Hi Tam,
have you ever tried inulin to help you to decrease your blood sugars??

http://en.wikipedia.org/wiki/Inulin
http://www.raysahelian.com/inulin.html
http://www.foodproductdesign.com/art...641health.html

perhaps the prob with your behaviour combined with the topamx. Has too many side effects so I chose not to take it....are you taking it for migraines or nerve pain??? b/c there is a decent drug nortriptyline. It is what is taken from the drug amitriptyline when your body metabolizes it. Amitrip. has too many side effects......so nortip. is a better drug if you can tolerate it. It is for depression, nerve pain and also for migraine prophylaxis. Not sure if this helps ???? Take care

Love and hugs,
Victoria