54y.o caucasian women, hx Gall bladder removal, kidney stones , sleep apnea , obese,reflux, High uric acid and calcium levels on HCTZ (for calcium levels) Allopurinol , Protonix . Recent labs elevated glucose 283, A1C 9.5 (typically 6.5 or less), Triglycerides 123, Cholesterol 181, HDL 40, Alk Phos 151, ALT 58 Bun 10 Cr .55. Concerned as doc wants to start Amaryl. Your thoughts