The ultimate aim is to fine tune the situation so that blood glucose levels normalize as much as is possible. This will reduce the risks of the long-term diabetes related complications. Medical treatments will be introduced to you and prescribed if appropriate. This will include a detailed review of all available options with choices of drugs tailored to your specific type of diabetes and personal situation. There will be a balanced assessment of risk versus benefit for each drug under consideration. Clinical trials data will be presented to back up the use of all medications. Any concerns relating to the side effect profile for each drug will be discussed in detail. The surgical options, such as bariatric and metabolic surgery, will present with similar needs to review risks and benefits over both in the short and longer-term perspectives.