Obesity is one of the important factors leading to type 2 diabetes, and according to statistics, 65% of people with diabetes are overweight or obese. People who have known about diabetes should know that the most important thing about diabetes is to control blood sugar, and only by controlling blood sugar well can we prevent the emergence of diabetes with complications. Since obesity interferes with blood sugar control, weight loss has become an urgent need for many people with type 2 diabetes. It is true that weight loss surgery is widely recognized in the treatment of type 2 diabetes, but there are conditions for doing this surgery. According to Dr. Dai Xiaojiang, director of bariatric metabolic surgery at Youdao Physician Group, bariatric surgery for type 2 diabetes requires that the patient’s BMI reach a certain value, otherwise the damage to the patient’s body may be greater. Criteria for doing bariatric surgery For those who need to lose weight but can’t meet the criteria for bariatric surgery, medication is also a way to lose weight, but you must pay more attention when choosing medication. Obesity can lead to multiple concomitant diseases, type 2 diabetes is only one of them, like sleep apnea syndrome, hypertension, hyperlipidemia these are common obesity concomitant diseases. When choosing weight loss medications must be considered based on your own body condition. In the “Pharmacological management of obesity: endocrine society clinical application guidelines” released by the American Society of Endocrinology in 2015 and the American Diabetes Association (ADA) 2016 clinical diagnosis and treatment guidelines for diabetes, it is stated that some weight loss drugs can only be used as an adjunctive treatment, and the choice of drugs should be based on one’s physical condition. If you have hypertension, you can choose such as crocodylic acid and orlistat, and you should pay close attention to the blood pressure during use. In the choice of antihypertensive drugs should also be careful not to choose conflicting drugs; obese patients with heart disease in the choice of weight loss drugs should first exclude drugs containing phenylbutazone, bupropion, which can cause an accelerated heart rate components, can consider such as chloroquine; if you have depression, should not use chloroquine. Instead, consider drugs containing phenylbutazone. Orlistat, for example. The choice of medication is different or even conflicting for different conditions, so you need to consult with a professional before using it. (The above listed conditions all indicate concurrent type 2 diabetes.) After choosing a good weight loss drug, the measurement should also be taken into account. Because the body can develop resistance, it is generally better to start with less then more, but not to exceed the recommended dosage. It is important to know that all diet pills have side effects, and the greater the measurement the greater the damage to the body. Dr. Xiaojiang suggests that when a weight loss drug fails, it should be changed under the guidance of a doctor, and directly stopping the drug will most likely lead to weight rebound, which is very detrimental to weight loss. The first choice for weight loss for diabetic patients should also be exercise for weight loss or weight loss surgery. Because these two methods, in addition to weight loss, are very good for controlling blood sugar. And there are many considerations for drug weight loss, usually under the guidance of a doctor, and can not be used for a long time, or it is difficult to lose weight successfully.