1. Cut back on total calories. 2. Eat more vegetables, they replace higher calorie foods which helps with #1. 3. Get moving, if you burn a calorie for every calorie you cut, you lose weight faster and exercise also directly affects sugar metabolism independent of weight.
Most docs would prefer you do 1,2 and 3 and not prescribe medication. Most people won’t do 1,2 and 3 and want a pill instead.
That has been my experience.
“most people want a pill”
I think that is true and I’m not a doctor nor do I play one on tv. I work with a couple of ladies that take cholesterol meds so they can “eat what they want”. I didn’t think that was the purpose of the medication...but what the heck do I know.
I was recently put on cholesterol meds and am working really hard (diet, exercise) to get off because...I read that they increase the risk of diabetes. It’s like a vicious circle.
“That has been my experience.”
The vast experience of people with metabolic syndrome demonstrated beyond a shadow of any possible doubt that all the exercise and the low diets in the world does not prevent the eventual progression of diabetes in the presence of a high carbohydrate diet and higher than normal levels of insulin. See the experience of the physicians and surgeons who abandoned their erroneous presumptions and finally started to pay attention to their patients’ successful results and the supportive research studies, and see the personal experience of Dr. Peter Attia as one of many such examples:
Nutritional Health Series, Part 5
Peter Attia: What if we’re wrong about diabetes?
http://www.freerepublic.com/focus/f-chat/3357772/posts
https://www.youtube.com/watch?v=UMhLBPPtlrY