Practical strategies to manage obesity in type 2 diabetes

Author:

Rodbard Helena W.1ORCID,Barnard‐Kelly Katharine234,Pfeiffer Andreas F. H.5,Mauersberger Carina6ORCID,Schnell Oliver67ORCID,Giorgino Francesco8ORCID

Affiliation:

1. Endocrine and Metabolic Consultants Rockville Maryland USA

2. Southern Health NHS Foundation Trust Southampton UK

3. BHR Limited Portsmouth UK

4. Spotlight Consultations Fareham UK

5. Department of Endocrinology, Diabetes and Nutrition Campus Benjamin Franklin, Charité Universitätsmedizin Berlin Berlin Germany

6. Sciarc GmbH Baierbrunn Germany

7. Forschergruppe Diabetes eV at the Helmholtz Centre Munich‐Neuherberg Germany

8. Section of Internal Medicine, Endocrinology, Andrology and Metabolic Diseases, Department of Precision and Regenerative Medicine and Ionian Area University of Bari Aldo Moro Bari Italy

Abstract

AbstractThe rising phenomenon of obesity, a major risk factor for the development and progression of type 2 diabetes, is a complex and multifaceted issue that requires a comprehensive and coordinated approach to be prevented and managed. Although novel pharmacological measures to combat obesity have achieved unprecedented efficacy, a healthy lifestyle remains essential for the long‐term success of any therapeutic intervention. However, this requires a high level of intrinsic motivation and continued behavioural changes in the face of multiple metabolic, psychological and environmental factors promoting weight gain, particularly in the context of type 2 diabetes. This review is intended to provide practical recommendations in the context of a holistic, person‐centred approach to weight management, including evidence‐based and expert recommendations addressing supportive communication, shared decision‐making, as well as nutritional and pharmacological therapeutic approaches to achieve sustained weight loss.

Publisher

Wiley

Reference215 articles.

1. International Diabetes Federation.IDF Diabetes Atlas.2021Accessed November 11 2023.https://www.diabetesatlas.org

2. Health Effects of Overweight and Obesity in 195 Countries over 25 Years

3. Excess Mortality among Persons with Type 2 Diabetes

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