Brief Answer:
You need to reduce weight and keep your sugar in control

Detailed Answer:
Dear friend, Greetings from HCM. Diabetes is not going to bother you if you practice some healthy lifestyle changes and take proper medication. You need to monitor your glucose levels regularly and take proper medications prescribed by your doctor. First you need to get your lipid profile, thyroid profile, microalbuminuria and HbA1c checked. Also keep record of your fasting and post-prondial glucose record every day for a month in your diary with a well calibrated glucometer. Your medications are sufficient for time being if you are committed for lifestyle changes.
First stay away from all the fast / processed and fried food stuff. Divide your meal in to 4-5 parts per day whenever you feel hungry. With 2/3 snacks in between. That helps to keep the sugar levels constant throughout the day. Add more of fiber rich food stuffs like green leafy vegetables, raw fruits (not juices), take very less of carbohydrates (rice) avoid sugar completely. Take Millets in boiled form or the breads prepared out of it like ragi, bajra, sorghum, wheat etc., are very good source of micronutrients required for the action of insulin. Take more of protein rich food, like egg white, fish is good source of omega 3 & 6 fatty acids. Moreover, beetroot juice (inorganic nitrate), olive leaves, garlic, turmeric, tamarind also have proven benefits. Say no to oils and cholesterol rich food stuffs. Based on this, with the help of a dietician, you prepare your diet chart and strictly follow it.
Physical activity is very important, play games, walk at least half an hour to one hour a day. This not only helps you to burn calories, but also to relive your stress. Music is another way to relax too. Try and practice yoga, meditation and pranayama. Some aasanas are very easy to practice and also beneficial. Quit smoking (if) and reduce your alcohol intake.
If u can follow these (have to!!) you can definitely see difference yourself by the time you have your next blood investigation report in three months time.

For the issue of piles, you have to address and treat any problem of constipation. If you are suffering from constipation, you may take Syrup Cremaffin- 1 tablespoon before bedtime. If you have bleeding as well, you may get examined by a proctologist.
Wish you good health. Do feel free to ask more queries. THANK YOU

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