Your sugars are very high and u have
diabetes. Diabetes doesn’t appear over night. The process may have started 5-10 years back but only has manifested now. So by the history and ur age it looks like u have type 2 Diabetes. So treatment u need to start exercise regularly, reduce weight if obese, have a good diet consult a dietitian and maintain healthy life style. U need to start on medicine.
Next Steps
HBA1c test consult endocrinologist