My A1c will not go below 13.5. What can I do?

Patty Bonsignore


An A1C of 13.5 % indicates that your blood glucose, on average, is running in the high 200s and low 300s. With an A1C that high, doctors usually prescribe insulin to bring the blood glucose numbers down. It is important for you to talk to your primary care doctor about starting insulin, or if you are already taking it, ask about increasing the dose. It is also important that you take the dose as it is prescribed and try not to miss doses. Speaking with a nutritionist to determine if any changes are needed in your diet is essential. But the first step is to make sure you are on the right medicine. At 13.5 %, I would request a referral to an endocrinologist and a diabetes educator for a complete review of your case.