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Overconfidence in clinical decision making.

Because overweight and obesity typically coexist with type 2 diabetes, weight management counseling is an integral function of diabetes clinicians. However, the task can be daunting with the limited time and resources available and with patients who vary in their attitudes, abilities, and cultural backgrounds. Furthermore, diabetes clinicians differ in their skill sets and competency regarding delivery of obesity care.

The cornerstone of treatment for overweight and obesity is lifestyle intervention, which involves counseling on diet, physical activity, and behavior.1 Although some clinicians may lack confidence in their diet and nutrition background, others may feel challenged giving exercise advice, and others still may not know what to do when stress interferes with their patients’ weight loss efforts. To improve confidence in counseling skills, clinicians would benefit from using an efficient, targeted approach that is easy to understand and follow, is comprehensive, covers the three aspects of lifestyle modification, and addresses each patient’s individual needs. A new weight management counseling method that accomplishes these goals is the Lifestyle Patterns Approach.