Personally, I found a CGM very helpful as there is, in my opinion, way too much to keep track of and try to figure out, particularly when you’re new. I went about 6 months using finger sticks before I asked for a CGM (it was not offered or even discussed by the GP) and have been on one for about a year and a half. Without it, there’s too much opportunity to dismiss a high or low as an effect of when you poked your finger relative to a meal, etc. and it’s nearly impossible to accurately see effects of different meals or exercise on a several-hour timeframe. Let alone see nighttime trends.
Again, personally and without a lot of experience to back it up, I would push for a monitor with high/low alarms while they are adjusting your med list and doses.
My doctor focused on the meds and did not consider other things that I changed in my life. If you’ve reacted to the diagnosis like a lot of people and overcompensated in the exercise direction, diet changes, etc. make sure the doctor understands and factors that into the med adjustments. Particularly if you think your changes are not sustainable – they’re trying to adjust things with medications while you’re adjusting them with diet and exercise and unless people talk it will delay you getting to a happy/healthy steady state.
Ask if there’s a diabetes education class available if it hasn’t already been discussed.