1. Lifestyle Modificationsa. Focus on a balanced diet with low glycemic index foods and portion control.b. Engage in regular physical activity, like walking or swimming, for at least 30 minutes daily.

2. Medication Review and Optimizationa. Continue current medications: Acarbose, Metformin, and Glimepiride.b. Consult your doctor about potential medication adjustments or newer options.

3. Monitoring and Regular Check-upsa. Monitor blood sugar levels regularly at home.b. Schedule periodic HbA1c tests and follow-ups with your healthcare provider.

4. Managing Comorbidities and Complicationsa. Regularly check blood pressure, cholesterol, and kidney function.b. Ensure routine eye and foot exams to screen for complications.

5. Stress Management and Sleepa. Practice relaxation techniques and maintain good sleep hygiene to stabilize blood sugar levels.

6. When to Seek Medical Advicea. Be aware of symptoms of high or low blood sugar and contact your doctor if needed.

Implementing these strategies can help improve your blood sugar control effectively.