Box 1.

Challenges in weight modification: perspectives

Patient: ‘I’ve had a long journey of yo-yo dieting and nothing has stuck. My life revolved around diets and I’ve tried everything.’ Specialist dietitian: ‘A cornerstone of treatment for type 2 diabetes is weight loss and yet this is extremely challenging to tackle due to strong physiological and environmental drivers that make losing weight and sustaining the loss an uphill battle.’ 88% of people with obesity reported having been stigmatised, criticised or abused as a direct result of their obesity.7