Since your HbA1c remains high despite diet, exercise, and medications like Forxiga 10?mg, your diabetes may need adjustment of treatment; this could mean changing doses, adding another medicine, or considering insulin. Your neuropathy medicines (Meganerv PG and Cyblex MV) help with nerve symptoms but do not lower blood sugar. Consult your doctor to review your diabetes management and discuss options to better control sugar and prevent further nerve damage.

Cyblex MV is usually taken along with your diabetes medicines like metformin, gliclazide, and voglibose, and your doctor has prescribed them together to control blood sugar in different ways. Do not substitute or skip any of these medicines on your own, because each works differently and stopping one could affect sugar control. Always follow your doctor's instructions and discuss any concerns before making changes.