I’ve been diagnosed with Type 2 diabetes about a month ago. I am 33 years old, with a BMI of 20, total cholesterol 174, triglycerides 77, HDL 60 & LDL 99. All my life, I have eaten lots of vegetables, fruits, grains, and have been taking vitamins for the past 3 years. Granted, I love carbs (grains, bread, fruits, vegetables), so I am practically a vegan, as I’ve always hated red meat. My father was diagnosed with diabetes at 45. He was severely underweight (BMI 19). So I guess I’ve been genetically predisposed, combined with low physical activity (I usually only exercise 1-2x a week). However, I’ve never considered myself obese or out of shape, so you can imagine my shock.
My doctor told me since I was “skinny” and was eating healthy, there was nothing she could do for my blood glucose than to prescribe Metformin (500 mg 2x a day).
Now my question is, should I exercise more & diet more (low carbs) to get my blood glucose back in the normal range (Fasting BG was 128 mg/dl when I was diagnosed) or should I be using Metformin additionally? I do not want to develop any dependence on Metformin or any other drugs, I have been trying to lose an extra 10 or 15 pounds to become 110 lbs (I am 5’6") and exercise on a daily basis for 30-45 minutes. So far my fasting blood glucose has come down to 110-120, but still not in the normal range. If I eat only 12 grams of carbs per meal, my blood glucose stays in the under 140 mg/dl range after 2 hours but if I add any more carbs, it jumps up to 168 mg/dl, 150 mg/dl, sometimes up to 180 mg/dl, sigh.
Does anyone have encountered this problem and would you advise on following the doctor’s orders and taking Metformin + diet + exercise or just diet + exercise for now? Any feedback would be appreciated, thanks!