Dr. Hanif warmly Welcomes you! Thanks for consulting at my virtual clinic. I have carefully worked through your case, and I can arealize your health worries. Being your physician, I assure you not to worry as I will take care all of your medical concerns.   Your blood sugar levels are pretty near to the limits but high. So you definitely need oral hypoglycemics. Metformin and Glimipride will be enough for you. Try these ones along with some life style modification. You will not need the third one i.e. Trajenda. But it then includes a regular physical activity. Jogging is best for diabetics and cardiac patients. Take low fat and low carbohydrates diet. High fiber diet is best for you. Fruits should be taken before 5pm if any. Excess of everything is bad. Take anything you want to eat but in limits. Please go for HBA1c (glycated Hemoglobin) levels from lab and consult me once results are with you. You may also consult your treating physician for that. It shows the sugar control over the past 3,4 months. Hope it helps. If you need further, detailed and quick assistance related to any health issues in future, feel free to ask me a question directly from my profile. Have a wonderful time ahead.   Best Regards! DR. MUHAMMAD M. HANIF USA