Anybody know how to get your fasting blood sugar levels down without going on insulin?

Lifestyle, oral meds. Lifestyle measures including aerobic exercises 2-3 hours/week, weight loss 5-7% of current body weight, and controlling carbs intake in diet (amount depends on your body) can have significant impact to lower blood sugar levels. If these meaures are inadequate, there are many types of pills that can help: metformin, tzds, secretagogues, dpp-4 inhibitors, bile acid resins, bromocripine, and others.
Yes. There are many types of diabetes pills (such as metformin) that can help lower your fasting blood sugar, but it really depends on how severe your diabetes is. If it is quite severe, you may need Insulin for adequate control. Weight loss in general will improve your overall diabetes control.