Thank you for the query. As per the history, you are a 37yrs old gentleman, with a BMI of 30.5kg/m2 (obese), diabetic for the past 2 yrs (not on medications), presently uncontrolled by diet and exercise regime. In this context I would like to enquire about your complete blood sugar profile, comprising of Fasting blood sugar and HbAic (which will indicate a control over the last 3 month. Despite the diet and exercise regimen, over the past 2 yrs, if your blood sugar levels are uncontrolled (HbAic 7%, and raised FBS/PPBS), you need to start on medications. Initially, oral diabetics are given as single drug regimens (metformin is the commonest drug to start with). If the sugar status is still uncontrolled with a single drug regimen (after 3 months), then dual/multiple drug regimens are started with. Insulin is given if the HbAic levels are extremely deranged (along with high FBS/PPBS) to begin with. However, in your case it seems oral drugs should be sufficient. I would also advise you to reduce your weight (since your BMI is 30.5kg/m2). A strict diabetic diet (avoiding refined carbohydrates, carbonated beverage) should be adhered to. Please get your lipid profile checked, since obesity, diabetes and dyslipidemia could be part of metabolic syndrome. It is important to control your blood sugar in the early stages to prevent later complications affecting the nerves, eyes, kidneys and cardiac status. Please visit and endocrinologist/physician, who can further advise you on this matter, and decide a management plan. Hope this helps you out. Regards Dr. Ayusmati Thakur