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  1. Create a medication and lifestyle plan that is right for you Learn to manage your diabetes. In creating this diabetes care and management plan you should use information that you and your diabetes care team have on file. Remember to always bring your most recent blood sugar (blood glucose)

  2. Foundational therapy is metformin and comprehensive lifestyle management (including weight management and physical activity) Metformin is the preferred initial glucose lowering medication for most people with T2D. This recommendation is based on the efficacy, safety, tolerability, and extensive clinical.

  3. In line with global trends, NICE now recommends an approach to managing type 2 diabetes that moves away from one that focuses solely on achieving individualised HbA1c targets, to one which incorporates therapies that not only reduce blood glucose levels, but have proven cardiovascular and renal benefits. [36]

  4. An A1C goal for many nonpregnant adults of <7% (53 mmol/mol) is appropriate. On the basis of provider judgement and patient preference, achievement of lower A1C levels (such as <6.5%) may be acceptable if this can be achieved safely without significant hypoglycemia or other adverse effect of treatment. Less stringent A1C goals (such as <8% [64 ...

  5. Optimal A1C is ≤6.5%, or as close to normal as is safe and achievable. Therapy choices are patient centric based on A1C at presentation and shared decision-making. Choice of therapy reflects ASCVD, CHF, and renal status. Comorbidities must be managed for comprehensive care.

  6. This updated guideline provides recommendations for the care and management of people with or at risk for diabetes mellitus at every stage, including prevention, diagnosis, and treatment.

  7. The guideline contains recommendations for managing type 2 diabetes in adults, and focuses on patient education, dietary advice, managing cardiovascular risk, managing blood glucose levels, and identifying and managing long-term complications.