How to manage high A1C and tingling in the feet?

Question

Hi doctor,

My blood sugar levels have been fluctuating lately. I am trying to eat better, but honestly, it is tough. Stress at work makes me crave junk food again. My last A1C was 8.1, which I know is high.

I am worried about complications; my feet sometimes tingle, and I am concerned that might be the start of neuropathy. I am walking daily, but I am still unable to get my numbers down.

Should I consider switching medications or adding Insulin?
How often should I be checking my blood sugar at home?

Please guide.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and understand your concerns.

I am really glad you reached out because managing diabetes can feel overwhelming, especially when stress and cravings come into play.

An A1C (glycated hemoglobin) of 8.1 indicates that your blood sugar levels are higher than the recommended target, so it is completely understandable to be concerned about complications.

The tingling in your feet may be an early sign of neuropathy, and the sooner we bring your blood sugar under control, the better the chances of preventing it from worsening.

This situation does not mean you have failed or that things are out of control; it simply indicates that your treatment plan might need some adjustments.

Many people benefit from a change in medication, and sometimes adding a long-acting insulin at night can be helpful when lifestyle changes alone are insufficient.

The right decision will depend on the medications you are currently taking, your daily glucose readings, and the patterns of your highs and lows.

Checking your blood sugar at home at least once a day is important, but if your levels are fluctuating, testing before meals and occasionally two hours after meals can help identify where the spikes are occurring.

Stress can raise blood sugar levels, so it is not just about what you eat. You are already taking a great step forward by walking daily, and that is excellent! What is important now is to discuss the tingling sensation and your recent A1C result with your doctor.

They can adjust your medications and help protect your nerves, eyes, and kidneys. You are not overlooking anything; you simply need a bit more medical support at this time, and that is perfectly okay.

I hope this answers your query. Feel free to reach out anytime.

Thank you.