You seem to be suffering from metabolic syndrome
and the main features of this are
...obesity and specifically around waist.
...Low HDL cholesterol
...increased blood sugar levels which could be a frank diabetes
or just insulin resistance
You must consult a diabetologist
and get yourself thoroughly investigated.
Your symptoms of fatigue and increased urination clearly suggest that you have developed
If there is only just fasting hyperglycemia
or impaired fasting sugar,then treatment would be change in lifestyle like
Shedding of weight
But if there is frank diabetes,then you would need proper anti diabetic medications along with change in life style.
I hope it helps.