I might be underinformed, but I'm fairly certain if you commit to a decent lifestyle change early enough you dodge getting the beetus or send it into remission. Its only the Type 1s that are fucked with needing forever meds and that's a from birth condition.

Like, when the wife got the gestational one, she just had to cut back on a few foods and then was able to get her levels low enough to never need the insulin shots a lot of pregnant women do.