Lynchburg Journal of Medical Science

Lynchburg Journal of Medical Science


Internal Medicine


Elyse Watkins, DHsc, PA-C, DFAAPA


Over the past half-century, the standard American diet has evolved and led the country to high rates of obesity. Combined with sedentary lifestyles, obesity has increased the prevalence of chronic diseases, including type two diabetes. Primary care providers are on the front lines battling the diabetes epidemic daily. Guidelines for treatment have varied over the past several decades, but one consistent recommendation has been to start patients with lifestyle changes. Dietary recommendations have shifted through the years, and even now, there is no consensus on which diet is the most effective for the treatment of diabetes. This article will review the literature for current recommendations on lifestyle changes for the treatment of type two diabetes in adults to help guide primary care clinicians.


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