Research
Adherence
Lifestyle modification (smoking cessation, diet, exercise) is the fundamental basis for managing cardiovascular risk in perimenopausal women with type 2 diabetes, though long-term weight maintenance is difficult.
Stop smoking, eat more veggies, limit salt, and move 30 minutes a day. These are the most important steps you can take. However, if you struggle to keep the weight off or control your numbers, don't blame yourself. You likely need medication (like SGLT2s or GLP-1s) to help you succeed.
GoodSupportsHIGH confidence
Adherence to the principles of a healthy lifestyle remains the fundamental basis for managing type 2 diabetes and CV risk in men and women.
Why this rating
Supported by observational data and large trials like Look AHEAD, though the latter showed limited CV outcome benefit from intensive weight loss alone.
Source
Principles of cardiovascular risk management in perimenopausal women with type 2 diabetes
Ф. О. Ушанова et al. · FOCUS Endocrinology · 2023
narrative_review
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