Hi Lee-Ann. the best non-medication ways to combat this is to eat less simple carbs (potatoes, sugar, corn, white flour, etc) and eat more complex carbs. An overall reduction in carbs is a better way as well. That and sustained exercise on a regular basis. Walking to work might be enough, but only if it is done at an exercise pace. Chances are you don't want to get sweaty on the way there, so you probably need more. If you are insulin resistant, weight loss will be very hard without the exercise.
Does your doctor not like metformin for a medication? Many women here take it while trying to conceive. That may help with the weight loss.
Some diet plans you might want to look at are Sugar Busters, South Beach Diet, The Zone, Atkins, or Protein Power. Weight Watchers may also work for you - I'd just stay away from the simple carbs and replace with things like wild rice and whole grain bread.)
You'll get through this!
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