Author(s): Mahmoud Balbaa
Lifestyle is playing an important role in the prevention of diabetes and cardiovascular diseases. The management of diet and physical activity can lead to above 50% reduction in the incidence of diabetes to those at high risk and the modification programs of lifestyle encourage the improvement in risk factors of diabetes [1]. Furthermore, the dietary management of DM is a complement of lifestyle and can achieve by a balance between food intake, physical activity and allowed medication to avoid the complications. Therefore, it can improve lipid and glycemic levels and control weight in type 2 diabetic patients [2]. Besides the importance of lifestyle management, most of the diabetics cannot getaway the pharmacotherapy to attain the target glucose levels. There is different oral hypo-glycemics and help to maintain glucose homeostasis in diabetics [3] like sulfonylurease, which up-regulates the secretion of insulin and metformin that decreases gluconeogenesis and increase peripheral glucose metabolism [4].
