Task: Question Answering
Input (English): Question: 54-year-old man who comes to review in his company. A body mass index of 32.8 kg / m2 and fasting blood glucose of 138 mg / L are detected. One month later, glycemia 130 mg / dL. What therapeutic recommendation would you make in the first place? 
 Options:  <1> Administration of metformin. <2> Prescribe a sulfonylurea. <3> Behavioral changes: Diet and physical exercise. <4> Insulin before each meal. <5> Take acarbose at night, before going to bed.
Output (English): 3