I've never been on meds because my blood sugar levels were not that high when my doctor prescribed the glucose meter a couple of years ago. My fasting was in the 120's. I've been able to control it without meds but I have to eat a very low carb diet for the rest of my life because I can't metabolize carbs. I don't eat anything made with flour or sugar, no potatoes, rice, etc. I eat very small amounts of beans at a time with a meal. I think your fiance's doctor wants his blood sugar to get down to as near normal as possible and level out. The longer it's above 150 for lengths of time (more or less, depends on the person), the more his internal organs might have damage. Does he need to lose weight? This is a factor that also makes the diabetes harder to control. I'm sure it's frustrating, but knowing what I know now, I would suggest that he follow what his doctor says and in the meantime follow a low carb diet and get into a regular exercise routine unless he already does this daily. A lower carb diet should help the blood sugar get lower while the meds are also working. It's possible that his doctor could lower the dosage if he sees that the blood sugar readings are getting lower and lower. Another option would be to consult with an endocrinologist but that may depend on his insurance. You'll read a LOT of conflicting information about
diabetes. You can start with the American Diabetes Association! They still promote "exchanges" of this carb and that in their diet information. Their diet plan will keep his blood sugar high. It did with me. I wish I could give you more encouragement but for now I can only say to be patient and see how the new low carb eating plan works. (Also, I edited my first response to you. I changed the name of Bernstein's book. He's written two; the one on
diet is the one to get since it's got more suggestions in it. His first one,
Diabetes Solutions, has complete information about
diabetes, meds, metabolism as well as some recipes.)