What is the recommended initial treatment for type 2 diabetes?

The recommended initial treatment for type 2 diabetes emphasizes lifestyle modifications, which include dietary changes and increased physical activity. These modifications can have a profound impact on glycemic control and overall health. They help improve insulin sensitivity and reduce body weight, which are critical factors in managing type 2 diabetes.

Implementing a balanced diet that focuses on whole foods, reducing sugars and processed carbohydrates, and incorporating regular exercise can lead to significant improvements in blood glucose levels. Studies have shown that alongside medical interventions, lifestyle changes can delay the progression of diabetes and even lead to remission in some cases.

While other treatment options, such as insulin therapy and oral hypoglycemics, may be necessary for those who do not achieve adequate control through lifestyle changes alone, the initial approach usually prioritizes these foundational lifestyle adjustments. Blood pressure medications are generally not a first-line treatment for diabetes itself, but rather for managing associated cardiovascular risk factors that may arise in individuals with diabetes.