Fast Five Quiz: Type 2 Diabetes Key Aspects

Romesh Khardori, MD, PhD; Anne L. Peters, MD


December 15, 2022

According to 2022 obesity management guidelines from the ADA, high levels of physical activity (200-300 min/wk) are recommended for patients who achieve short-term weight-loss goals. Other recommendations include:

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

  • Such interventions should include a high frequency of counseling (at least 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

  • Long-term (more than 1 year) weight maintenance programs are recommended for patients who achieve short-term weight-loss goals, when available. Such programs should at minimum provide monthly contact and support, as well as encourage ongoing monitoring of body weight (weekly or more frequently) and other self-monitoring strategies, including high levels of physical activity

  • To achieve weight loss > 5% of body weight, short-term (3-month) interventions that use very low-calorie diets (800-1000 kcal/day) 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

Learn more about obesity treatment in patients with T2D.


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