Explainer Video: Acknowledge- Assisting Patients Through Challenges in Their Diabetes Care Journey
Weight management is an important but challenging part of type 2 diabetes care, especially for people with overweight or obesity. Even modest weight loss can improve health outcomes, but maintaining progress is often difficult due to biological changes that increase hunger, reduce fullness, and make the body more energy efficient. These factors can lead to...
Weight management is an important but challenging part of type 2 diabetes care, especially for people with overweight or obesity. Even modest weight loss can improve health outcomes, but maintaining progress is often difficult due to biological changes that increase hunger, reduce fullness, and make the body more energy efficient. These factors can lead to weight plateaus or weight regain, which can be frustrating for patients.
Physicians can support long-term weight loss maintenance by collaborating with patients to build realistic, sustainable plans and by addressing barriers such as lifestyle challenges. Regular check-ins, as recommended by the American Diabetes Association, help provide ongoing contact, encouragement, and accountability. Recognizing improvements in blood glucose, cholesterol, or blood pressure—even if weight loss has plateaued—can also motivate patients to stay engaged. By acknowledging the difficulty of weight loss and offering continuous support, clinicians can empower patients and improve both weight control and diabetes outcomes.
References:
1. American Diabetes Association Professional Practice Committee. 8. Obesity and weight management for the prevention and treatment of type 2 diabetes: Standards of Medical Care in Diabetes-2022. Diabetes Care. 2022;45(suppl 1):S113-S124.
2. Melby CL, Paris HL, Foright RM, et al. Attenuating the biologic drive for weight regain following weight loss: must what goes down always go back up? Nutrients. 2017;9(5):468.
3. Nunes CL, Jesus F, Francisco R, et al. Adaptive thermogenesis after moderate weight loss: magnitude and methodological issues. Eur J Nutr. 2022;61(3):1405-1416.
4. Sumithran P, Prendergast LA, Delbridge E, et al. Long-term persistence of hormonal adaptations to weight loss. N Engl J Med. 2011;365(17):1597-1604.
5. Lien LF, Haqq AM, Arlotto M, et al. The STEDMAN project: biophysical, biochemical and metabolic effects of a behavioral weight loss intervention during weight loss, maintenance, and regain. OMICS. 2009;13(1):21-35.
6. Thom G, McIntosh A, Messow CM, et al. Weight loss-induced increase in fasting ghrelin concentration is a predictor of weight regain: evidence from the Diabetes Remission Clinical Trial (DIRECT). Diabetes Obes Metab 2021:23(3):711-719
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