I have some weight loss clients I work with that are part of a support group with the Diabetes Prevention Program. As is typical for most of us… they rationalize their food choices or lack of activity; finding one reason or another why they made a less healthy food choice or are not exercising. They are all aware of why they are in the program, the importance of making changes and have made some great changes to date. I try to continue to encourage them by noting the little changes or changes in awareness, but how do I help them move to the place where there is consistency in healthy lifestyle choices?