Hello and Welcome to ‘Ask A Doctor’ service.
I have reviewed your query and here is my advice.
With a family history of
diabetes and increased weight, you are at risk of becoming diabetic and as you mentioned, the
HbA1C is in the diabetic range. Pain can increase the body's
stress response and cause an increase in blood sugar but usually not to this extent.
It can be reduced by the standard lifestyle and medication. Lifestyle changes consist of diet changes (water replacing sodas or fruit drinks), use of either the low carb diet or low fat or low calorie diet. Physical activity, if possible, swimming or other water exercise, may be best with the history of joint pain.
Metformin should be considered as it is used in people who are not full blown diabetics to slow down progression, also used in diabetics as well.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Michelle Gibson James