| There is no universal answer. Your health, you and the doctor make up the answer. If you have another condition, the doc may want to focus on that and not add another med. Maybe he feels the diet and exercise is the first step. Maybe the doc feels you won't diet and exercise if you get meds. Lots of other reasons. If you got no initial meds, most likely your numbers were not too far out of range.
Diabetes may progress, may not. The better you take care of yourself, the less likely that is to happen. Ignore it and eat poorly and you most likely will progress. Even if you change your ways and do better later, if it is progressing, it most likely will progress further.
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Diabetes is a condition that you have to manage or it will manage you. The care team is only there in a supporting role
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