Add oral anti-hyperglycemic agents. Change to insulin. Intensify insulin therapy. Daily recommended fiber intake is 30 g. 4. Protein and carbohydrates may be added in any combination, guidelines should be individualized base on the patient's blood sugar, lipid profile, food preference, presence or absence of renal failure etc.
Exercise is important.
Improves cardiovascular risk factor. Augments weigh reduction efforts. Improves glucose control by increasing insulin sensitivity. Reduces dosage or need for insulin or hypoglycemic agents. Combinations are usually more effective than monotherapy.