Get a medical assessment and personalized plan from your clinician
Use prescribed medications as directed (including insulin if needed)
Follow a structured nutrition plan focused on blood sugar control
Reduce added sugars and refined carbohydrates
Choose non-starchy vegetables at most meals
Prefer whole foods: legumes, nuts, seeds, whole grains in appropriate portions
Limit sugary drinks and fruit juice; choose water or unsweetened beverages
Control portion sizes of carbohydrates
Aim for consistent meal timing
Increase dietary fiber intake
Include healthy fats (olive oil, avocado, nuts, seeds) in place of refined carbs
Maintain a calorie deficit if overweight (as advised by your clinician)
Engage in regular physical activity: aerobic exercise plus resistance training
Target frequent movement throughout the day (break up long sitting periods)
Monitor blood glucose as recommended (home checks and/or CGM)
Track A1C and other labs on schedule
If eligible for weight-loss or diabetes-remission programs, consider medically supervised options
Discuss bariatric/metabolic surgery with a specialist if appropriate
Avoid smoking; limit alcohol and follow clinician guidance
Prioritize sleep (address sleep apnea if suspected)
Manage stress with evidence-based strategies (therapy, mindfulness, exercise)
Review and adjust medications with your clinician to avoid hypoglycemia during lifestyle changes
Treat underlying contributors (sleep apnea, infections, medication side effects, hormonal issues)
Keep follow-up appointments and adjust the plan based on results