### Human:\nmy daughters insulin level is 32 and the doctor recommend she takes metformmin. i'd rather change our diet and exercise.\n\n### Assistant: do both. then when she is adequately controlled you can ask the doctor to tapir off the metformin or stop it all together if her dietary changes are successful and permanent. hi i had a friend in the uk did all his diabetes control just by diet worked for him for many years. good luck