Hi, I had gone through your query and understood your concerns. There is nothing to get alarmed because this is a natural happening in the course of diabetes progression. With increased duration of diabetes medications tend to become more and more inefficient. i suggest you to consider medications like DPP-4 inhibitors as the next line of drugs along with present medication. take advice of your doc on doseage information of the drugs. Always remember that without exercise there is no treatment for type 2 diabetes daily go for 45 min walking. i would like to give some random tips for diet in diabetes . 1.Avoid all kinds of refined carbohydrates like sugar 2.Take all kind of fresh veggies kindly restrict use of potato and sweet potato. 3.Daily taking green tea is good for pre diabetes as it contains lots of antioxidants 4.Alcohol can be taken in a moderate quantity, Try avoiding wine and beer(better to avoid alcohol fully during gout attacks).Alcohol can be taken 2-3 ounces . 5.Avoid all kinds of carbonated drinks they are not good for your bone health. 6.low fat milk can be consumed about 200ml per day. 7.low fat cheese and low fat yogurt can be taken. 8.Daily you can take a small cup of almonds,walnuts,pista and peanuts which are good for your good cholesterol. 9.Daily take only one fruit, avoid banana and mango ...if you like take only minimal quantity. 10.you can take protein, Choosing plant-based protein, such as beans and legumes more. 11.Alternate days you can take 2 egg white...pls discard yolk(yellow) since it contains bad cholesterol. 12.Use olive and sunflower oil for cooking. 13.Prefer grill than oil fry. 14.occasionally you can take ice creams and dark chocolate. 15.take good amount of green leafy veggies to avoid constipation. 16.Animal proteins are high in purine. Avoid or severely limit high-purine foods, such as organ meats, herring, anchovies and mackerel. Red meat (beef, pork and lamb), fatty fish and seafood (tuna, shrimp, lobster and scallops) are associated with increased risk of gout. Because all meat, poultry and fish contain purines, limit your intake to 4 to 6 ounces (113 to 170 grams) daily. 17.It is best to avoid beverages sweetened with high-fructose corn syrup, such as soft drinks or juice drinks. Hope I was able to help you. If you have any further question feel free to write me back. I will be happy to help. Take care. Best Regards. Dr Vamsi Krishna Consultant Diabetologist Apollo Hospital