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A diabetes expert shares some advice.

I’ve been in good control of my diabetes for 12 years. Recently, my A1C jumped. What am I doing wrong? 

Congratulations on maintaining such good control for 12 years! Having your blood glucose in control may reduce your risk of some complications of diabetes, including problems with the eyes, kidneys and nerves. However, it’s possible that your A1C has jumped through no fault of your own. Type 2 diabetes is a progressive disease, thus, the strategies and medications that controlled your blood glucose a few years ago may not be enough today. Likewise, what works for you today may not be adequate in the coming years. Now is a good time to work with both your primary physician and a registered dietitian nutritionist (RDN) who is also a certified diabetes educator (CDE). Your health care provider may want to adjust the dose of your current medications or add another medication. Your nutritionist and diabetes educator can help you tweak your diet and physical activity routine to better meet your health goals. With their assistance, you should be back on track soon.

Published on March 27, 2015. 

— Advice by Jill Weisenberger, MS, RDN, CDE, FAND. Jill is a nutrition counselor, diabetes educator, and author. Her latest books are The Overworked Person’s Guide to Better Nutrition and 21 Things You Need to Know about Diabetes and Your Heart.