Based on the following statement, please answer the question below:

"To the latter method of changing the statistic of very high number of pre-diabetic individuals, preventative medicine now strongly suggests lifestyle changes as the single most effective long-term strategy at mitigating long-term diseases from precipitating"

My question is:

That is always a go-to answer when we are discussing health issues, lifestyle changes, eating, and exercise. But aren't there more important factors to deal with first? How about education? What about behavioural patterns? What is the reality of implementing long-term strategies?