A new conversation on type 2 diabetes starts March 30 Register for the Project Remission kickoff webinar →

Clinical Practice Guideline: Type 2 Diabetes Remission

The guideline was published as a supplement in the July 2025 issue of the American Journal of Lifestyle Medicine on June 10.

Published Guideline         Executive Summary       Plain Language Summary       Practice Resources

“Lifestyle Interventions for Treatment and Prevention of Type 2 Diabetes and Prediabetes in Adults,” was developed with trustworthy methods for using current, best evidence to make recommendations for improving the quality and consistency of medical care. These recommendations, also called key action statements (KASs), were crafted by a 20-member guideline development group (including consumer advocates) representing advanced practice nursing, cardiology, clinical pharmacology, behavioral medicine, endocrinology, family medicine, lifestyle medicine, nutrition and dietetics, health education, health and wellness coaching, sleep medicine, sports medicine, and obesity medicine.

Guideline Authors:

Richard M. Rosenfeld, MD, MPH, MBA, DipABLM, Meagan L. Grega, MD, FACLM, DipABLM, Micaela C. Karlsen, PhD, MSPH, Abd Moain Abu Dabrh, MBBCh, MS, NBC-HWC, R. Nisha Aurora, MD, MHS, Jonathan P. Bonnet, MD, MPH, FAAFP, FACLM, CAQSM, DipABOM, DipABLM, Lori Donnell, MBA, Stephanie L. Fitzpatrick, PhD, Beth Frates, MD, FACLM, DipABLM, Elizabeth A. Joy, MD, MPH, FACSM, FAMSSM, DipABLM, Jane F. Kapustin, PhD, CRNP, BC-ADM, FAANP, FAAN, Dawn R. Noe, RDN, CDCES, Gunadhar Panigrahi, MD, FACC, DipABLM, FACLM, Arun Ram, MD, MBA, FCP, Lianna S. Levine Reisner, MSOD, Willy Marcos Valencia, MD, MSc, Lorraine J. Weatherspoon, PhD, RDN, Jonathan M. Weber, MA, PA-C, Kara L. Staffier, MPH, and Mahima Gulati, MD, FACE, FACLM, MSc

Endorsements:

The guideline has been endorsed by the American Association of Clinical Endocrinology, American Academy of Physician Associates, American Association of Nurse Practitioners, American College of Clinical Pharmacology, Obesity Medicine Association, American Academy of Sleep Medicine, Association of Diabetes Care & Education Specialists, and National Board of Health and Wellness Coaches. It has been designated with an “Affirmation of Value” from the American Academy of Family Physicians and is supported by the Academy of Nutrition and Dietetics.

Media:

Watch a webinar

Download Practice Tools

Behavior Change Assessment

This handout describes behavior change techniques to include Motivational Interviewing and OARS. It’s complete with scaling rulers to assess readiness to change.

English

SMART Goals Worksheet

A hands-on tool for setting clear, realistic health goals using the SMART method. Break goals into small, simple steps that build healthy habits that last.

English

SMART Goals in Action

A handout that defines SMART Goals with examples of use and what to avoid. This will help patients develop goals that maximize success.

English

Deprescribing Approach

This diagram showcases where to start, what to consider, and how to monitor type 2 diabetes patients as you progressively reduce medications.

English

Move toward WFPB Eating

This handout supports a diet shift adding more whole food, plant-based foods to patient eating patterns.

English

Understanding Ultra-Processed Foods

A hands-on tool for defining what constitutes ultra-processed foods and how to choose whole food options.

English

Healthy Foods are Everywhere

Enjoy plant-based dishes from a variety of cuisines and ethnic heritages found across the United States.

English

Break up Sitting Streaks

This handout provides patients with bite-sized exercises that reduce sedentary behavior and can be practiced daily.

English

Tips for Managing Stress

All six lifestyle medicine pillars contribute to how we think about and react to stress.

English

Relationships Matter for Better Health

Building strong social connections can help you reinforce health lifestyle habits.

English

Key Questions to Ask

This handout provides some key questions patients should consider asking as part of a diabetes follow-up visit.

English

Patient Advocacy for Lifestyle Medicine

This handout provides patients with a sense of control. The six pillars of lifestyle medicine can be used to manage type 2 diabetes.

English

The full package of  resources that accompanied the clinical practice guideline and AJLM supplement can be found here.

ACLM Connect

Earn CME/CE by Reading the Supplement

With more than half of U.S. adults affected by diabetes or prediabetes…

This urgently needed guideline delivers clear, practical recommendations—including health behavior assessments, coaching strategies, and medication de-prescribing protocols.

ACLM offers the full article and a short quiz as continuing education course.

Enroll in CME/CE Course:   Earn 3.75 Hrs Credit

Pocket Guide

Take the Guideline With You—Anywhere

Need quick access at the point of care? The guideline pocket guide distills key recommendations into a concise, easy‑to‑use format.

  • Digital access available with a Guideline Central subscription
  • Spiral‑bound print edition available for purchase—ideal for clinics, rounding, or reference on the go