What would normal procedure for a type II diabetic be if when they test their glucose and it is at 275 or higher? Currently taking 1000mg metformin

Adding second agent. If your are not on maximum dose of metformin (which typically is 2000mg daily), then adding a second glucose lowering agent is the most logical next step as your diabetes is not apparently under control. You must discuss this option with your physician to individualize your treatment plan as there are now various medications available in the market.
Diabetes. This is diabetes not well controlled. Frequent visits with your physician are required. Be sure you are following a healthy life style, watching your diet and weight.