Im having heart palpitations at night every once in a while and my urine smells i do have high a1c 9% but in three months since june 2023 i lost 11 pounds. i am supposed to start the treadmill on monday to exercise?

Increase fluid intake 50% for a couple days and pay attention to the urine odor. Occasional palpitation is common so you should go ahead with the treadmill exercise. Losing 11# is great but the significance of that lost depends on your baseline weight. If you current BMI is still above 30, chance of avoiding diabetic treatment is low. You should have fasting glucose and HbA1c rechecked. Good luck.

Re palpitations- let your doc know. re smell in urine- avoid onion garlic, asparagus and drink plenty of water and keep sugar under control. Good luck in your test.