In the past, few people would associate obesity with diabetes, but now it is not uncommon, especially when some doctors see overweight or obese patients, they will advise them to lose weight early to avoid their health problems. Generally speaking, type 1 diabetes is mostly slim patients, and type 2 diabetes patients are both thin and fat. According to my data analysis, more than half of type 2 diabetes patients are overweight or obese. Although they will lose weight after the onset of the disease, but because of the large weight base, it is not obvious at all, completely negligible. The pathogenesis of obese patients is mainly insulin resistance, on the one hand, obese people have more fat cells, fat cells are insensitive to insulin; on the other hand, it is often accompanied by dyslipidemia, free fatty acids increase, easy to form insulin resistance. In Europe and the United States and other countries, type 2 diabetes patients are basically fat, but in China and other Asian countries, the obesity rate of type 2 diabetes patients is not so high. So slightly overweight people, but also to be vigilant about diabetes “attack”. There is also a situation is abdominal obesity, which is often referred to as “beer belly”. This kind of people do not look fat, but the number of visceral fat cells and fat volume is very high, manifested as “outside thin inside fat”. They often have varying degrees of insulin resistance, if you do not limit the diet or exercise to reduce the accumulation of visceral fat, it is possible to let the pancreatic islet cells are damaged, thus promoting diabetes. For people with diabetes related to overweight or obesity, weight loss is the key, and insulin resistance will be reduced only if the weight is kept down. But this condition requires effective weight loss, and losing weight with one year is certainly not the same as losing weight over five years. For diabetics, it is important to achieve effective weight loss in the short term, so that these blood sugar benefits will be great, and it will be possible to realize that you do not have to take medication or insulin, but your blood sugar can be maintained at normal levels.