Diabetes tends to occur in people who have other non-communicable chronic diseases such as coronary heart disease, hypertension, and lipid abnormalities such as high cholesterol. Whereas medical management is essential to control the blood sugar, health behavior change such as exercise, dietary modification, and smoking cessation are equally important to afford the best prognosis [1, 2].
The occurrence of other chronic diseases increases the risk that any of them will worsen as the illness progresses. Sedentary lifestyle, poor dietary habits, and smoking will also interact in a synergistic fashion and aggravate each of these medical conditions. Without intervention on the part of both physician and patient, this scenario becomes a vicious cycle [1, 2].
The National Diabetes Prevention Program recommends lifestyle change for everyone who has, or is at risk for, these medical conditions.