I don't really have a sweet tooth, but loved carbs like bread, pasta, potatoes, rice, beans, etc. More than a decade ago, my 6.7 A1C labeled me as pre-diabetic. Doc prescribed Metformin. Nothing really changed, but at some time afterwards, I started suffering from crippling anxiety. It got so bad I often couldn't leave the house. After 10+ years on Met, I went on a short trip and forgot the meds. The anxiety disappeared in two frigging days!
Doc checked my A1C at 6.1 and put me on Glipizide. Soon afterwards, I was eating Ibuprofen like candy due to the joint pain in my shoulders. After 11 months on the glip, mild depression started due to the constant, often agonizing shoulder pain. My glucose readings were the highest (170s to 190s) after meals and lowest (80's to 100) after a stationary bike ride on the glip.
I stopped the glip and the shoulder pain only happened after eating, and only lasted about an hour. It definitely increased after eating anything with the items I first mentioned above, even whole grains, which I transitioned to years ago.
My blood pressure is normal: so is organ function. That's when I told my doc I'm done with the meds and am taking control. Berberine, non-starchy vegetables, EVOO, nuts, and unfiltered apple cider vinegar have become my natural meds. 20% carbs, 20% protein, and 60% healthy fats are what I monitor in the MyFitnessPal app, something I've used daily since 2016. Glucose readings are 100 to low 130s. Still not perfect, but getting there.
I've given up bread and potatoes (which wasn't easy). Cut WAY back on grains and legumes. My weight has dropped 13 lbs in two months. I can work out without suffering agonizing pain for days afterwards. Skin issues disappeared.
Shoulder pain and skin issues reappear if I eat something I know I shouldn't. Late night carb cravings were my nemesis. I'd wake up for 2-3 hours and couldn't fall back asleep unless I ate bread, pretzels, or crackers, often to excess. I'd be asleep within minutes when I did so. Now, when I wakeup and get the cravings, I have a few baby carrots with a splash of EVOO, vinegar, and seasoning. Cravings gone, no excess eating, and asleep in minutes.
Am I giving medical advice. Nope. I'm saying pay attention to your body. If you are taking meds and suffering side-effects, discuss them with your doctor and find something else that works. Educate yourself from credible sources. Getting old sucks, but feeling out of control of one's own body makes it worse.
Stay healthy and happy.
Ray