Fast Five Quiz: Obesity Comorbidities

Elif A. Oral, MD


January 31, 2022

Obesity is the leading modifiable risk factor for and cause of type 2 diabetes. Weight loss in individuals with type 2 diabetes is associated with significant improvements in metabolic health. Weight loss can be achieved with a low-fat diet, a low-carbohydrate diet, or the Mediterranean-style diet. The Mediterranean diet is characterized by its beneficial metabolic effects and has been shown to delay the need for an antihyperglycemic drug therapy in patients with newly diagnosed type 2 diabetes.

Low-fat diets are not contraindicated in patients with diabetes. Such diets should contain an adequate carbohydrate source with complex carbohydrates instead of monosaccharides or disaccharides.

Increased physical activity is an important component of the management of both obesity and diabetes. An increase in physical activity improves both glucose tolerance and insulin sensitivity, reduces intra-abdominal fat, increases lean mass, decreases depression, and improves physical fitness.

In patients with diabetes and sarcopenic obesity, acquisition of muscle mass is essential. Exercise alone is not sufficient and must be combined with a high-protein diet.

Learn more about the management of obesity.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.