If the patient is very symptomatic, such as losing excessive amounts of weight, very blurred vision, very frequent urination disrupting work and sleep, the physician will often begin with medication as well to bring the blood sugars under control. Exercise should be started carefully in Type II diabetes, because it often strikes people over the age of 45 who have been sedentary, and if they are going to begin a vigorous exercise program, most physicians will recommend a stress test with a cardiologist prior to beginning significant exercise. The educator will teach them how to monitor their blood sugar at home which is critical information for the person with diabetes, so they know how their blood sugar reacts to various meals, stresses, exercise, and the typical activities of daily living. That's why everyone needs at least one visit with a registered dietician to review proper nutrition. Fifty-five percent of America is not obese by accident.
People have great control over their diabetes.
Many people choose not to exert that control, because they are unwilling to make the appropriate changes in nutrition and exercise and lifestyle, and that is why education is paramount. The more people know about diabetes, the more they'll realize that they have a dramatic ability to control their diabetes with appropriate behavioral changes. I would say on the order of five to seven drinks per week. Some physicians do not agree with this. But clearly, patients, including those with diabetes, who drink in moderation, appear to be slightly healthier than non-drinkers.