Controlling hypertension, hyperlipidemia, diabetes and glucose intolerance often is easier than reducing weight, and such metabolic interventions greatly lower excess risk for CAD and stroke associated with overweight and obesity. However, risk unrelated to these mediators is substantial, suggesting that adiposity itself requires more effective interventions.

The body mass index BMI ( BMI= Body weight of kg / (Body length of meter)2) Standard value is 22, and could be allowed less than 24.

For prevention and/or treatment of secondary acquired DM, prevention of Insulin resistance Index should be maintained under 2,0 calculated from the glucose tolerance test.

Should keep the TG , LDH less than 50, 205 and HDL more than 40 mg/dL etc. in order to prevent arterial and arteriolar sclerosis. Fundamentally, these values should be kept by daily diet and body movement, especially constant walking.

Obesity due to increased abdominal fat should be checked by Body CT (less than 100 square cm at the umbilical level.)

For prevention and/or treatment of secondary acquired DM, prevention of Insulin resistance Index should be maintained under 2,0 (HOMAR) calculated from the glucose tolerance test.