I understand your reluctance to add even more medications. I do not like to take anything that is not absolutely essential. I totally agree with you on that. I suggest the Metformin partly as a "test" over a 30 day time frame to see if it changes your spikes. If it does, then it would also be beneficial for your nerves and PN. It would treat your PN but it would keep spikes from causing further harm to your nerves.

I would not suggest you continue with the Metformin after 30 days if you do not see improvement in your post-prandial readings.

I totally understand both your concern and your not wanting to take more meds. While "pain" can elevate your blood sugars, it appears that is not what is causing your spikes. It appears your body is not responding in a timely manner to your ingestion of food, even healthy food.

I will mention it to my doctor's visit tomorrow. Thank you Hopeless.