Dear Sir/Madam, You are on a pretty strict dosage of medicines. Still your fasting value is quite high. if your other parameters are normal you can discuss about adding pioglitazone to your regimen. Currently this drug is being sold with warning and it is safe to take this drug under medical supervision. The ideal thing to be done is addition of a small dose of long acting insulin like glargine to get better control on blood sugars. I am suggesting insulin because higher fasting values are known to promote the development of Diabetes related complications. Please discuss with your Diabetologist and proceed on one of the 2 options i have mentioned above... Dr.Riyaz Sheriff