Background: Little is known about the efficacy of intensive lifestyle therapy (i.e. increased
physical activity and dietary changes) for the management of glycemia and cardiometabolic
risk factors in children and adolescents with type 2 diabetes (T2DM).
Our hypothesis is that education regarding healthy lifestyle changes will significantly
reduce blood sugars in youth with T2DM that do not require insulin therapy. Our secondary
hypothesis is that the intensive lifestyle therapy will cause quick and sustained reductions
in health risk measured by body mass index (BMI), blood pressure, waist circumference, LDL
cholesterol, serum triglycerides and apolipoprotein B.