Thank you for your question.
I understand that your glucose is on the higher side and so is your blood pressure.
You are certainly on a very high dose of insulin.
I have noticed that you are not on metformin
I would strongly recommend that you should also be metformin as well provided:
1. You have a normal creatinine
or a creatinine of less than 1.6 on your blood tests
2. You have a normal or near normal ejection fraction
of 40% or above.
If you fulfill these two requirements then I would start metformin in your case.
I think that the main problem with your body is that you are having insulin resistance
By this I mean that your body is resistant to the action of insulin which is why you are requiring such high doses of insulin.
What metformin will do is that it will reduce insulin resistance and may allow your insulin dose either to be reduced or your blood glucose be normalized on the same dose of insulin.