Creating a therapeutic plan at the time of Type 2 diabetes diagnosis is pretty easy: one recommends therapeutic lifestyle changes and metformin therapy. If the A1C does not reach goal, the dose is increased and/or another agent is added. However, it is not always that simple. The plan needs to be individualized. What about the possibility that a plan could be personalized from the time of diagnosis as part of a long-term road map that not only leads to the A1C goal but also proceeds to instruct the patient how to remain there? The first step would be to commit to a starting point that takes into consideration the whole patient and not just the diagnosis.