Don't call the doc and ASK if you can just try diet &c. This gives him the option of saying no. Call the doc and TELL him that's what you are going to do. Leave it for him to talk you out of it.
My doc was talking about giving me the cholesterol meds after I had gotten the numbes down to 200. I told him I'd take them if my numbers get to the 280-300 range. He countered; 180 is the 'new' standard. I said; NO. That was the end of it. bk