Explain the permanent nature and severity of the illness to the patient - the condition is more an arterial illness than an illness of the glucose metabolism. In addition to hyperglycaemia, identify and treat effectively other risk factors of atherosclerosis (smoking, hypertension, dyslipidaemia). Explain the importance of self-care. Emphasize the importance of weight reduction to overweight patients. However, other lifestyle modifications will also form a part of the treatment, even when they do not lead to weight reduction (exercise, smoking cessation, avoidance of dietary fat).