Thanks for contacting HCM I am sorry to hear that you are having troubles controlling your diabetes. I see you are taking Jarla which helps the pancreas lower glucose levels. With your blood sugars still elevated I would recommend adding additional medication. If Jarla was your first and only medication and you have no other medical problems your doctor might prescribe metformin, glipizide, pioglitazone or even insulin. There are several medications that could be used and you and your doctor need to discuss which medications to start. In the mean time I recommend you continue using Jarla and diet and exercise. Hope this answers your question. Please feel free to contact us again with your medical questions