My a1c was 6.7. My doctor removed me from metformin. My next a1c was 8.0 and I gained 10 lbs. she didn't seemed concerned. I asked about back to metformin when she said that due to my liver enzymes being raised, she preferred not to. Rather we increased my insulin levels. I'm still slowly gaining weight and my sugar seems out of control. averaging 200 all day. What can I do to reduce sugar now.