Lifestyle changes are essential at all times for the management of type 2 diabetes including developing an individualised weight management plan
Aim for 5-10% loss of total body weight if the patient is overweight (BMI > 30 kg/m2 OR BMI > 25 kg/m2 with waist circumference > 88 cm in women or > 102 cm in men)
Aim for 10-15% loss of total body weight loss for remission of type 2 diabetes
The cornerstones of lifestyle changes are:
Healthy eating
Physical activity
Diabetes education and support aiming to increase self-management
Healthy sleep
Consider referral to local intervention programmes for diabetes including:
Structured education (e.g. DESMOND) and self-management programmes if available