Hi. If you are formally diagnosed as a diabetic then the surgery must provide you the right type of support for your condition and this probably means some form of medication. Byetta is normally prescribed for those who have excess weight. If you are still overweight then having a low-carb diet will be essential to get both weight and blood sugar down. Do you test your blood suagr regularly? Do you even have a meter? Although pioglitazone can work quite well to reduce blood sugar it can have some side effects so it might be worth discussing options with the DN e.g. Sitaglipin. Once your weight has come down, then there is always insulin to control blood sugar instead of tablets but you may find that it isn't needed as insulin resistance will have faded with the weight loss. If you need any advice for the best diet then do ask on this forum but beware of NHS dietary advice