Hi Dr Welcome to HCM I have gone through your query and found your your medication and your high level of BSL inspite of your regular medication and control on diet and exercise . It is a matter of great concern. Upto 200 of BSL count is considered to be controllable , your hba1c is very high . I suggest you to check your regimen with the regimen given below as it is tested & tried on hundreds of diabetics who have come to normal BSL with minimum medication prescribed by their physician . I would like know since how long you are suffering ? And for how long you have practiced control on your diet and exercise ? You must keep in mind not to include sugar or sugary products , carbs in your diet . Constipation is mother of all ills . so be careful . Our Diabetes depends on what we eat ,when we eat and how we eat . and our activity level . Treatment with tablets and insulin is not enough anyway .A strict diet control and regular exercise to control weight is a part of the therapy. Result of following the regimen will be seen after 2-4 months and is to be followed for life . I suggest you to take balanced regular diet .Include all essential nutrients less carbs , more of fiber,protein , vitamins ,minerals in natural form as fruit ,green leafy veges , supplements full of antioxidants - lemon juice ,bitter gourd juice 25 ml , Aloe vera juice +Amla juice , coconut water , bitter gourd juice 25-30 ml , turmeric powder with a cup of hot milk + a T spoon almond oil, almonds ,walnut , a few to count , and proper , exercise regular ,walk ,YOGA,pranayam - deep breathing will fulfill your requirement of balanced diet ,and overall detoxification of your system . Last but not the least shun your mental stress , worry ,anger to get sound sleep practice meditation to enhance resistance from diseases and pave way for healthy , happy ,disease free life if above regimen followed regularly . Hope this helps solve your query .Take care .All the best if any doubt Mail at drsuchda@gmail.com Don t hesitate to come back for further query if any . Yogasan -- Pashimothaan asan / Vajjarasan /Mandookasan1 / Mandookasan2 /Ardhmattasendriye asan / Gomukh asan Suryanamaskar asan ,Shavasan