But can you ever come off the meds once you start them? Once it is under control? I can and will change my diet starting right now. No more pasta, potatoes, rice or white bread. No more sweets like cakes, pies, cookies, honey buns, etc. Smaller portions too. Also WILL lose 25 pounds for a start. I really don't want to take another medication for the rest of my life, what I have of it being 69 years old. Doc has prescribed Metformin.