Using the references below and answering the PICOT question: In young adults age

Using the references below and answering the PICOT question: In young adults age 18-25 with Type 2 diabetes, does exercise and diet lower A1C levels compared to similar patients taking medication, metformin, during a 3-month lifestyle change? Include:
Possible integration of the evidenced that you found in clinical practice
Methods to evaluate the effectiveness of implementation
References:
Aroda, V. R., Rosenstock, J., Terauchi, Y., Altuntus, Y., Lalic, N. M., Villegas, C.E., Jeppesen, O.K.,
Christiansen, E., Hertz, C.L., Haluzik, M. (2019). Pioneer 1: Randomized Clinical Trial of the efficacy
and safety of oral Semaglutide Monotherapy in Comparison with Placebo in patients with Type 2
Diabetes. Diabetes Journal. 42(9), 1724-1732. https://doi.org/10.2337/dc19-0749
Chawla, R., Madhu, S.V., Makkar, B. M, Ghosh, S., Suboo, B., Karla, S., RSSDI-ESI Consensus Group.
(2020). RSSDI-ESI Clinical Practice Recommendations for the Management of Type 2
Diabetes Mellitus 2020. Indian journal of endocrinology and metabolism. 24(1), 1-22.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7328526/
Khan, R., Chua, Z., Tan, J., Yang, Y., Liao, Z., Zhao, Y. (2019). From Prediabetes to Diabetes: Diagnosis,
Treatments and Translational Research. Medicina. 55(9). 546.
https://doi.org/10.3390/medicina55090546

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