Lifestyle interventions can be highly effective: structured modifications alone reduced HbA1c from 10.3 to 6.0%. Remission without pharmacotherapy: even patients with markedly elevated HbA1c may achieve remission through non-drug strategies. Improved body composition: a reduction in visceral fat and glucosuria and an increase in muscle mass resulted in stable weight. Support enhances adherence: regular monitoring and psychological coaching improved motivation and sustainability. Implications for practice: early structured programmes may reduce reliance on pharmacotherapy and improve healthcare sustainability.
Ferreira et al. (Wed,) studied this question.