Management of obesity in patients with Type 2 diabetes

Although prevention is clearly a logical first step in the management of th e obese Type 2 diabetic patient, such programmes have had little long-term success. Diet, exercise and behavioural modification still form the corners tones of treatment and relatively small weight loss results in improvement of all major obesity-related co-morbidities, including Type 2 diabetes. The obese diabetic patient faces extra impediments to weight loss, including t he adverse effects of diabetic medication, poor glycaemic control and diabe tes-related complications. New drugs may offer some additional help, in gen eral by providing the benefit associated with the weight loss as such. Bari atric surgery can produce major long-term weight loss in the severely obese .