I gain the impression that your management program varies from person to person...
My diet and weight are already rigidly controlled as an athlete so neither are a means to lower my sugar levels any further. I already exercise 40hrs a week... they can't really expect anyone to do more. So they started me on meds right away. If I ate junk and didn't exercise, I'm told my condition would be more serious... but it also means there's no where to go but meds.
My day to day sugar levels are no where near as high as some people i've come across who are on no meds.... but I also cannot get the improvement that they will get as their weight drops and diet improves.
My dad did the diet and exercise thing with tablets for a few years and they worked out that the only way to keep his sugars down was if he ate while on the exercise bike.... lazy man didn't think that was reasonable
..... so they put him on insulin.
Another member of my family was put on diet and exercise and just never bothered with either. So he is now on insulin too and starting to experience complications.
Another friend is on just diet and exercise and is doing nicely...i think getting diabetes may have actually improved his life expectancy just by making him drop those excess kilos and improving his diet. He's feeling like a new man.
