Weight loss in diabetes management.

Type 2 diabetes and obesity are increasing dramatically in the United States and in many parts of the world. Both diseases have substantial public health consequences in terms of associated morbidity and mortality. In obese individuals with diabetes, weight loss can bring several physical and psychological benefits: decreased glycosylated hemoglobin and blood pressure, improved lipid levels, and elevated sense of well-being. A combination of diet, exercise, and behavioral therapy, which are considered components of lifestyle modification, is recommended as the first strategy. If an individual is unresponsive to these approaches or has comorbidities that are currently compromising his or her health, pharmacotherapy and/or surgery may be advised. Weight management counseling can prove challenging in diabetes care for the health provider but it is vital for the individual with diabetes in terms of preventing or delaying further morbidities.