I forgot to say that I also take Metformin 500mg 3 times a day I also take 100 units of Toujeo and Humlin 50 units which I just started on today so I'm hoping I will see results and my sugars getting within normal range Wish me luck anymore advise would be appreciated

Because A1C is just an average.

It is calculated on the midpoint between your average highest and lowest numbers.

An A1C of 6.5 equates to an average blood sugar of about 140

If your typical lower end blood sugars are say 90 then for 140 to be the midpoint your upper blood sugars would have to average 190

If your range was tighter say with higher (low end) sugars at 120 then your highest numbers could be a "lower then the above) 160 and your "average" would still be 140.

So in my first example an A1C of 6.5 would still leave the individual with very high blood sugar at least some of the time, well above the level that could cause some sugar damage.

In the second example someone else with the same A1C of 6.5 would have "ok" lower numbers and near normal highest numbers.

Both A1C of 6.5 but the first would be more prone to developing complications then the second even though both have "controlled" A1C's.

And that is the "limitation" of A1C - it doesn't give a super accurate picture of what your blood sugar is actually doing.

If you are peaking out in the 190 to 200 range you "should be" on meds even with a controlled A1C, even though the "medicate" line is generally seen as an A1C of 7.0 or higher.

Then that makes sense. If you have just started the Humulin it may take a bit of tweaking to finalize how many units you will need.