I have tested my fasting blood sugar since I was diagnosed 13 years ago, and I have studied and learned about my numbers rising and falling as i eat a low carb diet with many vegetables, mostly from my garden in the summer. When the number is higher in the morning, I know to eat a healthy, careful diet, and I cook my own delicious meals every day. I can take one or two Metformin in the evening, as prescribed by an endocrinologist, which may help some, but mainly it is the diet and some exercise or activity which keeps the numbers near normal in the morning, and stay below 200 in the evening. My AIC right now is 6.8 but it has been as low as 6.3. I would like to get it lower but eat too much fat in my diet to balance the meals. In the beginning I lost 18 pounds giving up sugar and white bread, and have lost another 6 pounds this year without being to walk much due to back surgery. Diet and exercise is the key to good control and I recommend a wide variety in a balanced diet. I have studied nutrition all my adult life. I never depend on pills or test apparatus. My doctor has never advised me what to do but he did send me to a nutritionist. I have studied about diabetes at the college level and know it can be awful but the only problem I am dealing with right now is a fat waist. I am working on it. You are what you eat. Dorisena