Glycaemic control among patients with type 2 diabetes mellitus in seven European countries
The authors conclude that the progressive decline in glycemic control in most diabetics over time despite increasing medication usage indicate “the progressive nature of the disease and need for more effective disease management/therapeutic alternatives.” Maybe we should look at it from another perspective….maybe if we gave diabetics REAL lifestyle advice (lower glycemic, high plant based, no artificial sweeteners, impactful exercise, stress management, etc…) instead of relying on more and more medication, that we would not see the “progressive nature” of diabetes.
This review pretty much locks up the idea that lifestyle changes are the ONLY way to manage diabetes, and that reliance upon medication for management is a slowly progressive decline into worsening glycemic control.