Even though your blood sugar is reasonably controlled (FBS 140, PPBS 125), feeling tired and achy in the evenings could be due to diabetes-related fatigue, medication side effects, or other conditions like low iron, thyroid issues, or vitamin deficiencies. You should discuss these symptoms with your doctor, who may check blood counts, thyroid, kidney, and vitamin levels, and review your medications. Regular exercise, balanced meals, and adequate rest can also help improve energy levels.

Since you have had diabetes for 12 years with high blood sugar and foot pain/numbness, this suggests diabetic neuropathy, which can worsen if sugar stays high. To reduce blood sugar and protect your nerves: follow a healthy diet, exercise regularly, take your prescribed medicines on time, monitor your blood sugar often, and avoid smoking or alcohol. Your doctor may need to adjust medications or add insulin for better control. Early treatment and good sugar control can relieve symptoms and prevent complications.

Since your blood sugar is still high despite taking Tenlimac M, your diabetes medicines may need adjustment or additional treatment. You should consult your doctor soon, who may change your dose, add another medicine, or suggest insulin if needed. Along with medicines, healthy diet, regular exercise, and monitoring your sugar are very important to bring levels under control and prevent complications.