How can i control my hba1c better. i already have a good diet and take metformin. i am getting a little frustrated, i do not think i am overweight.

The are several: medications such as Januvia, (sitagliptin) Invokana, Farxiga that can reduce A1c . Please discuss with your doc.

HGB A1C: Sounds like you need to touch base w/ your doctor... they can review your diet and weight to ensure that both are optimized. Once those are optimized along with other lifestyle modifications, if your glucose control is still sub-optimal, then your doctor may explore other causes.

Moderate exercise: 1. Participate in moderate aerobic exercise regularly; at least 150min/week (~30min/5days per week). 2. See a nutritionist with expertise in diabetes to assess if your diet is appropriate, and to help you make healthy meal plans. 3. Get adequate sleep 4. Participate in activities that reduce stress. 5. Have your clinician determine if additional medications would be helpful. Take Care!

Several options: First of all it is important not to get frustrated as there are several options available. Depending on the level of your A1c the dose of Metformin may need to be increased vs. adding another medication. I would also participate in a regular exercise program and keep a detailed diary of your food intake. This might give you insights to discuss with your doctor.

Largely genetic: People have a large individual variation on this and some who are fat and noncompliant have wonderful A1C. Medication, exercise, weight loss would be some (hard to do) modalities likely to affect SOME people. http://www.amazon.com/dp/0692496157/