Swelling and intense pain near wrist!

I am seeking clinical guidance for a 50-year-old female presenting with persistent pain and swelling in the right wrist. An ultrasound confirmed mild inflammatory tenosynovitis of the dorsal compartment tendons with subcutaneous tissue edema. This localized presentation occurs in the context of significant uncontrolled diabetes (HbA1c 9.1%, fasting glucose 285 mg/dL) and systemic inflammation, evidenced by elevated CRP (28.70 mg/L) and ESR (31 mm/hr). Additionally, the patient shows signs of early metabolic-associated organ stress, including an elevated Microalbumin-Albumin/Creatinine Ratio (64.45 mg/g) and elevated liver enzymes (SGOT 62 U/L, SGPT 107 U/L, GGT 106 U/L). Given this clinical picture, I would appreciate your expertise on the following: Does this tenosynovitis likely represent a direct manifestation of the patient's uncontrolled metabolic and systemic inflammatory state? Furthermore, what is the recommended management strateg