Hello dear user! I have gone through your query and understood your concerns! Thank you for sharing them on healthcaremagic. Your blood sugar levels require treatment with antidiabetic drugs even you might be asymptomatic. Hemoglobin (HbA1c) level is very increased to be treated without medication. It tells us that your sugar levels in last three months have been high. In this case it would be better if you contact an endocrinologist to do a full examination and decide for the therapy you must follow from now and on. You would need other tests except blood sugar and HbA1C like: Cholesterol, Triglycerides, kidney function indicators, Liver enzymes, urine analysis, ophtalmologist consultation etc. Please do not neglect your health status, and your laboratory findings. Have an appointment your your endocrinologist soon. I hope this answer was helpful to you! Please kindly rate it as helpful and write a short review about your experience with me! I would appreciate that a lot. Thank you and best regards! DR ERIOL.