The successes of interventions to obtain weight loss and prevent relapse are limited. Moreover, comorbidities like type 2 diabetes mellitus,\nhypertension, hypercholesterolemia, hypertriglyceridemia and gout, have so far been treated as separate diseases, although mounting evidence\nshows that these morbidities are consequences of the failing metabolism due to insulin resistance. Weight loss, in other words treating obesity,\nimproves comorbidities and improves quality of life. Treatment of obesity and its comorbidities is a multidisciplinary matter. It can be done in primary\ncare. It should be widely recognized that a low carbohydrate diet and exercise are the two main aspects of treatment that lead to the desired\nresult: considerable weight loss and diminishment of comorbidities, visible through improvement of blood parameters and improved quality of life.\n \n \n \n \n\n\n \ntrainers. Family physicians and nurse practioners need to be aware of the important role diet and lifestyle play. In insulin resistance medication\nis not the preferred treatment; it should be avoided as much as possible. By accepting this challenge in primary care, health professionals can\nchange the prevalence and consequences of obesity and its comorbidities, thus reducing health care costs considerably. Persons that are insulin\nresistant may regain their health through these measures. They will always stay insulin resistant to a certain extent, and cannot eat normal\nquantities of carbohydrates that are commonly used and advised in general dietary guidelines.
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