Why Wait?



June 12, 2008, Reuters Health: Diabetic Weight Loss Plan Yields Long Term Success. One year later. The findings of the follow up of the Joslin Diabetes Center, Why Wait? program show that the participants of the 12-week program for Type 2 diabetics resulted in an average weight loss of 24.6 pounds and good control of blood glucose levels and blood pressure.

What is Why Wait?

The 12-week program involves exercise, dietary changes, education, counseling and adjustment of diabetes medications. Participants meet weekly and the program is insurance reimbursable. There is a monthly support session fee of $25 out of pocket.

Program components per the Joslin Why Wait? site:

  • Intensive and interactive medication adjustments
  • Structured modified dietary intervention
  • Graded, balanced and individualized exercise intervention
  • Cognitive behavioral intervention
  • Group education

The dietary component portion of the Joslin Why Wait? program includes meal replacement shakes for breakfast and lunch. Snacks between meals. Dinners are from 14 menu selections from the Joslin Nutrition Guidelines. Nutritional breakdown of the meals are about 40% carbohydrate, 30% fat and 30% protein.

Additional Joslin weight notes per Why Wait? site:

  • A modest weight loss of one pound every one to two weeks is advised.
  • Reducing daily calories should be by 250 to 500 calories; total daily calories should not be less than 1,000 to 1,200 for women and 1,200 to 1,600 for men.
  • Weight loss is different for each person and should be continued until a person reaches a target body mass index, or BMI.

Calculating target body mass index or BMI:

The exercise component portion of the Joslin Why Wait? program recommends ” A minimum of 150 to 175 minutes of moderate intensity physical activity is recommended. A target of 60 to 90 minutes most days of the week is encouraged.”

The medication component portion includes working with a diabetologist to reduce or eliminate medications that interfere with weight loss. It is includes more frequent glucose monitoring. Medications are adjusted weekly based on your personal results.


The Joslin Why Wait? program really debunks the myth that diabetics can’t effectively loose weight and make lifestyle changes. While Why Wait? is only offered at the Boston facility there is no reason why anyone in reasonably good health can’t embark upon a program of weight management under the supervision of their physician, nutritional adviser and an exercise professional.

Recipes from the Joslin Cookbooks:

Battling Books:

The Joslin Guide to Diabetes: A Program for Managing Your Treatment by Richard S. Beaser and Amy P. Campbell (2005)

The Joslin Diabetes Healthy Carbohydrate Cookbook

The Joslin Diabetes Great Chefs Cook Healthy Cookbook

joslin.jpg Joslin Diabetes Quick and Easy Cookbook

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Comments

  1. Hi Joann, thanks for stopping by. Why Wait is only through the Joslin Diabetes Clinic. I would call them and ask if they are going to present it elsewhere or if your physician can get the details.

    www.joslin.org/WhyWait_4138.asp

  2. Joann Outen says:

    Is there a Why WAIT Program in the state of Maryland?? An actual website??

  3. Hey James, thanks for stopping by.

    I would go to the site and email them or call them directly.

    Here is the site info:
    Why Wait? is a one-of-a-kind program that has been created expressly to address the unique weight-loss and weight-control needs of people with type 2 diabetes. This program is based on clinical research conducted at Joslin and combines the latest insights in weight management and nutrition with Joslin Clinic’s world-leading expertise in diabetes care. Whether you were diagnosed years ago or just recently, you know that weight reduction and weight management are uniquely critical to your health. With the right nutritional plan and physical activity, you can reduce your need for medication, enjoy better health, experience fewer medical complications and significantly increase the quality of your life. Joslin Clinic will offer Why Wait? at key times throughout the year. The program will be held on Wednesdays from 5 to 7 p.m. for 12 weeks. For more information, contact Joan Beaton, Program Coordinator, at (617) 713-3491 or email joan.beaton@joslin.harvard.edu.

  4. James May says:

    How can I get information on the “why wait” program, i.e., meals, exercises, etc that I need to do the program?

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NOTE: The contents in this blog are for informational purposes only, and should not be construed as medical advice, diagnosis, treatment or a substitute for professional care. Always seek the advice of your physician or other qualified health professional before making changes to any existing treatment or program. Some of the information presented in this blog may already be out of date.
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