Long-term maintenance of weight loss is an important, but often elusive, goal. Diet and pharmacological treatments for obesity are generally effective at inducing 8-10% weight reductions by 6 months. Thereafter, weight regain is a common phenomenon. Maintenance-phase medication and individual and group follow-up slow weight regain such that weight reductions at program completion average 2-6, 2-7, and 2-7% greater, respectively, than those in control groups receiving no maintenance contact. Consistent and structured eating, frequent self-weighing, and high levels of physical activity acquired through short bouts of brisk walking are pragmatic recommendations to support weight regain prevention.

Given the number of individuals with diabetes who are overweight or obese, it is essential for diabetes educators to familiarize themselves with evidence related to common questions patients have when they set a goal to lose weight. Educators need to work with patients to help them develop a realistic approach to weight loss that is consistent with their diabetes management goals.