For blood glucose management in patients with type 2 diabetes, individualized treatment plans should be developed based on multiple factors such as the patient's economic situation, treatment compliance, and medical conditions. It is also emphasized that regular follow - up and reexamination must be carried out, and the treatment plan should be adjusted according to the changes in the patient's condition to achieve safe and stable blood glucose reduction and long - term blood glucose target attainment. In blood glucose management, lifestyle intervention is the foundation of type 2 diabetes management and should run through the entire process of diabetes treatment. If blood glucose targets cannot be achieved through lifestyle intervention alone, drug treatment should be initiated. - Metformin is the first choice. - For patients who are not suitable for metformin, other drugs can be selected. - If the blood glucose target is not reached with metformin alone, other types of hypoglycemic drugs can be added. - For patients with a relatively high glycated hemoglobin level, treatment with two oral hypoglycemic drugs can be started directly. - If the glycated hemoglobin level has exceeded 9%, short - term intensive insulin therapy can be started directly.