Dlabetic&hypertensive, bmi31 , on amarylm2 tab 2x3, novonorm2 1x3 and lantus (insulin glargine) insulin +3o min excercise. ....a1c 9.7 please help!

You are high risk: For coronary artery disease, just based upon the very limited data you give. You should control your glucose until HGB alc is <7.0. Low carb weight loss, exercise, medication--you are doing all of that. I think you need more Insulin and perhaps metformin. You need opinion from and endocrinologist in order to control your blood sugar better, .

Your endocrinologist: Needs to adjust/ increase the dose of your medicine esp Insulin to attain good control of your sugar reflected in your a1c (ideally in the 6 or 7 range). A good diet & exercise regimen would help as well. Increase your water intake to maintain good kidney function. Annual or periodic ekg is a must have your annual eye check , lipid and kidney function monitored closely .Take care & god bless u!

High Hb a1c: You need to go to an endocrinologist (e) to see if your diet needs to be changed. The regimen of medicines you take to control your diabetes is clearly not working and this may be due to inadequate dosing or ingesting too many carbohydrates. If you reduce your bmi, there is a chance to control your glucose better. Get your glucose under control to avoid harmful complications of diabetes, see an e.