@andytheman I’ve been diabetic for nearly 50 years. I’ve learned that diabetes affects everything else in your body plus any other ailment that comes along affects the diabetes. It is a 2 way street in a bad neighborhood! The best you can do is to prioritize the problems that you have and get to work on them. This includes good nutrition, exercise, satisfying work, rest & relaxation, hobbies & interests, a social network ….. which are good for everyone. I am a Christian believer so my faith is at the top of my list of necessities. Other people have different religious beliefs and practices. Some medical challenges require medications, surgery, treatments etc. Your mechanical aortic heart valve and the need for Coumadin is a good example of this.

I do not take any medicine for diabetes 2. I am allergic to metformin .

I do not take Lozartan either my doctor replace it with metoprolol succ er
50 mg in the morning and 50 mg at night for blood pressure . I take aspirin 80 mg a day for my aortic aneurysm.