Brief Answer:
A step by step approach needs to be taken

Detailed Answer:
Thanks for using the Ask a Doctor service.

I have gone carefully through your query and understand your concerns. Let me tell you that such issues need a proper perception of the problem so that appropriate coping mechanisms can be developed. This can be done by taking her to a psychological counsellor. The psychologist may undertake psychotherapy or counselling to get a concrete grasp of the roots of the emotional instability and depending upon the scenario will be able to administer cognitive behavioral therapy to help in its resolution. The story in case of each individual is different and so are their Regardsanxiety, fears and apprehensions. They therefore need an individualized treatment plan.

Regarding your diabetes let me tell you that HbA1c levels indicate an average of the control of blood sugar levels over the last 3 months. It is the underlying blood sugar levels as well as the HbA1c level that have to be kept in control. The first thing to be done is dietary modification and regular exercise and morning walk. This is the most important step. This has to be followed by regular medication. The best medicine with least side effects is insulin. Usually a long acting insulin is coupled with shorter acting insulins. The dose needs to be titrated before a stable dose is decided upon. There are other newer oral agents like sitaglyptin but still insulin injections are the best mode of treatment. However, in terms of safety (not getting hypoglycemia), metformin is preferable as it does not usually lead to hypoglycemia.

It is also important to take green leafy vegetables regularly in diet. Colourful fruits and vegetables are to be taken as well.

Let me know if I could help further.

Regards

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