Big changes are hard. When trying to achieve guideline targets in diabetes ans cardiometabolic disorders, patients can lack commitment or suffer despondency. Il is much easier to make small changes in lifestyle or treatment, which are less noticeable and easier to manage long-term. Obesity is central to the cardiometabolic disorders, and even small weight losses of 2-5% can improve the cardiometabolic risk profile and substantially reduce the risk of developing type 2 diabetes.