High sugar. To deal with this situation?

You need to take consultation with a diabetologist and then take dietary control and exercise

Treatment is necessary in this case .. medication will not harm but not treating will cause various problems.. consult for further management

see a good endocrinologist or physician with diabetic knowledge only procedure with pregnancy if the sugar in control also check for thyroid function

Yes need to start medications. Sugars should be controlled 6 months before get conceived.

Your wife’s blood sugar levels indicate uncontrolled diabetes, which needs immediate management, especially since you’re planning for pregnancy. Poorly controlled diabetes can increase the risk of complications for both mother and baby, including miscarriage, birth defects, and preterm birth. Steps to Take: 1.Start Medication Immediately – At an HbA1c of 10.6, lifestyle changes alone may not be enough. She may need oral medications or even insulin initially to bring blood sugar under control. Some diabetes medications are not safe during pregnancy, but insulin is considered safe. 2.Diet & Lifestyle Modifications – A strict low-carb, high-fiber diet with portion control, regular physical activity, and weight management are crucial. 4.Monitor Blood Sugar Regularly – Frequent monitoring (fasting, post-meal, and random levels) will help assess progress. 5.Preconception Planning – Ideally, HbA1c should be below 6.5% before trying to conceive to minimize risks. 6.Folic Acid Supplementation – She should start folic acid (at least 5 mg daily) to reduce neural tube defect risks.

Consult an Endocrinologist – She needs a detailed evaluation and a treatment plan. If pregnancy is planned soon, switching to insulin may be recommended.

Starting the right medication at this stage is essential and can be adjusted safely if pregnancy occurs. Avoiding treatment will increase complications.