Fast Five Quiz: Type 2 Diabetes Key Aspects

Romesh Khardori, MD, PhD


August 18, 2020

According to 2020 obesity management guidelines for patients with T2D from the ADA, the following are recommended:

  • Diet, physical activity, and behavioral therapy designed to achieve and maintain ≥ 5% weight loss is recommended for patients with T2D who have overweight or obesity.

  • Such interventions should be high-intensity (≥ 16 sessions in 6 months) and focus on dietary changes, physical activity, and behavioral strategies to achieve an energy deficit of 500-750 kcal/d.

  • For patients who achieve short-term weight-loss goals, long-term (≥ 1 y) weight maintenance programs are recommended when available. Such programs should at minimum provide monthly contact, as well as encourage ongoing monitoring of body weight (weekly or more frequently) and other self-monitoring strategies, including high levels of physical activity (200-300 min/wk).

  • To achieve weight loss > 5%, short-term (3-month) interventions that use very low-calorie diets (≤ 800 kcal/d) and meal replacements may be prescribed for carefully selected patients by trained practitioners in medical care settings with close medical monitoring. To maintain weight loss, such programs must incorporate long-term comprehensive weight-maintenance counseling.

Read more about obesity treatment in patients with T2D.


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