Hi Skeeter, you need to be very honest with your doctor and hope your doctor will listen to your concerns. Your blood sugar is very high and needs to be brought down. This can be partially done by changing your diet and lifestyle (exercise) and losing weight if you need to. However, sometimes we have to take pills even if we don't want to, so this is why you and your doctor have to discuss your diagnosis and what therapy he suggests. There are various oral medications for diabetes and there are injections. Talk to your doctor. Let us know how that goes, ok?