Association of Diabetes Care & Education Specialists


Practice Resources

Obesity and Diabetes

Guidance for Diabetes Care and Education Specialists

Obesity and Diabetes

Diabetes care and education specialists have many opportunities to assist people who have diabetes and are overweight or obese, including implementing lifestyle changes and exploring medication options. Below you will find ADCES’ new practice paper on the topic, advocacy efforts by ADCES and our partners, educational courses, journal articles, and tip sheets. 

Practice Paper

This practice paper covers treatment options for people who have diabetes and are overweight or obese, including lifestyle and medication options. One item of note is that the authors were trying to make clear that a person doesn’t have to be overweight or obese to have type 2 diabetes.

Obesity and Diabetes Practice Paper

Readers of this practice paper will: 

  • Understand the classifications for diagnosis of overweight as well as the three classes of obesity based on BMI.  
  • Understand the relationship between hormone balance and its effect on weight.
  • Get familiar with gut microbiome and understand how they can talk with individuals in a way that will resonate with them and help them to understand how certain foods can assist or make weight loss efforts difficult.  
  • Understand the progression of obesity and be able to make recommendations when individuals are in the prevention phase. 
  • Understand how the ADCES7 Self-Care Behaviors™ can be effective in decreasing the progression to overweight and obesity. 
  • Know medication and surgical options.

Featured Blog Post

Spotlight on Obesity Resources

This featured post gives an overview of our newly updated practice paper on obesity: a combination of two previously published practice papers that now gives diabetes care and education specialists a single resource to reference when educating individuals on the impact of obesity on diabetes and vice versa, diabetes on obesity.

Handouts for People with Diabetes

ADCES has developed a printable resources in English and Spanish for people with diabetes on the top five tips to manage weight loss. 

Latest Obesity Rates

The State of Obesity

In September 2018, the CDC released its obesity prevalence maps for 2017 based on the Behavioral Risk Factor Surveillance System (BRFSS) state- and territory-specific data. Accompanying this data is the release of the 15th annual State of Obesity: Better Policies for a Healthier America report by the Robert Wood Johnson Foundation and Trust for America’s Health, along with an accompanying interactive website.

Advocacy Efforts

Diabetes Advocacy Alliance

ADCES is an active member of the Diabetes Advocacy Alliance (DAA), a coalition of 24 diverse patient advocacy organizations, professional societies, trade associations and corporations that share a common goal of elevating diabetes on the national agenda, specifically among legislators and policymakers. The DAA submitted comments to the U.S. Preventative Services Task Force (USPSTF) to address the Draft Research Plan for Diet and Physical Activity to Prevent Cardiovascular Disease in Adults with Risk Factors: Counseling.

Education to Enhance Your Practice

Pregnancy with Diabetes

Recorded Webinar: Obesity Management in Type 1 Diabetes

This webinar will focus on successful weight loss through lifestyle modifications, along with role of pharmacologic therapy among people with type 1 diabetes. Participants will be able to:

  • Interpret changes in epidemiology for obesity in the United States
  • Summarize current evidence-based recommendations for non-pharmacological recommendations in the treatment of obesity
  • State the clinical evidence for use of antiobesity agents and antidiabetic agonists to treat persons with type 1 diabetes
  • Build a treatment plan for a person with obesity and type 1 diabetes 

ADCES Journal Articles & Tip Sheets

The Science of Diabetes Self-Management and Care / The Diabetes Educator

Prevalence of Obesity, Prediabetes, and Diabetes in Sexual Minority Men: Results from the 2014 Behavioral Risk Factor Surveillance System
Vol 44, 1: pp.83-93. First Published January 3, 2018
Kelley Newlin Lew, DNSc, APRN, CDE, FAAN; Caroline Dorsen, PhD, APRN; Thomas Long, PhD

A Qualitative Assessment of Barriers and Facilitators to Achieving Behavior Goals Among Obese Inner-City Adolescents in a Weight Management Program
Vol. 34, 2: pp. 277-284. First Published December 7, 2016
Mary Alm, PhD; Nafisseh Soroudi, PhD; Judith Wylie-Rosett, EdD, RD; Carmen R. Isasi, MD, PhD; Sonia Suchday, PhD; Jessica Rieder, MD, MS; Unab Khan, MD

Clinical, Psychosocial, and Demographic Factors Are Associated With Overweight and Obesity in Early Adolescent Girls With Type 1 Diabetes
Vol 42, 5: pp. 538-548. First Published June 13, 2016
Karl E. Minges, PhD, MPH; Robin Whittemore, PhD, APRN, FAAN; Ariana M. Chao, PhD, RN, FNP-BC; Vanessa Jefferson, DNP, APRN, CDE; Kathryn M. Murphy, PhD, RN; Margaret Grey, DrPH, RN, FAAN

Digital Photography as an Educational Food Logging Tool in Obese Patients With Type 2 Diabetes: Lessons Learned From a Randomized, Crossover Pilot Trial 
Vol. 40, 1: pp. 89-99. First Published October 29, 2013
Brett J. Ehrmann, MS; Robert M. Anderson, EdD; Gretchen A. Piatt, MPH, PhD; Martha M. Funnell, MS, RN, CDE; Hira Rashid, BS; Kerby Shedden, PhD; Liselle Douyon, MD

The Diabetes Educator Journal

ADCES in Practice


Effective Nutrition Counseling: Supporting the Learning Experience
Allison Massey, MS, RD, LDN, CDE
First Published: June 21, 2017

Move to Improve: Creating Positive Exercise Experiences for Deconditioned People with Chronic Health Issues
Elissa Hallen, RN, CDE; Erin Lutes, PN, PHN, CNS; Rachelle Annechino, MIMS
First Published: October 25, 2016

Bariatric Survey in Diabetes
Anna Shtarkman, MS, RD, CDN; Lorena Drago, MS, RD, CDN, CDE; Manish Parikh, MD
First Published October 25, 2016; pp. 44–49

Being Active: Engaging Patients in a Physically Active Lifestyle 
Charlotte Hayes, MMSC, MS, RDN, CDE, ACSM-CCEP
First Published December 2015

Tip Sheets:

AADE in Practice Cover

In This Section