Hba1c gone up - good or bad?

Really wanted hubby to get onto a diabetes drug trial (more so he could get some decent control and monitoring than anything else) but his hba1c wasn't high enough to be eligible but during their tests, they did find that his hba1c has jumped from 6.1% to 6.7% since December and they found a trace of protein and blood in his urine sample. He has to get his urine retested by our GP but it worried me a bit to be honest.

So, if his hba1c is going up, what can I suggest to our GP? Hubby takes his Metformin but he doesn't watch what he eats, works funny shifts and is really stressed which all contribute to his BS being all over the place pretty much.

As I know I've mentioned before, I think he should go onto whatever (an additional oral medication or insulin) to get control because he doesn't have the motivation or willpower to change anything with regards to diet and exercise (he is overweight). Would asking for Byetta be a logical thing - to help with weight loss and BS control? I always feel that our GP dumbs down my concerns and we get brushed off and shoved out of the door so any ammunition of my own I can fire at her would be most beneficial.

Or should I just shut the heck up and be pleased that a .6 jump in his hba1c is actually nothing to even give a 2nd thought to?

Thanks for the reply, Ken.

He isn't in denial, he knows what the complications are but he just isn't that bothered I guess - infuriatingly, he says that at 44, it's hard to change when you're not that fussed. I just want to get those BS down any which way to reduce the risk of complications starting, if he won't change his habits well then, let's try *something* to get the levels reduced anyway.

I forgot to add my signature in my main post but yes, he's type 2 and takes 500mg Met x 3 per day. His BMI is 36 so he's considered obese.

Recently he's at least stopped smoking - for now, which is something I've been heaping on praise for.

If he could get his weight down, not only would it help his BS levels but also, it would help his sleep apnea for which he uses a CPAP machine and I'm sure it would help his high blood pressure too.

I just get so frustrated with our Drs surgery who just don't seem to give a **** about working with us to do something. We just get brushed off that actually his tests seem on the whole ok and that's where it's left. No-one wants to help him lose the weight or work with him to get his levels under control. Doing the bare minimum is their thinking.

I know, I don't understand why he has no willpower or motivation when he has everything to live and get healthier for - 3 beautiful very young children and me - well ok, let's leave it at the kids! :lol:

I am sure good control will help in so many other areas of his life, he has no energy, is permanently grumpy, obviously has the other medical issues and some of his old pre-diagnosis symptoms are returning from what I assume is this rise in BS levels.

If that's not enough of a kick up the backside, he also saw his father and brother both go from fine to diabetic to high blood pressure and then heart attack. He is simply following suit and it won't be long before he ends up in the CCU of our local hospital I'm sure.

I think a referral is the way to go, at the very least we can feel like we've got the best person for the job and someone who can listen fully to our concerns and then make a decision rather than someone who sees many of these cases per week (or even day I suppose) and who is going through the motions without really wanting to get to the root and work upwards. We actually have some subsidised private healthcare so maybe we should just skip the NHS route and try that.