Hello doc My mom has been suffering from dm,htn and dyslipidemia. Her hba1c was 10.6 , 3 months back. Recently it's 8.6. And the dose had been increased 3 days back, she has trigger finger for which she is taking anti inflammation medications. Recently her home glucomter levels were  fasting glucose is 190 on glucomter even after strict restriction of carbs and regular physical exercise... What other intervention can be done to bring back the fasting and post prandial glucose on control?