Hi carbcounter - The way that I kept it at 6.3 and not letting it go higher is that I also have chronic kidney disease and stick to an extremely strict renal diet. Since I am a caregiver 24/7 and 365 days then I am constantly moving. Unfortunately my insurance company had also taken away my Jardiance so that also contributed to more damage while off of it. My doctors gave me nothing to help keep it low while we were battling through the appeals process. So, all of my meds to control the A1c were gone for the five weeks along with a blood pressure med that I needed. My body complained in every possible way. At the end of the fourth month everything was back. I just think though that there is absolutely no reason to get people onto meds to only yank them away through insurance companies who want to give what they believe the patient needs instead of what their doctors prescribe. It can definitely be frustrating beyond measure.