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The Integrative Preventive Medicine Approach to Obesity and Diabetes 

The Integrative Preventive Medicine Approach to Obesity and Diabetes
Chapter:
The Integrative Preventive Medicine Approach to Obesity and Diabetes
Author(s):

David L. Katz

DOI:
10.1093/med/9780190241254.003.0018
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date: 21 October 2019

This chapter addresses the underlying causes, and potential remedies, of pandemic diabesity, a term coined to capture the expanse, and causal pathway, from excess body fat, to insulin resistance, to type 2 diabetes. The case is made that to be effective, clinical approaches must emphasize both prevention and holism, salient principles of integrative preventive medicine. More importantly, if lifestyle is the requisite medicine to alleviate this malady—and the case is made that it is—then the constraints of clinical encounters may constitute a spoon too small to deliver this medicine effectively and get it to go down universally. This chapter concludes with the proposition that lifestyle is the right medicine for obesity and type 2 diabetes alike, and that all of culture must be the spoon that delivers it. This, too, is concordant with an integrative perspective of care, and a focus on prevention.

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