Your blood sugar levels suggest mild diabetes, which is highly manageable. For your blood sugar, a safe first-line generic medication like Metformin is often prescribed because it effectively controls glucose without causing sudden drops. For your anxiety and fatigue, Selective Serotonin Reuptake Inhibitors (SSRIs) like Escitalopram or Sertraline are commonly used and generally do not negatively affect blood sugar. Since fatigue can also be linked to diabetes or thyroid issues, please consult your doctor for a personalised prescription and blood tests. Combined with light exercise and a balanced diet, these conditions can be safely managed together.