Last updated July 17, 2026
Key finding
The intervention group showed a significant mean weight reduction of 2.04 ± 2.30 kg (p<0.001).
Structured lifestyle modification counseling significantly improved weight and BMI in adults with type 2 diabetes compared to routine clinical care.
Quick read
The essential study design details in one scan.
EvidenceScore™
Moderate
Study type
RCTs
Follow-up
Medium-Term (3–12 mo)
Risk of bias
Some Concerns
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Plain-language summary
A plain-language read of the study’s main message and where it applies.
Study focus
Structured lifestyle modification counseling significantly improved weight and BMI in adults with type 2 diabetes compared to routine clinical care.
These findings highlight the importance of structured lifestyle interventions in managing weight and BMI for individuals with type 2 diabetes. Effective weight management can lead to improved health outcomes and potentially reduce the risk of diabetes-related complications.
The study's sample size and generalizability may be limited. The long-term effects of the intervention were not assessed. Potential confounding factors were not fully controlled.
Published in
Publication details and source links for this paper.
Alexander M, John RA, Shweta M, Shivendra KS, Kauser U. Structured Lifestyle Modification Counseling Improves Weight and BMI in Adults with Type 2 Diabetes. Cureus. 2025;17(9):e92153. doi:10.7759/cureus.92153
The intervention group showed a significant mean weight reduction of 2.04 kg (p<0.001).
The intervention group demonstrated a significant BMI reduction of 0.792 kg/m² (p<0.001).
The control group showed non-significant changes in weight (p=0.135).
The control group exhibited non-significant changes in BMI (p=0.178).
Evidence network
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This study contributes evidence to Behavioral counseling, Usual care and Body Mass Index (BMI) change, Weight change, Body weight.
This study contributes evidence to
Primary intervention
Behavioral counseling
Primary outcomes
Evidence topics
Primary intervention
Primary outcomes
Intervention and outcome relationships this study adds to the evidence network.
Editorial context
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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.
2
Related topics
4
Evidence pairs
238
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Contributes evidence
Evidence topic
Contributes evidence
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Primary evidence
Evidence relationship
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Evidence relationship
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Evidence topic
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Core evidence
The primary outcomes reported in this study.
Behavioral counseling → Body Mass Index (BMI) change
Behavioral counseling → Body Mass Index (BMI) change
Usual care → Body Mass Index (BMI) change
Usual care → Body Mass Index (BMI) change
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Relationships organized using the Dediabetes Evidence Intelligence™ framework.
This study contributes to evidence on Usual care and Body Weight, Diabetes Self-Management Education and Support (DSMES) Programs and Body Mass Index.
This study contributes to the evidence on the following intervention-outcome relationships.
Behavioral & Lifestyle
Behavioral & Lifestyle
Curated evidence collections and hubs this study is part of.
All studies measuring Body Weight
Measures Body Weight as a key outcome.
All studies on Usual care
Contributes to Usual care evidence base.
All studies measuring Body Mass Index
Measures Body Mass Index as a key outcome.
All studies on Diabetes Self-Management Education and Support (DSMES) Programs
Contributes to Diabetes Self-Management Education and Support (DSMES) Programs evidence base.
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Published within the last 2 years.
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3 results
1 results
3 results
1 results
3 results
Generated from the study's connected evidence using Evidence Intelligence™.
Diabetes Self-Management Education and Support (DSMES) Programs may improve Body Mass Index.
ConsistencyScore™: Results are generally consistent across studies.
Ranked evidence signals
Body Mass Index (BMI) change
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 15 supporting studies with generally consistent results and a positive effect signal.
Limitations
Diabetes Self-Management Education and Support (DSMES) Programs appears to improve Body Weight.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Weight change
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | strong positive | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on 10 supporting studies with consistent results and a positive effect signal.
Limitations
Current evidence does not show a clear benefit of Usual care for Body weight.
ConsistencyScore™: Results are consistent across studies.
Ranked evidence signals
Body weight
EvidenceScore™ Strong | EvidenceScore™ 79.0 | neutral | ConsistencyScore™ Consistent | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
Current evidence does not show a clear benefit of Usual care for Body Mass Index (BMI) change.
ConsistencyScore™: Consistency cannot yet be determined from the available evidence.
Ranked evidence signals
Body Mass Index (BMI) change
EvidenceScore™ Emerging | EvidenceScore™ 59.0 | neutral | ConsistencyScore™ Unclear | 1 study
Why this answer: This answer is based on a single supporting study.
Limitations
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