- Division of Diabetes Treatment and Prevention (DDTP)
- Clinical Resources
- Diabetes Standards of Care and Resources for Clinicians and Educators
- Weight Management, Overweight, and Obesity
Diabetes Standards of Care and Resources for Clinicians and Educators
Weight Management, Overweight, and Obesity
Obesity and overweight, increasingly prevalent risk factors among American Indian and Alaska Native people with diabetes, increase insulin resistance, and raise blood glucose levels. In turn, they exacerbate diabetes complications and make diabetes management more complex. Therapeutic lifestyle changes designed to achieve weight loss are the core components of weight management counseling, and are essential for managing diabetes and its comorbidities.
Resource Links
for All Topics
» Online version
» Print version [PDF – 269 KB]
Clinical Practice Recommendations
Recommendations for Weight Management, Overweight, and Obesity
- Assess weight and Body Mass Index (BMI) at diabetes visits.
- Refer patients who are overweight (BMI 25.0-29.9 kg/m2) or obese (BMI ≥ 30 kg/m2) to structured community-based or clinic-based weight loss programs that emphasize goal setting, coaching, and motivational interviewing; education and skills development, physical activity, self-monitoring, problem solving, behavioral change, stress and stimulus control, the importance of social support, and the use of community resources.
- Provide weight management counseling by a multidisciplinary team.
- Bariatric surgery
- Providers may consider whether to discuss the option of bariatric surgery with diabetes patients who have:
- BMI ≥ 40 kg/m2, at any level of glycemic control or pharmacotherapy
- BMI ≥ 30.0-39.9 kg/m2, particularly when lifestyle therapy and pharmacotherapy fail to control diabetes
- Candidates for bariatric surgery should receive a comprehensive behavioral health assessment prior to surgery.
- Post-surgery
- Provide ongoing lifestyle support and medical and nutritional monitoring.
- Assess need for behavioral health services.
- Providers may consider whether to discuss the option of bariatric surgery with diabetes patients who have:
Classification | BMI |
---|---|
Underweight | < 18.4 kg/m2 |
Normal | 18.5-24.9 kg/m2 |
Overweight | 25-29.9 kg/m2 |
Obesity (Class 1) | 30-34.9 kg/m2 |
Obesity (Class 2) | 35-39.9 kg/m2 |
Extreme Obesity (Class 3) | > 40 kg/m2 |
Clinician and Educator Resources
Featured Weight Management, Overweight, and Obesity Resources
Organization | Resource |
---|---|
Integrating Case Management Into Your Practice [PDF – 290 KB] Integrating DSMES Into Your Practice [PDF – 275 KB] |
|
Overweight & Obesity Exit Disclaimer: You Are Leaving www.ihs.gov |
|
Preventing Type 2 Diabetes Exit Disclaimer: You Are Leaving www.ihs.gov Talking with Patients about Weight Loss: Tips for Primary Care Providers Exit Disclaimer: You Are Leaving www.ihs.gov |
|
American Diabetes Association. 5. Facilitating Positive Health Behaviors and Well-being to Improve Health Outcomes: Standards of Care in Diabetes 2023 Exit Disclaimer: You Are Leaving www.ihs.gov Diabetes Care 2023:46(Suppl. 1):S68-S96.doi.org/10.2337/dc23-005 American Diabetes Association. 8. Obesity and Weight Management for the Prevention and Treatment of Type 2 Diabetes: Standards of Care in Diabetes 2023 Exit Disclaimer: You Are Leaving www.ihs.gov Diabetes Care 2023;46(Suppl. 1):S128-S139. doi:10.2337/dc23-S008 |
Patient Education Resources
Weight Management, Overweight, and Obesity Patient Education Resources
CME Training
Weight Management, Overweight, and Obesity CME Trainings
Session Title | Session Material | CME/CE Information |
---|---|---|
New Case Management: Practicing Population Health to Engage Patients as Partners in Care Exit Disclaimer: You Are Leaving www.ihs.gov
Krista Haven, RN, MSN, CDEDiabetes Nurse Specialist (Originally presented on 11/02/22.) |
|
|
Jonathan Q. Purnell, MD Interim Director, Center for Preventive Cardiology Professor, Department of Medicine Knight Cardiovascular Institute Division of Endocrinology, Diabetes, and Clinical Nutrition Oregon Health & Science University (Originally presented on 04/13/22.) |
|
|
The Physical Activity Guidelines and Move Your Way Campaign: Promoting Physical Activity to Reduce Chronic Disease Exit Disclaimer: You Are Leaving www.ihs.gov Alison Vaux-Bjerke, MPH, MCHES Kate Olscamp, MPH, CHES, PMP U.S. Department of Health and Human Services OS/OASH Office of Disease Prevention and Health Promotion (Originally presented on 10/06/21.) |
|
|
Why Breastfeeding Support is a Shared Responsibility Exit Disclaimer: You Are Leaving www.ihs.gov Jessica Quinlan, MPH, RD, CLC Pueblo of Zuni WIC Program Nutrition Coordinator Zuni Youth Enrichment Project Food Sovereignty Coordinator (Originally presented on 08/25/21.) |
|
|
Diabetes Prevention Strategies: Evidence, Experiences, and Outcomes Exit Disclaimer: You Are Leaving www.ihs.gov Richard Arakaki, MD Endocrinologist Professor Emeritus University of Hawaii (Originally presented on 8/11/21.) |
|
|
Physical Activity: Little Changes for Big Results Exit Disclaimer: You Are Leaving www.ihs.gov Russell Price, BS, CSCS Health Educator Wewoka Indian Health Center Wewoka, OK (Originally presented on 7/21/21.) |
|