| If the blood sugar isn't sky-high at diagnosis, some doctors will try and let the patient learn to control blood sugars through diet modification and exercise alone. If this isn't successful in lowering the blood sugar, then they will usually start on metformin. I guess a lot would depend on the doctor, as well as patient's family history, weight and other health factors.
Some individuals start immediately on medication, then as they improve their lifestyles, they can go off medicine and successfully manage w/o for a long time.
Keep in mind that diabetes is progressive, so most of us will at some point end up on medication. The goal is good blood sugar control, by whatever means works.
Welcome to the forums!
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T2, diagnosed 8/31/06.
Metformin 500 mg twice daily
HCTZ 12.5 mg every other day for BP
Enalapril 20 mg 1 daily (ace-inhibitor)
Lower carb dieter (approx. 75 total carbs/day, more on weekends), taking chromium, multivitamin and fish oil tablets
Initial A1C 8/06: 9.6
11/06: 6.2.
03/07: 5.3
06/07: 5.4
10/07: 5.3
05/08: 6.2 (after dealing with shingles & bronchiti)
2/09: 5.5 | 
