Yes a doctors visit really soon is required here, the readings are higher than they should be. The other symptoms are symptomatic of a change in your health, not about how disciplined you are being.
You can explore with them why you think the readings are high, have you had a illness that has caused it etc and if/how you get back to being in control with or without medication.
I haven't had any other illnesses recently. I think it is down to me getting back into a "comfort" eating zone as I had two years of Hba 1c's of 38 and 39 and basically forgot about diabetes.
It has given me a kick up the backside though. This really is a lifelong condition and will come back and attack with a vengeance if you let your guard down.