Differences in outcomes between type 2 diabetes and non-type 2 diabetes patients in a local specialist weight management service
Abstract‘Diabesity’, the comorbid occurrence of type 2 diabetes (T2DM) with obesity, is increasing rapidly in the UK, and becoming more prevalent in younger age groups. The onset of diabetes increases risk of macro- and microvascular complications, reduced life expectancy, and decreased economic productivity and quality of life. It is also expensive to manage, through medication costs, monitoring, and management of complications. Management of obesity can improve diabetes control, but weight loss is often slower than in those without diabetes. This is often made more challenging over time, with disease progression increasing the number of medications required for glycaemic control. Dietary methods for weight loss in diabesity have been explored; restricting energy intake and regular support appears to be of more importance to success than macronutrient balance, although long-term effectiveness is unclear. However, bariatric surgery is the only current treatment option offering both the possibility of diabetes remission as well as substantial long-term weight loss. Specialist diabesity services, supported by a multidisciplinary team to manage outcomes for obesity and diabetes concurrently, have been piloted. However, these services are not commonly available at local level. It is unclear whether the existing obesity management service provision is adequately supporting weight loss for those with comorbid type 2 diabetes.
PublisherUniversity of Chester
TypeThesis or dissertation
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