A post-meal blood sugar of 220 mg/dL indicates your current diabetes regimen needs optimization. Since you are already taking Reclemet and Volix (which specifically targets post-meal spikes), please do not alter your medication doses on your own. Your doctor may need to adjust the dosage of Volix, ensure it is taken correctly right before your first bite of food, modify Reclemet, or add another medication. Please consult your prescribing physician immediately with a 3-day blood sugar log (fasting and post-meal) for a safe, tailored adjustment. Additionally, review your dietary carbohydrate intake and daily physical activity.

An HbA1c of 7.5% indicates your blood sugar is slightly elevated, but this is highly manageable and common after having diabetes for 11 years. Your current dose of metformin (500 mg) is relatively low, as the standard effective dose can go up to 2000 mg daily. Rather than adding new medications, your doctor will likely consider safely increasing your metformin dose first, or adjusting your glimepiride. Please do not change your doses on your own. Consult your prescribing physician, who will review your kidney function and safely optimise your prescription to bring your HbA1c back to your target range.