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When I was diagnosed Oct 2019 HbA1c was 103, next one 62 then 44 I cut back hard on carbs, cut out alcohol and drink more water, activity levels unchanged. I was losing too much weight so introduced more carbs blood glucose monitoring twice a day, readings stayed stable, I was on one metformin...

You mention you have optical migraines, do you take ramipril for high bp, it gave me optical migraines every day, stopped it and they disappeared completely along with a lot of other awful side effects which were put down to my nerves !!!