An obese NIDDM patient present with FBS=180 mg% and PPBS=260 mg% Management include-

Ans is option 2 and 3 Management of type 2 diabetes mellitus should begin with medical nutritional therapy Accompanied by exercise If the patient&;s glycemic target is not achieved after 3-4weeks of medical nutrition therapy and exercise pharmacological therapy should be instituted Metformin has been the initial choice of many physicians for the treatment of the obese type 2 diabetes. Ref Harrison 17/e p2283