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Scott Kahan Part 4, Challenges of Weight Management

In part 4 of this Exclusive Interview, Dr. Scott Kahan talks with Diabetes in Control Associate Medical Editor Joy Pape during the AACE 2018 convention in Boston, MA about the various factors that complicate weight management and the need to reduce blame and increase support.

Scott Kahan, MD, MPH is the Director of the National Center for Weight and Wellness in Washington, D.C.


Transcript of this video segment:

Pape: This helps us move into the second question or the second b question. But, with what you’re saying, some people make these dietary changes or they don’t and they blame themselves when they don’t see the changes in their labs or on the scale or how their clothes are fitting or waist circumference. How do you respond to that?

Kahan: There is a lot of blame that goes around in the field of weight management. Blame comes from doctors sometimes unfortunately, blame comes from spouses and parents sometimes unfortunately, and often, blame comes from ourselves. It seems like weight management should be easy – just eat less and exercise more. Don’t eat that, eat this. Don’t sit on the couch. But in the real world, we have busy lives and often not enough time in the day to go to the gym or go shopping for all the foods that we would like. And, the healthier foods tend to be much more expensive than the unhealthier foods. When you take all of these different factors together, it makes weight management very challenging for most people and that’s why the vast majority of Americans have troubles with weight. I think it is important that we cut ourselves some slack around all of that. We all need to keep working on it and hopefully patients have the support that can be helpful for them. The derogatory ways that we end up talking to ourselves and blaming ourselves when we don’t accomplish what we want around our weight only serves to make things worse and I don’t think it’s fair to ourselves. So, I think it’s something that is worth having discussions with patients to help them build a more compassionate, productive, self-talk approach to their weight management.

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