It is ME, Hopeless.

Metformin is prescribed often to "prevent" diabetes. I use the term "prevent" very loosely.

Metformin is the FIRST drug used usually when diet does not control blood sugar levels for NON-diabetics as well as diabetics.

Since this has been ongoing for some time, I would ask your endo to prescribe a low dose of Metformin and see how that goes. Metformin will not cause you to go "low" like some other drugs used for diabetes. It has been around for a very long time so its safety is well established.

It is often prescribed BEFORE one is diagnosed with diabetes. The ER version is an extended release that you could take once a day. The ER version also has less chance of any side effects.

Starlix is another drug that is taken 15-20 minutes before meals to prevent spikes but I am not sure they would prescribe that for a non-diabetic. It also will not make you go low.

Most of the other drugs (designed specifically for diabetics) will risk lowering your blood sugar BELOW normal levels. You want to stay away from them.

The two I mentioned will not produce low blood sugar levels.

Bottom line........ I would ask your endo for Metformin ER and see how that works over a 30 day period.

I know what a struggle you have had with this and you do not want to wait until someone thinks your levels are BAD enough when this is obvious not just a fluke since you have these spikes often.

Yes, your spikes are definitely not helping your PN.