Management of obesity in patients with Type 2 diabetes.
Although prevention is clearly a logical first step in the management of the obese Type 2 diabetic patient, such programmes have had little long-term success. Diet, exercise and behavioural modification still form the cornerstones 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 the adverse effects of diabetic medication, poor glycaemic control and diabetes-related complications. New drugs may offer some additional help, in general by providing the benefit associated with the weight loss as such. Bariatric surgery can produce major long-term weight loss in the severely obese.
Campbell
L
L
Diabetes Centre, St Vincent's Hospital, Darlinghurst, Australia, and Obesity Unit, Huddinge University Hospital, Stockholm, Sweden.
Rössner
S
S
D019440:Anti-Obesity Agents / Q000627:therapeutic use; D001521:Behavior Therapy; D003920:Diabetes Mellitus / Q000628:therapy*; D003924:Diabetes Mellitus, Type 2 / Q000503:physiopathology / Q000628:therapy*; D004038:Diet, Reducing; D015444:Exercise; D006801:Humans; D009765:Obesity
D019440:Anti-Obesity Agents