INTERPRETATION In type 2 diabetes , there are improvements in long-term glycaemic control and psychological distress but not in weight control or blood glucose concentration in people who receive psychological therapies
BACKGROUND Adherence difficulties and psychological problems are associated with poor glycaemic control  in diabetes .
We undertook a systematic review and meta- analysis of psychological therapies to assess their effectiveness in improving glycaemic control in type 2 diabetes .
Group therapy for binge eating in Type 2 diabetes: a randomized trial.
Aims This preliminary study addresses three related issues . First , there is a need to test the effectiveness of cognitive behavioural therapy ( CBT ) for binge eating in population s with Type 2 diabetes . Second , the impact of a treatment for binge eating on diabetes management is unknown . Finally , whilst a number of treatment modalities have been shown to improve binge eating , there has not been a comparison between CBT and a non-specific therapy for binge eating . Methods Group CBT for binge eating was compared with a group non-prescriptive therapy ( NPT ) , a therapy for which there is no theoretical or empirical support in eating disorders , in a r and omized trial which included a post-treatment assessment and a 3-month follow-up . Results There were no differences between CBT and NPT at post-treatment , with both treatments being associated with significant changes in binge eating , mood and body mass index . However , there was a significant relapse in binge eating at the 3-month follow-up in the NPT condition . This was in contrast to the CBT condition , where treatment gains were maintained . Finally , across treatments , reduction in binge eating from pre- to post-treatment was associated with reduction in HbA(1c ) . Conclusions Binge eating in Type 2 diabetes is responsive to psychosocial treatment , and reduction in binge eating appears to improve glycaemic control . However , this is a small study with a short follow-up period . Future studies will need to extend the follow-up period to assess for long-term maintenance of the effects of CBT on binge eating and diabetic control in this population
INTERPRETATION In type 2 diabetes , there are improvements in long-term glycaemic control and psychological distress but not in weight control or blood glucose concentration in people who receive psychological therapies
BACKGROUND Adherence difficulties and psychological problems are associated with poor glycaemic control  in diabetes .
We undertook a systematic review and meta- analysis of psychological therapies to assess their effectiveness in improving glycaemic control in type 2 diabetes .