That is not correct, see: https://link.springer.com/article/10.1007%2Fs13300-018-0373-9 …
I mean, Virta is an extremely expensive private example, but even your generic intensive lifestyle modification intervention is pretty pricey - you need intensive, ongoing support for patients from multiple clinicians as well as a whole heap of devices
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For individual patients with high risk of complications? Certainly. For entire populations of people with diabetes? That's a much tougher sell, and far less likely to be cost-effective
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