dear friend, as long as management for type 2 diabetes mellitus is concerned it depends on your stage of diabetes it can be managed initially with diet control and weight loss regime since the main cause is insulin resistance because of obesity. so dietry regime and weight loss is indeed the primary regime for the management of diabetes however if you have lost more than 75% beta cells in pancreas unfortunately you will have to be on medicines aswell regardless of what your doctor prescribed there are safer regimes like combination of dpp4 inhibitors and metformin or sulphonyl ureas. for weight loss yes you can do following things replace your milk with skimmed milk sugar with splenda sweetner use olive or canola oil take brown bread with 2 white of boiled eggs in breakfast have one fruit a day around 11am preferably apple, banana etc take boiled vegetables or salad in lunch u can have boiled chicken or use fat free salad toppings for taste have tea around preferably black tea at 5pm and dinner at 7pm minimal normal food you have in routine life things to avoid are rice, meat, sweets, any drinks, juices etc i would advise you to consult your endocrinologist and ask him to set your regime as i believe medicines are indeed important in your case. your fasting sugars should remain 60-110 mg/dl your random sugars should remain 80-140 mg/dl and hbA1c should be less than 7 i hope my answer helps you thanks regards Dr.Muddasar Ahmed