An A1c of 8.5 translates to a mean blood glucose 197 mg/dl. You need to bring that down to much lower numbers! This is the only path to revert any nerve damages that might have progressed till now. Aim at an A1c below 6.3 to minimize the likelyhood of complications. Do not stick to the very much outdated rule of 7.0 as a goal. If you think your current medical team does not support this idea then change to a specialized endo. Read books like “Think like a Pancreas” to improve your handling skills. Most importantly: do not ignore this - it will not go away. You have to seek for solutions and this will be a journey: life style changes, better MDI handling, probably pumping. I know it sounds dramatic but you have a long life in front of you. The real questions is how you will get old - with major or with minor complications.
