The Mediterranean, DASH, and vegetarian/vegan diets have all been shown to help in the achievement of weight loss and improve glycemic control in T2DM.S4.2-1,S4.2-2 Prospective cohorts have demonstrated a significantly Recommendations for Adults With Type 2 Diabetes Mellitus (Continued) COR LOE Recommendations *An HbA1c is the optimal screening method, with a level 6.5% indicating T2DM. CLINICAL STATEMENTS AND GUIDELINES lower likelihood of CVD events and CVD death in adults with T2DM who follow a healthy dietary However, an RCT targeting aggres- sive lifestyle interventions in T2DM was unable to show a reduction in ASCVD events despite early success in achieving weight loss.S4.2-18 The quality of carbohydrate intake is especially important for control of T2DM, and focus should be placed on the intake of fiber-rich whole grains and avoidance of refined carbohydrates.S4.2-19 Additionally,redmeatconsumptionhasbeenshown to increase the risk of T2DM, and decreasing intake of red meat can improve glycemic control.S4.2-20,S4.2-21 Weight loss is an essential treatment component for T2DM, and dietary recommendations should be adjusted to achieve meaningful weight loss, if needed. Establishing an appropriate nutrition plan requires time and effort and is best accomplished with assistance from a registered dietitian-nutri- tionist or a diabetes education program. 2. 