In severe ("morbid") obesity, corresponding to a BMI of 40 kg/m2 or more, the only practical diet for most patients is a VLCD or other highly restricted diet with careful medical monitoring and long-term follow-up. It should be noted, however, that even a modest weight loss can yield substantial health benefits for morbidly obese patients. Sleep apnea often disappears with as little as a 10% loss in weight, and hypertension, diabetes, and gastroesophogeal reflux may also improve significantly. I do not view, nor let my patients view, modest weight loss as a failure or a waste of time. The same is true for patients with lesser degrees of obesity.
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All you need is a proper diet of fresh fruits and vegetables and get plenty of exercise and you'll be fine. Ever heard those words from your doctor? If that's all heshe recommends then you're missing out an important ingredient for health that he's not telling you. Fact is that you can adhere to the strictest diet, watch everything you eat and get the exercise of amarathon runner and still come down with diabetic complications. Diet, exercise and standard drug treatments simply aren't enough to help keep your diabetes under control.