strong Evidence

Lifestyle intervention for prediabetes appears to lower HbA1c.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    HbA1c

    EvidenceScore™ Strong | EvidenceScore™ 87.4 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve participant retention at 6 months?

Moderate Evidence

Lifestyle intervention for prediabetes appears to improve participant retention at 6 months.

ConsistencyScore™: Results are consistent across studies.

Ranked evidence signals

  1. 1

    Participant retention at 6 months

    EvidenceScore™ Moderate | EvidenceScore™ 74.2 | strong positive | ConsistencyScore™ Consistent | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve normoglycemia status?

Emerging Evidence

Lifestyle intervention for prediabetes appears to improve normoglycemia status.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Normoglycemia status

    EvidenceScore™ Emerging | EvidenceScore™ 54.4 | strong positive | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study

Does Lifestyle intervention for prediabetes improve progression to overt diabetes?

Emerging Evidence

Current evidence does not show a clear benefit of Lifestyle intervention for prediabetes for progression to overt diabetes.

ConsistencyScore™: Consistency cannot yet be determined from the available evidence.

Ranked evidence signals

  1. 1

    Progression to overt diabetes

    EvidenceScore™ Emerging | EvidenceScore™ 54.4 | neutral | ConsistencyScore™ Unclear | 1 study

Why this answer: This answer is based on a single supporting study.

Limitations

  • Only one supporting study is available.
1 supporting study
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