Answer about when to begin oral meds

She isn't on any oral meds or insulin. She is 74, a bit overweight, sedentary mostly, although she gets physical therapy 5 days a week and also attends a very light exercise class most days. The rest of the day, she mostly sits. She has congestive heart failure (which doesn't seem to be causing any trouble right now -- no water) and was diagnosed type 2 about 2 years ago.

She claims to be starving, mostly in the evenings. They're talking about increasing her anxiety medications to counter the problem. I talked to her today about what insulin resistant means and that the hunger could be very real and not psychological at all. Her blood sugar isn't so high that she's whonked out, but at 74, in the first stages of dementia, I think it's high enough that we just can't depend on her to control her diet enough to control her blood sugar. She says she wants to, she just feels compelled to eat. I mentioned this a few weeks ago and I know some of it might be psychological, but here's what I think: I think they need to start her on oral meds to get those numbers down and work from there. I think masking the hunger with some kind of anxiety drug is not the place to start -- try Metformin and see what happens? I talked to her about this today, at length. I don't know what her a1c is -- she doesn't know herself. But, I would think with a consistent average of about 160 for the last several months, that it should be high enough to consider some kind of additional help, at least until the numbers come down and stay down. Any thoughts? I know you're not doctors, so don't worry -- I just really don't know what to think.