I agree the numbers are a bit high. How aggressive to push your weight and A1C down is actually quite philosophical and I like to consider quality of life and goals. I don’t know the details on your cancer and life expectancy. Realize the damage you are doing to organs from the elevated weight and glucose are cumulative but take years to have a real effect. So if you have a life expectancy of over 10-15 years I do think you should work on getting your weight down a bit and get the A1C down to 7 even. If your life expectancy is less than 10 years, it probably matters less.

I am much more aggressive in trying to get better A1C numbers in younger patients because they will be around for several decades and the goal is to avoid end-organ damage. On the other end of the spectrum, an elderly patient who is 88 and has an A1C of 8 or 9, I don’t really push very hard.

TL DR it depends