The value and impact of weight reduction from the perspective of people with type 2 diabetes in the United States
Authors' conclusion
People with T2D, across BMI categories, place considerable value on the opportunity for weight reduction yet endure considerable challenges in doing so through lifestyle interventions, even when weight reduction is discussed with their healthcare provider.
Study context
- Population
- People with T2D across body mass index (BMI) levels, US; 54% male, mean age 61 years (SD 13), mean self-reported BMI 32.7 kg/m² (SD 8.4); 47% with current HbA1c <7%
- Participants
- 388 people
- Outcome
- Perceptions of weight and value of 5%/10%/20% weight reductions
Methodological detailssurvey informed by qualitative interviews, sample representative of US T2D population by BMI
- Survey informed by qualitative interviews
- Sample representative of US T2D population by BMI
Main finding
As reported in the abstract
- Impact of weight on T2D was an issue
- 89%
- Needed to lose weight
- 87%
- Struggled to lose weight
- 76%
- Weight management important to managing T2D
- 93%
- 5%/10%/20% weight reductions would positively impact perception of future with T2D
- 60%/74%/69%
- 5%/10%/20% weight reductions would have positive impacts
- 72%/79%/70%
- Positive impact on appearance (5%/10%/20%)
- 70%/81%/83%
- Positive impact on comorbidities (5%/10%/20%)
- 59%/72%/80%
- Positive impact on emotional well-being (5%/10%/20%)
- 51%/58%/66%
Observational data: associations, not effects.
Further findings
Impact of T2D on quality of life (QoL)
- Comorbidities
- 39%
- Health complications
- 29%
- Emotional well-being
- 29%
- Daily activities
- 28%
Original publication
The value and impact of weight reduction from the perspective of people with type 2 diabetes in the United States. Diabetes Obes Metab. Published 18 November 2025. doi:10.
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