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Action on Diabesity
Dr C Rajeswaran
Consultant Physician ( Diabetes, Obesity & Endocrinology)
Chair, National Diabesity Forum
Director, simplyweight Ltd
Diabesity - 21st century pandemic
Diabesity is now the single greatest
contributor to chronic disease
Diabesity describes the twin epidemic of obesity and
diabetes that we are facing throughout the world.
Imagine having "diabesity" and being addicted to
Multi hormone control of body weight:
Fat,gut and islets derived signals
Obesity and overweight .. conditions in
which body fat has accumulated to such an
extent that health may be adversely affected
Adjusted odds ratio for death, by metabolic category for 51-
61years age group
Obesity and diabetes 6.81
Oldridge et al, Jr of clinical Epidemiology 54(2001);928-934
Weight gain in patients with type 2
diabetes can contribute to patient
frustration and may negatively impact their
compliance to therapeutic regimens.
F. Xavier Pi-Sunyer, Postgraduate Medicine: Volume 121: No.5
The Impact of Weight Gain on Motivation, Compliance, and Metabolic Control in Patients with Type 2 Diabetes Mellitus
Glycaemic control and body weight
Weight gain appears unavoidable when patients with
Type 2 diabetes are commenced on insulin
Body weight increases by 2Kg for each percentage
point decrease in HbA1C during the first year1
•Not every option is appropriate for every individual.
•Holistic approach is the key in a DIABESITY Clinic
Body weight and hunger pattern
Underlying endocrine abnormalities
“ Of course doughnuts are good for you.
They’re HOLE grain!”