Since your fasting levels are high and you previously required insulin (Toujeo and Humalog) and metformin (Glycomet SR), your body likely needs a combination of these treatments again. It is very important to see your doctor or an endocrinologist immediately for a proper evaluation and a personalized prescription.

You are already taking Clauvix (clopidogrel), Rozucor (rosuvastatin), and Glycomet (metformin), it is extremely important that you do not take any new medications on your own right now. Sudden breathing difficulty can be a sign of a serious heart or lung issue, especially with your medical history. Please seek emergency medical care immediately or go to the nearest emergency room for a proper evaluation.

While some people explore homeopathy for symptom relief, there is limited scientific evidence showing it can repair tendon damage. Fortunately, homeopathic remedies generally do not interfere with your daily diabetes medication, Glycomet-GP1 (glimepiride/metformin). Since physical therapy hasn't helped, I gently recommend consulting an orthopedic specialist. They can review your imaging and discuss other safe options, such as targeted injections, to help you regain your mobility comfortably.

Your upper right belly pain is much more commonly related to issues like gallbladder spasms or gallstones, which are more frequent with obesity and PCOS. Sometimes, kidney stones can also cause radiating discomfort. Your past medications, including Glycomet SR (metformin), Normoz, and Eva Care syrup, are safe and not linked to this pain. I highly recommend consulting your doctor for a simple abdominal ultrasound to check your gallbladder and kidneys.

Your current metformin (Glycomet) therapy is working very well. Both IME 9 and BGR 34 are ayurvedic formulations. While some patients use them as supportive therapies, they cannot replace your prescribed metformin, and there is no strong clinical data to prove one is superior to the other. Adding them might also risk lowering your blood sugar too much. Since your readings are already well-controlled, please consult your doctor before starting any herbal supplements.

While managing your diabetes with Glycomet GP1 (which contains metformin and glimepiride), we must be cautious. Some Ayurvedic herbs, like Bhumi Amla or Punarnava, are traditionally used for fatty liver, but they can lower blood sugar levels. Combining them with your current prescription might increase the risk of low blood sugar (hypoglycemia). Therefore, I highly recommend consulting your doctor or an Ayurvedic specialist before starting any supplements. In the meantime, gentle lifestyle changes like a balanced, low-glycemic diet and daily walking are highly effective and completely safe.