It is completely manageable to bring both your fasting and postprandial (after-meal) blood sugars back to a healthy range. Often, doctors prescribe metformin as a first-line generic medication to control fasting levels. To manage post-meal spikes, medications like DPP-4 inhibitors (such as sitagliptin) or SGLT-2 inhibitors (such as empagliflozin) are highly effective. Sometimes, a sulfonylurea like glimepiride is also added. Because the right treatment depends on your specific health profile and kidney function, please consult your healthcare provider. They will conduct a simple evaluation to safely prescribe the precise medication and dosage tailored to your needs.