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Follow a diet that supports metabolic health, such as one rich in fiber and low in refined carbohydrates

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Manookian pled guilty to federal conspiracy charges in 2010 (after documented $929,000+ in post-warning MT-II sales plus false American-made advertising and customs mislabeling) and received a debarment order effective November 14, 2016 (Federal Register 2016-27244)

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This could translate to better adherence, improved glycemic control, and greater patient satisfaction

However, oral hypoglycemic agents, such as metformin and glyburide, cross the placenta [1030] and are not recommended as the first-line treatment due to rates of treatment failure and concerns about infant weight gain during long-term follow-up [1031]