I take no pills but my PPBS rarely shoots to 170-180 levels most of the time stays within 150 (and yes i am classified as diabetic by doctors). Remember, there's cellular damage in body occurring if it spikes to 170 and then comes down. Pain in legs could be due to that (neuropathy). Ideally you should aim 80 fbs and 140 ppbs with or without meds. I take no allopathic medicines as problem with them is lot of side effects and the dosage normally have to be kept increasing till one reaches a stage where insulin
shots become unavoidable.
I am only taking few adaptogens (ayurvedic) and Gymnema/Triphala/Neem/Guggulu. My ppbs normally stays below 150. I stopped all NON VEG (including eggs) as non veg outs a lot of stress
on digestive system.