PMID- 27117509
OWN - NLM
STAT- MEDLINE
DCOM- 20170306
LR  - 20170306
IS  - 1878-0334 (Electronic)
IS  - 1871-4021 (Linking)
VI  - 10
IP  - 3
DP  - 2016 Jul-Sep
TI  - Management of obesity in patients with type 2 diabetes mellitus in primary care.
PG  - 171-81
LID - S1871-4021(15)30075-8 [pii]
LID - 10.1016/j.dsx.2016.01.017 [doi]
AB  - AIMS: Obesity and being overweight is the most powerful risk factor accounting 
      for 80-90% of patients with type 2 diabetes mellitus (T2DM). The epidemic of 
      obesity is driving the diabetes epidemic to alarming levels and primary care is 
      becoming an important setting for obesity management in T2DM in India. Yet many 
      primary care providers feel ill-equipped or inadequately supported to address 
      obesity in patients with diabetes. This article reviews the most recent and 
      strongest evidence-based strategies that may aid physicians in management of 
      obesity in patients with T2DM in primary care. MATERIAL AND METHODS: A systematic 
      literature search of MEDLINE using the search terms Obesity, Obesity in T2DM, 
      weight loss and Primary Care was conducted. The American Diabetes Association, 
      National Institute for Health, National Institute of Health and Excellence 
      (NICE), Scottish Intercollegiate Guidelines Network (SIGN) and World Health 
      Organization websites were also searched. Most studies in this area are 
      observational in design with few randomized controlled trials (RCTs). Articles 
      and studies involving meta-analysis or RCTs were preferred over other types. 
      RESULTS AND CONCLUSION: Effective weight management treatment in T2DM patient can 
      be implemented in the primary care setting. Evidence based individualized 
      lifestyle and pharmacologic measures supported by behavioral intervention and 
      counseling with appropriate and informed surgical referrals has the potential to 
      improve the success of weight management within primary care.
CI  - Copyright (c) 2016 Diabetes India. Published by Elsevier Ltd. All rights reserved.
FAU - Mohammad, Shoaib
AU  - Mohammad S
AD  - Alshifa Hospital, Delhi 110025, India. Electronic address: 
      shoaibirfan@yahoo.co.uk.
FAU - Ahmad, Jamal
AU  - Ahmad J
AD  - Centre for Diabetes & Endocrinology, Faculty of Medicine, J. N. Medical College 
      Hospital, A.M.U, Aligarh 202 002, India. Electronic address: 
      jamalahmad11@rediffmail.com.
LA  - eng
PT  - Journal Article
PT  - Review
DEP - 20160308
PL  - Netherlands
TA  - Diabetes Metab Syndr
JT  - Diabetes & metabolic syndrome
JID - 101462250
SB  - IM
MH  - Diabetes Mellitus, Type 2/*complications
MH  - Humans
MH  - Obesity/complications/*therapy
MH  - Observational Studies as Topic
MH  - Precision Medicine
MH  - *Primary Health Care
MH  - Randomized Controlled Trials as Topic
MH  - Treatment Outcome
MH  - *Weight Reduction Programs
OTO - NOTNLM
OT  - Obesity
OT  - Obesity management
OT  - Primary care
OT  - Type 2 diabetes mellitus
EDAT- 2016/04/28 06:00
MHDA- 2017/03/07 06:00
CRDT- 2016/04/28 06:00
PHST- 2015/11/10 00:00 [received]
PHST- 2016/01/09 00:00 [accepted]
PHST- 2016/04/28 06:00 [entrez]
PHST- 2016/04/28 06:00 [pubmed]
PHST- 2017/03/07 06:00 [medline]
AID - S1871-4021(15)30075-8 [pii]
AID - 10.1016/j.dsx.2016.01.017 [doi]
PST - ppublish
SO  - Diabetes Metab Syndr. 2016 Jul-Sep;10(3):171-81. doi: 10.1016/j.dsx.2016.01.017. 
      Epub 2016 Mar 8.