 [ Symptoms ] what causes bleeding in the first trimester of pregnancy [ Disease ] there is no simple answer to your question however the absolute best option for anyone with type 2 diabetes is exercise and weight management here is a short synopsis by the time you are diagnosed with type 2 diabetes around 50 of your beta cells are lost [ and your body is resistance to the action of insulin has been longstanding] the decline in beta cell function is predictable it is an absolute fact that treatment of type 2 diabetes with one drug alone will not work to control blood sugars the decline continues regardless of therapy with metformin or sulfonylureas drugs like xyz however lifestyle changes like diet and exercise seem to slow the loss of beta cell function by improving insulin sensitivity other drugs may also stabilize beta cells after we eat insulin works primarily on muscles muscles are also the primary site of insulin resistant by engaging in routine physical activity we use muscles which uses sugar as a source of energy we also burn excess fat together these actions result in less insulin resistant improved insulin function and fitness