What is the step wise treatment approach for diabetes type 2?

Step 1: Lifestyle interventions Add metformin - first line treatment Step 2: Add a second oral hypoglycaemic agent: empagliflozin, dulaglutide, vildagliptin, a sulfonylurea or pioglitazone (can be taken with metformin) stimulate beta cells to produce more insulin A third can be added instead of stepping up to insulin Step 3: Add insulin start on 2 units and gradually build up