Diabetes is a complex and multifactorial disease affecting more than 415 million people worldwide. Excess adiposity and modifiable lifestyle factors, such as unhealthy dietary patterns and physical inactivity, can play a significant role in the development of type 2 diabetes. Interventions that implement changes to lifestyle behaviors, in addition to pharmacological treatment, may attenuate the development and worsening of diabetes. This narrative review delineates how standard behavioral interventions (SBTs), based in "first wave" behavioral therapies and "second wave" cognitive behavioral therapies, serve as the foundation of diabetes treatment by supporting effective lifestyle changes, including improving adherence to healthful behaviors, medication, and self-monitoring regimens. Moreover, "third wave" "acceptance-based therapies" (ABTs), which integrate techniques from acceptance and commitment therapy, are proposed as a potential novel treatment option for diabetes management. Further research and long-term, randomized controlled trials will clarify the feasibility, acceptability, and effectiveness of ABT for improving glucose control via enhancing medication adherence and promoting effective lifestyle changes in people with diabetes.

中文翻译：

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基于接受的治疗：在 2 型糖尿病治疗中增加行为干预的潜力。

糖尿病是一种复杂的多因素疾病，影响全球超过 4.15 亿人。过度肥胖和可改变的生活方式因素，如不健康的饮食模式和缺乏身体活动，可能在 2 型糖尿病的发展中发挥重要作用。除了药物治疗外，实施改变生活方式行为的干预措施可能会减缓糖尿病的发展和恶化。这篇叙述性综述描述了基于“第一波”行为疗法和“第二波”认知行为疗法的标准行为干预 (SBT) 如何通过支持有效的生活方式改变（包括提高对健康行为的依从性、药物治疗）作为糖尿病治疗的基础和自我监测方案。而且，“第三波”“