Thank you for the query. I would like to know your gender and duration of diabetes. I would also like to know whether you have any associated comorbidities, like hypertension, dyslipidemia. The HbAic levels are required to assess the long term control of your diabetes (single readings are not always sufficient). You are presently on the basal bolus regimen (3 doses of rapid acting Insulin before meals and a one dose of basal insulin at bedtime). Despite this your sugars are apparently not well controlled. Your BMI is 30 kg/m2 (obese). Weight reduction is very important at this stage, since fat (specially central obesity) causes insulin resistance. You must restrict intake of refined carbohydrates and aerated drinks (which can worsen the situation). Try to avoid alcohol as much as possible. Uncontrolled Diabetes for a long term, can be associated with microvascular (eye, nerves and kidneys) and macrovascular (coronary artery disease) complications. The exact time to development to these complications are difficult to pin-point since it varies in individuals, but risk is definitely increased of one has been an uncontrolled diabetic for more than 10yrs. However, there are certain investigations which can be done to detect early microvascular complications (can necessary measures can be taken) - An eye check up is recommended (with fundoscopy), to detect diabetic retinopathy (once a year) - Urine for spot ACR is needed to detect proteinuria (micro/macroalbuminuria) - Neurological assessment (nerve conduction velocity) to rule out diabetic neuropathy. If possible please do visit your physician atleast twice-thrice a year to assess your status. Hope this helps you out. Regards, Dr. Ayusmati Thakur