Energy balance

Intensive lifestyle interventions combining caloric restriction and physical activity significantly reduce body weight and improve metabolic risk factors in overweight and obese adults, although they may not significantly reduce major cardiovascular events compared to standard diabetes support.

To lose weight and improve health markers, you need to combine a moderate calorie deficit (eating 1,200-1,800 kcal/day depending on gender) with regular moderate exercise (at least 150 minutes per week). While this approach significantly improves weight and metabolic health, it may not prevent heart attacks or strokes in high-risk diabetic patients, so medical management remains important. Consistency and behavioral tracking are key to success.