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2型糖尿病(T2DM)的体重管理重要且复杂。临床实践中，T2DM合并超重或肥胖者常见，应予以充分重视。另一方面，在控制超重或肥胖的基础上，还应注重体重管理的质量。单纯以体重指数作为肥胖的评价指标不够全面和客观，因此，减重治疗还应评估患者身体成分(尤其是内脏脂肪)的改变，以“减脂增肌”为目的；同时，尽量减少或避免减重过程中的体重波动，使体重长期维持在目标水平。“,”Weight management is pivotal and complicated in the comprehensive management of type 2 diabetes mellitus (T2DM). In clinical practice, T2DM combined with overweight or obesity is more common, but simply using body mass index as evaluating indicator of obesity is not comprehensive and objective. Therefore, the dynamic changes of body composition especially visceral fat should be evaluated for the purpose of reducing fat and increasing muscle; Meanwhile, avoiding the weight fluctuation during weight loss can contribute to long term target of body weight.