Standardised patient wearing the obesity simulation suit used in the present study to represent a patient with type 2 diabetes and grade 2 obesity. The individual pictured gave written consent for the images to be used. Standardised patient wearing the obesity simulation suit used in the present study to represent a patient with type 2 diabetes and grade 2 obesity. The individual pictured gave written consent for the images to be used. Anne Herrmann-Werner et al. BMJ Open 2019;9:e029738 ©2019 by British Medical Journal Publishing Group