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YMMV – Your mileage may vary. I alternate between metformin and bitter melon pills and they are great with some exercise and a moderate carbs diet. My fasting levels are usually around 5.5.   Of course when I eat too much, the medication is of no help, so the pills must go with a sensible diet... May be a good idea to keep a journal so you know when you spike and when you don't. Then, by elimination, you will come to the best medication/diet combination for you.   In a worst case scenario, you have to check whether you have progressed to type 1.   Good luck.