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1, Introduction

NICE NG28 recommends targets tailored to individual circumstancesoften 48 mmol/mol (6.5%) for people on lifestyle measures or metformin alone, and 53 mmol/mol (7%) for those on medications associated with hypoglycaemia risk Weight management : Achieving and maintaining a healthy BMI improves insulin sensitivity, testosterone levels, and cardiovascular health Physical activity : Regular exercise (at least 150 minutes of moderate-intensity activity weekly) improves endothelial function, cardiovascular fitness, and psychological wellbeing Smoking cessation : Smoking significantly worsens vascular function and should be addressed urgently Alcohol moderation : Excessive alcohol consumption can impair erectile function and interfere with diabetes control Cardiovascular risk factor management is equally important