▸ In addition to lifestyle counseling, metformin might now be an option in people considered to be at high risk (combined impaired fasting glucose and impaired glucose tolerance plus other risk factors) and who are obese and under 60 years of age.
▸ Continuous glucose monitoring might be a supplemental tool to self-monitoring of blood glucose for selected patients with type 1 diabetes, especially those with hypoglycemic unawareness.
Dr. Phillip Levy, a Phoenix endocrinologist, said the recommendations sounded pretty reasonable. “I don't think it matters what kind of diet patients use as long as they lose the weight,” he said. Although increased cholesterol may occur with a low-carb diet, “I don't see that causing any permanent problems, because people don't stay on the diets” forever; instead they go off them once they lose the weight.