This is Dr Basu, experienced Internal Medicine Specialist.
I am here to address your concerns and provide great service.
A1c 7.4 is not that bad --average blood sugar is around 150.
This is not an emergency.
Metformin dose should be 1000 mg twice daily --maximum dose.
Another medication may be added like glipizide if sugar is still high with maximum dose of metformin.
Please watch your diet strictly.
Cut down carbs, increase protein and unsaturated fat intake.
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