Practical strategies to manage obesity in type 2 diabetes

Diabetes Obes Metab. 2024 Jun;26(6):2029-2045. doi: 10.1111/dom.15556. Epub 2024 Mar 21.

Abstract

The 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.

Keywords: behavioural interventions; communication; nutrition; obesity; person‐centred approach; psychological barriers; type 2 diabetes.

Publication types

  • Review
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Diabetes Mellitus, Type 2* / complications
  • Diabetes Mellitus, Type 2* / therapy
  • Healthy Lifestyle
  • Humans
  • Obesity* / complications
  • Obesity* / therapy
  • Weight Loss