The context of the following conversation is Jan was very overweight and due to medical issues her doctor advised her she needed to cut back on her food intake.:
Jan says How am I looking doc?.
The friend responds Your diabetes isn't very well controlled..
Jan responds I figured, I've gotten to be very overweight..
The friend responds I suggest you cut back on your food intake, losing some weight will help with your diabetes..
Jan responds I suppose you're right..
The friend responds Try cutting 500 calories out of your diet per day to start..