1. Why bother? If you are male and obese you are 5 times more likely to develop diabetes than if you were at a healthy weight; if you are female and obese, your risk is increased 13 times. If you lose weight you can not only improve the control and management of your diabetes, reducing the need for insulin injections but, 2/3rds of type 2 diabetes mellitus can be prevented by lifestyle and diet modification. You will also reduce your risk of heart disease and other illnesses. What is a Healthy Weight? Underweight: <18.5 Healthy weight: 18.5 -24.9 Overweight: 25.0-29.9 Obesity, class I30.0-34.9 Obesity, class II35.0-39.9 Obesity, class III≥40 Prevention of Diabetes – a Healthy Weight For health information contact healthline 0500 20 20 30 or email healthpoint@nhs.net For more information see (add full guideline link) Key Facts - Sensible Drinking Men: No more than 3-4 units per day (maximum 21 units per week)* Women: No more than 2-3 units per day (maximum 14 units per week)* *With at least 2 days a week without alcohol How many units in a drink? 1 Pint standard beer/lager = 2.3 units; 1 bottle alcopop (275ml) = 1.5 units; 1 glass of wine (175ml) = 2.1 units; (The strength of drinks varies by brand) Achieving and maintaining a healthy weight Key Facts – Eating a Healthy Diet Base your meals on starchy foods that include breads, rice, potatoes and pasta Eat lots of fruit and vegetables Cut down on saturated fat and sugar Try to eat less salt – no more than 6g a day Eat more fish Drink plenty of water Don’t skip breakfast Assessing & supporting motivation? See full guideline Key Facts – Active Lifestyle Adults should build up to at least 30 minutes of moderate intensity activity on 5 or more days of the week. Children to build up at least one hour of moderate intensity activity on 5 or more days of the week. Moderate intensity means breathing a bit deeper, feeling warmer, perhaps sweating a bit, but still able to carry out a conversation. Key Facts: Medicines as part of the management of obesity Medicine treatment should be considered for adults who have not reached their target weight loss or have reached a plateau on dietary, activity and behavioural changes alone and who have: a BMI of >30.0 kg/m 2 a BMI of >27.0 kg/m 2 with associated risk factors Medicine treatment should be offered only as part of a package of care and support. Medicines include in NICE guidance as suitable treatments for consideration: Orlistat Sibutramine Children Medicine treatment is not generally recommended for children younger than 12 years. Treatment should be started in a specialist paediatric setting. Medicines as part of the management of obesity Key Facts: Surgery as part of the management of obesity Bariatric surgery is only recommended as a treatment option for people with obesity if all of the following criteria are fulfilled: a BMI of >40 kg/m 2, a BMI >35 kg/m 2 and other disease improved by weight loss all appropriate non-surgical measures have been tried intensive management in a specialist obesity service fit for anaesthesia and surgery commitment to the need for long-term follow-up Children Surgical intervention is not generally recommended in children or young people except in exceptional circumstances. Surgery as part of the management of obesity