In the majority of weight loss trials reviewed by the ADA, weight loss in overweight or obese persons with type 2 diabetes ranged from 1.9 kg to 4.8 kg at one year (less than 5% of baseline weight).3 Although this is likely a realistic weight loss expectation for persons with diabetes, it did not result in consistent one-year improvements in HbA1c, lipids, or blood pressure. Furthermore, it appears to be more difficult for persons with diabetes to lose weight.