Inclusion Criteria:  HbA1c >48 mmol/mol (with or without medical treatment) Less than 6 years since the diagnosis of T2D BMI ≥ 27 kg/m2 (≥25 kg/m2 for Asians)  Exclusion Criteria:  Treatment with insulin >25 IU HbA1c concentration of 12% or more (≥108 mmol/mol) Insulin to C-peptide ratio <0.8 (indicative of insulin deficiency) Myocardial infarction within the previous 6 months, and severe or unstable heart failure or other severe diseases including cancer, psychiatric/eating disorders, severe depression and substance abuse