<human>: A good friend of ours has struggled with his weight for over 10 years now. In high school he was in pretty good shape and was athletic, but he's in his thirties now and weighs well over 300 pounds.

For his height, he's dangerously obese. He's diabetic, his doctors have repeatedly warned him that at the current rate he's going, he won't live long into his 40s. He had lap band surgery then didn't follow the dietary restrictions and it failed.

He tries to be active, but does so in a self destructive way. Instead of walking, he wants to try and run so he never actually does. He tries to play sports and attends a weekly clinic that consists of an hour of tough drills (I'm in good shape and they made me sweat it). All he is going to do at his current rate is tear his knees up or his feet or ankles (he broke his foot last year doing precisely this) and make it impossible to do any exercise at all.

His diet is horrible. He enjoys cooking and is a real connoisseur for fine food, but he never stops eating. There have been times where he's brought small chocolate cakes over to our friends house to play games. I never see him without some sort of snack.

Recently its come to a head, though. He showed me a picture of his foot where he had some sort of weird bruising all over it. I'm worried that something horrible is going to happen. He could lose a foot, he could have a stroke. I had a dream a number of weeks ago that he died.

He's in complete denial. If you confront him with any of this (I told him I was worried about him after the dream), he'll tell you that everything is fine, that he's active and losing weight, that his last doctor's appointment went well. None of that is true, though. He admitted to one of my other friends that he didn't think he would live past 40.

We try to get him to do active stuff with us and it never lasts long or doesn't happen at all.

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<bot>: My friend is morbidly obese, won't do the right things to change his lifestyle, and is in complete denial about his situation. What can we do to help him so that we don't have to watch him die?