Untitled

flowchart {
    title: "Diabetes Mellitus Type 2 Management"

    start --> lifestyle_modification["Lifestyle Modifications"]
    lifestyle_modification --> metformin["Start Metformin"]
    
    metformin --> step_up_therapy["Monitor and Step-up Therapy if needed"]
    
    step_up_therapy --> hba1c_check["Check HbA1c every 3-6 months"]
    
    hba1c_check -- Normal HbA1c --> monitor_only["Continue Monitoring"]
    hba1c_check -- Elevated HbA1c --> dual_therapy["Add a Second Medication"]
    
    dual_therapy --> drug_classes["Consider Drug Classes"]
    
    drug_classes --> sulfonylureas["Sulfonylureas"]
    drug_classes --> glp_1["GLP-1 Agonists"]
    drug_classes --> sglt2["SGLT2 Inhibitors"]
    drug_classes --> insulin["Consider Insulin if Persistent Hyperglycemia"]
    
    insulin --> final_check["Monitor for Side Effects and Glycemic Control"]

    final_check --> long_term_follow_up["Long-term Follow-up and Lifestyle Management"]

    long_term_follow_up --> end
}