1. Lifestyle interventions recommended as first-line treatment for type 2 diabetes and prediabetes.
2. Six pillars of lifestyle interventions: nutrition, physical activity, stress management, sleep, social connections, and avoidance of risky substances.
3. Lifestyle changes can prevent progression, improve glycemic control, and lead to potential remission without medication.
4. Racial, ethnic, and socioeconomic disparities in diabetes management highlighted.
5. Recommendations supported by extensive evidence from clinical guidelines, systematic reviews, and randomized controlled trials.
6. Potential to reduce healthcare spending and address healthcare disparities in diabetes management. 
7. Economic burden of diabetes emphasized, with estimated total U.S. diabetes-related costs in 2022 exceeding $500 billion.

Source: American Journal of Lifestyle Medicine