###Human: My sugar levels are high along with painful weak limbs. What to do? ###Assistant: Hello. I have seen the details given, including the laboratory reports (attachment removed to protect patient identity). Your blood glucose (both fasting and PP) are high. Fasting is particularly much higher. HbA1c % is also fairly high, both these suggest there is improper control of diabetes. This itself can be the cause of weakness. Ideally in well-controlled diabetes fasting glucose should be <100 mg, PP 150 to 160 mg and HbA1c % < 6.8. Therefore, looking at this situation there is a need for upgrading the treatment with some additional drugs plus there has to be a closer look given to your diet and exercise schedule. So, I would like to know your diet pattern and extent of daily exercise being done. I suggest an addition of tablet Teneligliptin 20 mg plus Metformin daily once just after lunch. I am enclosing the prescription.