Shes already on zoryl-3 (glimepiride
3mg),piodart-15(pioglitazone 15mg), X-met( metformin
500 mg) besides that she is on antihypertensives( ramipril and hydroclorthiazide), allopurinol, hypolipidemic (atorvastatin). Her blood sugar is still high in the range of 240-270 mg/dl. I request you, and Sir/Maam please do take this message into consideration to inform me about the treatment options. Should insulin be started, her glycosylated hbA1c level was 8. And any other treatment options.