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paraphrase and summarize this: Lifestyle Modifications: Dietary Changes: Implementing a balanced, nutritious diet is crucial. This means focusing on vegetables, whole grains, lean proteins, and healthy fats while reducing sugars and saturated fats. Portion control and carbohydrates management are vital for blood glucose control. Physical Activity: Regular physical activity is recommended to enhance insulin sensitivity and aid in weight management. Guidelines often suggest at least 150 minutes of moderate-intensity exercise per week, such as brisk walking, swimming, or cycling. Weight Loss: As Lena has a BMI of 35.2, aiming for a weight reduction of 5-10% of her current body weight can significantly improve glycemic control. Medication Management: Metformin: This is typically the first-line pharmacological treatment for type 2 diabetes, unless contraindicated. Metformin helps by decreasing liver glucose production and increasing insulin sensitivity. Consideration of Additional Medications: Depending on her individual needs, risks, and goals, additional medications may be considered. These can include: SGLT2 Inhibitors: These medications help lower blood sugar and also have benefits for heart and kidney health. GLP-1 Receptor Agonists: These agents help with glucose control and can also promote weight loss. Regular Monitoring and Follow-up: Continuous monitoring of blood glucose can help tailor and refine treatment strategies. Regular follow-up appointments to assess the eff

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