HI, thanks for using healthcare magic
As you said, the
HbA1c is high. In controlled diabetics the value is less than 7%.
A value of 8 to 9 implies that the
diabetes is not presently in control.
She may need to alter either her lifestyle or
insulin or both.
Lifestyle changes would include a change in diet and increase in activity.
Diet changes would include more fruits and vegetables, no sodas or high sugar fruit drinks, a lot of water, reduced carbs (may need to adjust insulin).
With regard to activity, it is advised that a person should have at least 150 mins of exercise weekly.
Her insulin may also need to be adjusted.
She should speak to her doctor about these changes.
I hope this helps