Another important consideration in patients with T2DM is weight, as shown in Figure 11. The majority of T2DM patients are overweight or obese, and it is important for caregivers to take the opportunity at every patient interaction to talk about intensive lifestyle modifications and to reiterate this at every appointment. It is important to talk to patients about the bodyweight effects of their diabetic medications, as discussed in Figures 4–6. For patients who are obese and who fit into the category of having other high-risk comorbidities such as diabetes and cardiovascular disease, it may be appropriate to have conversation with them about being evaluated for the possibility of bariatric surgery.[2]

Finally for those patients with T2DM but who do not quite fit into the category of being overweight or obese, this may suggest latent autoimmune diabetes in adults (LADA), so a work-up for a diagnosis of LADA may be necessary. Kapustin J. J Nurse Pract. 2014; 00:00 – 00.