It is not uncommon to require regimen adjustments when blood sugars remain high. Currently, you are taking a long-acting basal insulin (insulin degludec), a rapid-acting mealtime insulin (insulin aspart), and a daily oral medication (linagliptin). To safely improve your blood sugar control, your doctor might consider: Adjusting the dosages of your basal or mealtime insulins based on your daily blood sugar patterns. Confirming proper injection techniques and timing. Adding or switching to other medications, such as metformin or an SGLT2 inhibitor. Please share your daily glucose logs with your doctor to safely customise these adjustments. Avoid making any dose changes without their direct guidance.