Reta/Tirz, walking after meal/first thing in the morning. Berberine/Metformin after meals. Taking Jardiance with GH shot.
Tirzepatide really fixed my glucose numbers and HBa1c. I was taking metformin/berberine at that time also. For the last decade, I've been floating in prediabetes (definitely), and every once in a while, I'd hit the clinical definition of diabetes.
I ended up in the hospital (for pneumonia), told them the meds I was taking, and they did all sorts of bloodwork. Once I was released, and we talked, they wanted me to stop with the metformin. The reason was they said (I have the report also) was my A1C number was 4.9. They switched me to Jardiance to get the fluids out.
I still take metformin/berberine just in case I have an extra meal, or eat some foods I know I shouldn't in excess.