A fifty-one-year-old woman with newly diagnosed diabetes mel…
A fifty-one-year-old woman with newly diagnosed diabetes mellitus type two has a body mass index of thirty-four kilograms per square meter and a glycosylated hemoglobin of eight point one percent. She works full-time at a desk job and has tried several short “crash diets” without success. She asks, “If I am going to change how I eat and move, what kind of goal actually makes a difference for my diabetes?” Which response best reflects realistic, guideline-based counseling?