肥胖是2型糖尿病的高危因素，也是糖尿病管理的重要内容。近年来由于经济发展及生活方式改变等原因，肥胖及糖尿病的患病率均明显增加。多项研究的结果显示，通过积极的生活方式干预有效控制体重，可使糖耐量减低人群发生糖尿病的风险明显降低。而在超重、肥胖的2型糖尿病患者中，积极的生活方式干预不仅可使体重下降，并且可明显改善糖代谢。无论其基线 HbA1c水平如何，生活方式干预都是治疗的基础。因此，就整体治疗策略而言，即使新诊断超重或肥胖2型糖尿病患者 HbA1c＞9％，仍应将生活方式干预作为治疗的首要措施。%Type 2 diabetes mellitus is a disease associated with obesity .The prevalence of diabetes and obesity significantly increased in recent years ,and one of the reasons was the change of lifestyle .A lot of research has confirmed that lifestyle intervention could effectively control the weight ,significantly reduce the risk of IGT developing to diabetes .For patients with diabetes who were overweight or obese ,lifestyle interventions and weight loss could make the glycemic control obviously improved . Whatever its baseline of HbA1c level , lifestyle intervention is the foundation of treatment . Therefore ,in terms of the overall treatment strategy ,patients with type 2 diabetes mellitus who were overweight or obese and HbA1c level > 9% ,should still preferred lifestyle intervention .
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