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From Olivia, child's age 9

I've posted here before and am still looking for some concrete advice. I am the step mother of a very big 9 year old. She is 4'2" and weighs in at 160. Her weight has been creeping up at the average of two pounds every two weeks. Since we have her and her 13-year old brother with us only two weekends a month, there's not much we can do but eat healthy - which we always do, encourage physical activity, limit TV and computer time. Both of her bio parents are diabetic and now she has asthma (weight induced). Bio-Mom won't move on the weight issue and this year the kids are really picking on her at school. What's a stepmother to do without being a complete butinski?