Pie - the Glucotrol XL for 30 days was enough to bring my glucose down into a manageable range.  At first I wasn't aware that the prescription was for only 30 days and I just assumed I would be on it indefinately at least until I could control it with diet & exercise.  So once I realized that it was 'unfillable' I knew I had to get seriously busy with the program.
Taking any diabetic medication can result in hypoglycemia (too little glucose) and can cause you to black out at inappropriate times -- as if there was an appropriate one 

.  So a couple of times I dropped into the 60-70 range and felt a bit light-headed.  Many medicated diabetics need to carry some sort of glucose supplement to prevent hypoglycemia.