A reading of 293 mg/dL is elevated, but it can be safely managed. You are taking multiple medications containing metformin, sitagliptin, pioglitazone, and a sulfonylurea. Since your post-meal sugar remains high, your current regimen is not fully effective and needs professional adjustment.\n\nPlease consult your doctor promptly to review these medicines. They may safely adjust the doses, switch combinations, or discuss adding insulin. Do not alter your doses on your own.\n\nTo help immediately, stay well-hydrated, take a gentle 15-minute walk after meals, and limit carbohydrates. Your physician will help guide you to a safer, optimized treatment plan.