A therapeutic objective for those with diabetes who are overweight or obese should be to reduce calorie intake in order to reach and maintain a healthier body weight. The distribution of macronutrients is flexible within advised ranges and is influenced by the preferences and aims of each patient's treatment. For persons with type 1 and type 2 diabetes, substituting low-glycemic-index carbs for high-glycemic-index ones in mixed meals has a clinically meaningful effect for glycemic control. It may be possible to control blood glucose and weight by being consistent with meal timing, meal spacing, and carbohydrate intake. Those with type 2 diabetes who get intensive healthy behaviour interventions can see changes in their cardiovascular risk factors, glycemic control, fitness, and weight management.
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